Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk

Feasibility and acceptability research for HIV self-testing (HIVST) often emphasises the importance of good test conduct and correct test interpretation for knowing one’s HIV result while overlooking the ways in which different uncertainties and meanings emerge around testing. Using empirical exampl...

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Autores principales:	Ricky Janssen, Anja Krumeich, Aliasgar Esmail, Réjean Thomas, Keertan Dheda, Nitika Pant Pai, Nora Engel
Formato:	article
Lenguaje:	EN
Publicado:	University of Edinburgh Library 2021
Materias:	digital health self-testing diagnostics screening care Anthropology GN1-890 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f6b76273d522487d9bfaebb46e73a67b
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id	oai:doaj.org-article:f6b76273d522487d9bfaebb46e73a67b
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spelling	oai:doaj.org-article:f6b76273d522487d9bfaebb46e73a67b2021-11-08T12:34:28ZMoments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk2405-691X10.17157/mat.8.2.5134https://doaj.org/article/f6b76273d522487d9bfaebb46e73a67b2021-11-01T00:00:00Zhttp://www.medanthrotheory.org/article/view/5134https://doaj.org/toc/2405-691XFeasibility and acceptability research for HIV self-testing (HIVST) often emphasises the importance of good test conduct and correct test interpretation for knowing one’s HIV result while overlooking the ways in which different uncertainties and meanings emerge around testing. Using empirical examples from a quantitative study assessing an app-based strategy in Cape Town, South Africa, this research article explores the practice of HIVST and how people deal with uncertainties while using the app in question, named ‘HIVSmart!’. We use the concept of ‘living under’ to explore the practices of HIV testing for those who fit the definition of being ‘at risk’ of HIV (note that an individual’s HIV status must be unknown in order for them to fit this definition) and to understand how an app-based HIVST strategy fits within these practices. We show how the app and oral self-test—as well as knowledge around HIV risk behaviours, comparisons between different testing methods, and the guidance and presence of healthcare staff—alleviate as well as generate uncertainty and constitute HIV status as an ongoing process. The effective implementation of new strategies for HIVST requires consideration of multiple aspects of the testing process, including local understandings of HIV risk, access to healthcare staff, and the meaning of certain test methods within a particular context.Ricky JanssenAnja KrumeichAliasgar EsmailRéjean ThomasKeertan DhedaNitika Pant PaiNora EngelUniversity of Edinburgh Libraryarticledigital healthself-testingdiagnosticsscreeningcareAnthropologyGN1-890Medicine (General)R5-920ENMedicine Anthropology Theory, Vol 8, Iss 2, Pp 1-24 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	digital health self-testing diagnostics screening care Anthropology GN1-890 Medicine (General) R5-920
spellingShingle	digital health self-testing diagnostics screening care Anthropology GN1-890 Medicine (General) R5-920 Ricky Janssen Anja Krumeich Aliasgar Esmail Réjean Thomas Keertan Dheda Nitika Pant Pai Nora Engel Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk
description	Feasibility and acceptability research for HIV self-testing (HIVST) often emphasises the importance of good test conduct and correct test interpretation for knowing one’s HIV result while overlooking the ways in which different uncertainties and meanings emerge around testing. Using empirical examples from a quantitative study assessing an app-based strategy in Cape Town, South Africa, this research article explores the practice of HIVST and how people deal with uncertainties while using the app in question, named ‘HIVSmart!’. We use the concept of ‘living under’ to explore the practices of HIV testing for those who fit the definition of being ‘at risk’ of HIV (note that an individual’s HIV status must be unknown in order for them to fit this definition) and to understand how an app-based HIVST strategy fits within these practices. We show how the app and oral self-test—as well as knowledge around HIV risk behaviours, comparisons between different testing methods, and the guidance and presence of healthcare staff—alleviate as well as generate uncertainty and constitute HIV status as an ongoing process. The effective implementation of new strategies for HIVST requires consideration of multiple aspects of the testing process, including local understandings of HIV risk, access to healthcare staff, and the meaning of certain test methods within a particular context.
format	article
author	Ricky Janssen Anja Krumeich Aliasgar Esmail Réjean Thomas Keertan Dheda Nitika Pant Pai Nora Engel
author_facet	Ricky Janssen Anja Krumeich Aliasgar Esmail Réjean Thomas Keertan Dheda Nitika Pant Pai Nora Engel
author_sort	Ricky Janssen
title	Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk
title_short	Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk
title_full	Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk
title_fullStr	Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk
title_full_unstemmed	Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk
title_sort	moments of uncertainty: exploring how an app-based oral hiv self-testing strategy fits in communities ‘living under’ hiv risk
publisher	University of Edinburgh Library
publishDate	2021
url	https://doaj.org/article/f6b76273d522487d9bfaebb46e73a67b
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Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk

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