Pregnant women and male partner perspectives of secondary distribution of HIV self-testing kits in Uganda: A qualitative study.
Pregnant women and male partner perspectives of secondary distribution of HIV self-testing kits in Uganda: A qualitative study.
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DOI：
10.1371/journal.pone.0279781
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Sharma, Monisha
中科院分区：
文献类型：
--
作者：
Bulterys, Michelle;Naughton, Brienna;Mujugira, Andrew;Mugisha, Jackson;Nakyanzi, Agnes;Naddunga, Faith;Boyer, Jade;Ware, Norma;Celum, Connie;Sharma, Monisha
艾滋病毒自我检测（HIVST）是提高撒哈拉以南非洲（SSA）男子对艾滋病毒状况认识的一项有前途的战略。了解用户的角度来看，艾滋病毒的二次分布从孕妇参加产前护理（ANC），以他们的男性伴侣是至关重要的优化交付战略。我们对没有伴侣参加ANC的孕妇进行了抽样，并对感染艾滋病毒的孕妇（PWHIV）进行了有目的的过度抽样，以了解她们的独特观点。我们在从女性那里获得联系信息后招募了男性伴侣。我们对男性和孕妇进行了14次焦点小组讨论和10次深入访谈。我们评估了HIVST二次分布的可接受性、障碍、促进因素和干预措施，以增加HIVST的吸收。与会者认为，艾滋病毒/艾滋病的二次分布是可以接受的，特别是对于关系稳定的妇女。然而，许多人对不信任、关系破裂、害怕发现血清差异以及缺乏与艾滋病毒/艾滋病相关的咨询等指控表示担忧。艾滋病毒携带者协会报告说，他们对二次分配犹豫不决，理由是担心无意中披露艾滋病毒状况和被遗弃，从而给他们自己和他们的婴儿造成经济困难。一些参与者更喜欢提供者直接联系男性提供HIVST试剂盒，而不是通过女性分发。参与者报告说，社区宣传，提供电话咨询，男性诊所工作人员，延长诊所时间，和财政奖励可以增加男子的艾滋病毒/艾滋病治疗的使用和联系的照顾。参与者对使用HIVST表现出很高的兴趣，但二次分配并不是普遍的首选。我们确定了潜在的战略，以提高艾滋病毒的可接受性，特别是在PWHIV和那些不稳定的伙伴关系，可以告知战略，以优化艾滋病毒的分布。
HIV self-testing (HIVST) is a promising strategy to increase awareness of HIV status among sub-Saharan African (SSA) men. Understanding user perspectives on HIVST secondary distribution from pregnant women attending antenatal care (ANC) to their male partners is crucial to optimizing delivery strategies. We sampled pregnant women attending ANC without their partners and purposively oversampled pregnant women living with HIV (PWHIV) to understand their unique views. We recruited male partners after obtaining contact information from women. We conducted 14 focus group discussions and 10 in-depth interviews with men and pregnant women. We assessed acceptability of HIVST secondary distribution, barriers, facilitators, and interventions to increase HIVST uptake. Participants felt that HIVST secondary distribution was acceptable, particularly for women in stable relationships. However, many expressed concerns about accusations of mistrust, relationship dissolution, fear of discovering serodifference, and lack of counseling associated with HIVST. PWHIV reported hesitation about secondary distribution, citing fears of unintended HIV status disclosure and abandonment resulting in financial hardship for themselves and their infant. Some participants preferred that providers contact men directly to offer HIVST kits instead of distribution via women. Participants reported that community sensitization, availability of phone-based counseling, male clinic staff, extended clinic hours, and financial incentives could increase men’s HIVST use and linkage to care. Participants expressed high interest in using HIVST, but secondary distribution was not universally preferred. We identified potential strategies to increase HIVST acceptability, particularly among PWHIV and those in unstable partnerships which can inform strategies to optimize HIVST distribution.
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影响因子：
2.6
作者：
Matovu JKB;Kisa R;Buregyeya E;Chemusto H;Mugerwa S;Musoke W;Vrana CJ;Malek AM;Korte JE;Wanyenze RK
通讯作者：
Wanyenze RK
影响因子：
15.8
作者：
Masters SH;Agot K;Obonyo B;Napierala Mavedzenge S;Maman S;Thirumurthy H
通讯作者：
Thirumurthy H
影响因子：
5.9
作者：
Azuonwu, Obioma;Erhabor, Osaro;Frank-Peterside, Nnenna
通讯作者：
Frank-Peterside, Nnenna
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S
影响因子：
3.1
作者：
Henley, Catherine;Forgwei, Gideon;Muffih, Pius Tih
通讯作者：
Muffih, Pius Tih