Is the Philippines ready for HIV self-testing?
Is the Philippines ready for HIV self-testing?
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DOI：
10.1186/s12889-019-8063-8
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发表时间：
2020-01-09
影响因子：
4.5
通讯作者：
Taegtmeyer, Miriam
中科院分区：
文献类型：
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作者：
Gohil, Jesal;Baja, Emmanuel S.;Taegtmeyer, Miriam
菲律宾正面临着男男性行为者（MSM）中艾滋病毒流行迅速上升的问题。年轻人的检测率很低。艾滋病毒自我检测（HIVST）是解决这一检测差距的一项有前途的策略。这项研究的目的是探讨主要知情人和目标用户对艾滋病毒/艾滋病防治和技术的可接受性、可行性和方案挑战。方法采用半结构式访谈和焦点小组讨论的定性研究方法。我们采访了15名参与艾滋病毒检测计划或政策的关键知情人和42名目标用户在大马尼拉的6个FGD。我们与高社会经济MSM（n = 12），城市贫困MSM（n = 15）和跨性别妇女（TGW）（n = 15）进行了单独的讨论。采用专题框架方法对结果进行了分析。结果MSM和TGW欢迎艾滋病病毒检测技术提供的便利和隐私。他们更喜欢从知名网站获得的廉价准确的血液试剂盒。国家和地方一级的主要信息提供者同样欢迎艾滋病毒/艾滋病防治，但指出了一些政策和监管问题。这两个团体都阐述了在艾滋病毒周围严重污名化的环境中招募那些使用HIVST检测反应性的人进行进一步检测和治疗的挑战。结论HIVST被认为是高度可接受的目标用户，并欢迎作为一个额外的测试方法在国家一级。现在需要利益相关者之间建立战略联盟，以主动提供以患者为中心的HIVST计划，该计划可以提供一种有效、安全的方法，在这种不断升级的背景下增加检测覆盖率。
Background The Philippines is facing a rapidly rising HIV epidemic among young men who have sex with men (MSM). Testing rates among young populations is poor. HIV self-testing (HIVST) is a promising strategy to address this testing gap. The study's purpose was to explore the perceived acceptability, feasibility and programmatic challenges of HIVST among key informants and target users. Method A qualitative study involving semi-structured interviews and focus group discussions (FGD). We interviewed 15 key informants involved with HIV testing programs or policies and 42 target users in six FGD in Metro Manila. We held separate discussions with high socio-economic MSM (n = 12), urban poor MSM (n = 15) and transgender women (TGW) (n = 15). Results were analysed using a thematic framework approach. Results MSM and TGW welcomed the convenience and privacy HIVST could provide. They preferred an inexpensive accurate blood-based kit attained from reputable sites. Key informants at national and local level equally welcomed HIVST but identified a number of policy and regulatory issues. Both groups articulated the challenge of enrolling those who test reactive using HIVST to further testing and treatment in an environment characterised by acute stigma around HIV. Conclusions HIVST was found to be highly acceptable to target users and was welcomed as an additional testing approach at national level. Strategic alliances are now needed between stakeholders to proactively deliver a patient-centred HIVST program that could provide an effective, safe means of increasing testing coverage in this escalating context.