tupdd0104: will an innovative, unsupervised hiv self-testing strategy work in health care...
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TUPDD0104: Will an innovative, unsupervisedHIV self-testing strategy work in health care professionals? A feasibility study from South Africa
Primaryo Feasibility –defined by
completion rate of strategy, i.e. conduct, interpretation and linkages.
Secondaryo HIV Seropositivity & accuracy
o Disagreement between self rated risk and calculated risk
o Qualitative: Patient experience, concerns about self testing
POPULATION
INTERVENTION SETTING
Groote Schuur Hospital
Un-supervised self-testing strategy with internet-based application vs. paper based application and linked mobile phone-based counseling.
Cape Town, South Africa
251 Healthcare professionals
OBJECTIVE
Results
Quantitative Qualitative outcomesanalyzed from open responses
*Of 251, 78% female, 63% with no history of recent HIV testing.*Of 251, 125 internet & 126 paper *249 (99.2%) completed self testing;*Completion rate sero-positives:100% [95% CI (66%, 100%)].*Completion rate in sero-negatives: 44·6% [95% CI (38%, 51%)]*Seropositivity: 3·6% [95% CI: 1·8, 6·9]*Of 9 positives (2 faint positive +1 m);* Sn: 66.7% ;Sp: 100% ;PPV: 100% NPV: 98.8% *Disagreement of perceived risk vs. calculated risk: 55% (138);*91% rated self test exp- good.
“I think this is the best method, as most people don’t like queuing in clinics for HIV testing. Now this is very easy and fast way
of knowing HIV status.”***
“ Risk staging opened my eyes-I thought I thought I was very safe but now I know I
am at high risk and I don’t think the questions are too personal.”
***“It’s very good because you test anytime in
the privacy of your own home and it’s easy.” ***
I wish you can take it to our communities as well because there are people who would love to use it as there are no privacies anymore in our clinics.”
Un-supervised self-testing strategy with internet-based application vs. paper based application and mobile phone-based counseling
INTERVENTIONS
INTERNET-BASED APPLICATION
PAPER-BASED APPLICATION
HIV SMARTPHONE APPLICATION
NITIKA PANT PAI, MD, MPH, PhD
McGill University [email protected]
Dr Keertan Dheda, MD PhDDr Lawrence Joseph, PhD