HIV self-testing could "revolutionize testing in South Africa, but it has got to be done properly": perceptions of key stakeholders.
HIV self-testing could "revolutionize testing in South Africa, but it has got to be done properly": perceptions of key stakeholders.
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DOI：
10.1371/journal.pone.0122783
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
van Rooyen H
中科院分区：
文献类型：
--
作者：
Makusha T;Knight L;Taegtmeyer M;Tulloch O;Davids A;Lim J;Peck R;van Rooyen H
南非是世界上艾滋病毒负担最重的国家，有640多万人感染艾滋病毒。近年来，南非政府对艾滋病毒的应对取得了显著成果;在2012年的一项运动中，超过1300万南非人接受了检测，200多万人接受了抗逆转录病毒治疗。然而，随着一项旨在到2016年使80%的人口了解其艾滋病毒状况的艾滋病毒和艾滋病及性传播感染国家战略计划，活动家和公共卫生政策制定者认为，非侵入性艾滋病毒自我检测应纳入国家艾滋病毒咨询和检测（HCT）组合。2013年6月至7月在南非与主要利益攸关方进行了深入的定性访谈（N = 12）。其中包括两名政府官员、四名非政府利益攸关方、两名捐助方、三名学术研究人员和一名国际利益攸关方。所有利益攸关方都参与了艾滋病毒的预防和治疗，并影响了南非及其他地区的艾滋病毒/艾滋病咨询小组政策和研究。访谈探讨了：对艾滋病毒自我检测感兴趣;向目标群体提供艾滋病毒自我检测的潜在渠道;对最适合艾滋病毒自我检测的诊断技术的要求的认识，以及对艾滋病毒与收到阳性检测结果后的护理联系的障碍和机会的看法。虽然南非目前没有艾滋病毒自我检测政策，而且存在一些障碍，但研究的参与者表示了扩大规模的热情和意愿，迫切需要进一步研究，规划，制定艾滋病毒自我检测政策和方案，以补充现有的基于设施和社区的艾滋病毒检测系统。采用艾滋病毒自我检测可能对全面接受艾滋病毒检测产生深远的积极影响，使人们能够自主决定他们希望采用哪种方法进行艾滋病毒检测、早期诊断、治疗和艾滋病毒护理，特别是在包括男子在内的难以接触的群体中。
South Africa bears the world’s largest burden of HIV with over 6.4 million people living with the virus. The South African government’s response to HIV has yielded remarkable results in recent years; over 13 million South Africans tested in a 2012 campaign and over 2 million people are on antiretroviral treatment. However, with an HIV & AIDS and STI National Strategic Plan aiming to get 80 percent of the population to know their HIV status by 2016, activists and public health policy makers argue that non-invasive HIV self-testing should be incorporated into the country HIV Counseling and Testing [HCT] portfolios. In-depth qualitative interviews (N = 12) with key stakeholders were conducted from June to July 2013 in South Africa. These included two government officials, four non-governmental stakeholders, two donors, three academic researchers, and one international stakeholder. All stakeholders were involved in HIV prevention and treatment and influenced HCT policy and research in South Africa and beyond. The interviews explored: interest in HIV self-testing; potential distribution channels for HIV self-tests to target groups; perception of requirements for diagnostic technologies that would be most amenable to HIV self-testing and opinions on barriers and opportunities for HIV-linkage to care after receiving positive test results. While there is currently no HIV self-testing policy in South Africa, and several barriers exist, participants in the study expressed enthusiasm and willingness for scale-up and urgent need for further research, planning, establishment of HIV Self-testing policy and programming to complement existing facility-based and community-based HIV testing systems. Introduction of HIV self-testing could have far-reaching positive effects on holistic HIV testing uptake, giving people autonomy to decide which approach they want to use for HIV testing, early diagnosis, treatment and care for HIV particularly among hard-to reach groups, including men.
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