Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana.
<h4>Background</h4>Oral HIV self-testing (HIVST) may be useful for increasing testing in persons at elevated risk of acquiring HIV.<h4>Methods</h4>We conducted a pilot study to evaluate the feasibility (defined by uptake) of HIVST among FSW in Gaborone, Botswana. FSW age 18 y...
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2021
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oai:doaj.org-article:e0d202dc37ac4bf79f8d83be8ceab2082021-12-02T20:05:58ZFeasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana.1932-620310.1371/journal.pone.0259508https://doaj.org/article/e0d202dc37ac4bf79f8d83be8ceab2082021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259508https://doaj.org/toc/1932-6203<h4>Background</h4>Oral HIV self-testing (HIVST) may be useful for increasing testing in persons at elevated risk of acquiring HIV.<h4>Methods</h4>We conducted a pilot study to evaluate the feasibility (defined by uptake) of HIVST among FSW in Gaborone, Botswana. FSW age 18 years and above were recruited through a non-governmental organization serving FSW. FSW with unknown or negative HIV status at screening performed HIVST in the study clinic following brief training. FSW testing HIV-negative were each given two test kits to take home: one kit to perform unassisted HIVST and another to share with others. Feasibility (use) of HIVST (and sharing of test kits with others) was assessed in these women at a study visit four months later.<h4>Results</h4>Two hundred FSW were screened. Their average age was 34 years (range 18-59), and 115 (58%) were HIV-positive. Eighty-five (42%) tested HIV-negative at entry and were eligible to take part in the HIVST pilot study. All 85 (100%) agreed to take home HIVST kits. Sixty-nine (81%) of these 85 participants had a follow-up visit, 56 (81%) of whom reported performing HIVST at a mean of three and half months after the initial visit. All 56 participants who performed HIVST reported negative HIVST results. Fifty (73%) of the 69 participants who took HIVST kits home shared them with others. Of the 50 women sharing HIVST kits, 25 (50%) shared with their non-client partners, 15 with a family member, 8 with friends, and 3 with a client. One participant did not test herself but shared both her test kits. Most participants 53/56 (95%) found oral HIVST very easy to use whilst 3/56 (5%) felt it was fairly easy.<h4>Conclusion</h4>Oral HIVST is feasible among FSW in Gaborone, Botswana. The majority of FSW used the HIVST kits themselves and also shared extra HIVST kits with other individuals.Emily ShavaLaura M BogartKutlo ManyakeCharlotte MdluliKamogelo MaribeNeo MonnapulaBornapate NkomoMosepele MosepeleSikhulile MoyoMompati MmalaneTill BärnighausenJoseph MakhemaShahin LockmanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0259508 (2021) |
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Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Emily Shava Laura M Bogart Kutlo Manyake Charlotte Mdluli Kamogelo Maribe Neo Monnapula Bornapate Nkomo Mosepele Mosepele Sikhulile Moyo Mompati Mmalane Till Bärnighausen Joseph Makhema Shahin Lockman Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana. |
| description |
<h4>Background</h4>Oral HIV self-testing (HIVST) may be useful for increasing testing in persons at elevated risk of acquiring HIV.<h4>Methods</h4>We conducted a pilot study to evaluate the feasibility (defined by uptake) of HIVST among FSW in Gaborone, Botswana. FSW age 18 years and above were recruited through a non-governmental organization serving FSW. FSW with unknown or negative HIV status at screening performed HIVST in the study clinic following brief training. FSW testing HIV-negative were each given two test kits to take home: one kit to perform unassisted HIVST and another to share with others. Feasibility (use) of HIVST (and sharing of test kits with others) was assessed in these women at a study visit four months later.<h4>Results</h4>Two hundred FSW were screened. Their average age was 34 years (range 18-59), and 115 (58%) were HIV-positive. Eighty-five (42%) tested HIV-negative at entry and were eligible to take part in the HIVST pilot study. All 85 (100%) agreed to take home HIVST kits. Sixty-nine (81%) of these 85 participants had a follow-up visit, 56 (81%) of whom reported performing HIVST at a mean of three and half months after the initial visit. All 56 participants who performed HIVST reported negative HIVST results. Fifty (73%) of the 69 participants who took HIVST kits home shared them with others. Of the 50 women sharing HIVST kits, 25 (50%) shared with their non-client partners, 15 with a family member, 8 with friends, and 3 with a client. One participant did not test herself but shared both her test kits. Most participants 53/56 (95%) found oral HIVST very easy to use whilst 3/56 (5%) felt it was fairly easy.<h4>Conclusion</h4>Oral HIVST is feasible among FSW in Gaborone, Botswana. The majority of FSW used the HIVST kits themselves and also shared extra HIVST kits with other individuals. |
| format |
article |
| author |
Emily Shava Laura M Bogart Kutlo Manyake Charlotte Mdluli Kamogelo Maribe Neo Monnapula Bornapate Nkomo Mosepele Mosepele Sikhulile Moyo Mompati Mmalane Till Bärnighausen Joseph Makhema Shahin Lockman |
| author_facet |
Emily Shava Laura M Bogart Kutlo Manyake Charlotte Mdluli Kamogelo Maribe Neo Monnapula Bornapate Nkomo Mosepele Mosepele Sikhulile Moyo Mompati Mmalane Till Bärnighausen Joseph Makhema Shahin Lockman |
| author_sort |
Emily Shava |
| title |
Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana. |
| title_short |
Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana. |
| title_full |
Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana. |
| title_fullStr |
Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana. |
| title_full_unstemmed |
Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana. |
| title_sort |
feasibility of oral hiv self-testing in female sex workers in gaborone, botswana. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/e0d202dc37ac4bf79f8d83be8ceab208 |
| work_keys_str_mv |
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