Archana Sarkar|Gitau Mburu|Poonam Varma Shivkumar|Pankhuri Sharma|Fiona Campbell|Jagannath Behera|Ritu Dargan|Surendra Kumar Mishra|Sunil Mehra
Feasibility of supervised self?testing using an oral fluid?based HIV rapid testing method: a cross?sectional, mixed method study among pregnant women in rural India
Mamta Health Institute for Mother and Child|Lancaster University|International HIV/AIDS Alliance|Mahatma Gandhi Institute of Medical Sciences|Mamta Health Institute for Mother and Child|Faculty of Public Health|London School of Hygiene & Tropical Medicine|Mamta Health Institute for Mother and Child|Mamta Health Institute for Mother and Child|Mamta Health Institute for Mother and Child|Mamta Health Institute for Mother and Child
hiv selftesting increase coverage essential hiv services study aimed establish acceptability concordance feasibility supervised hiv selftesting among pregnant women rural indiaa crosssectional mixed methods study conducted among 202 consenting pregnant women rural indian hospital august 2014 january 2015 participants provided instructions selftest using oraquick hiv antibody test subsequently asked selftest supervision community health worker test results confirmed governmentrun integrated counselling testing centre questionnaire used obtain information patient demographics ease acceptability difficulties selftesting indepth interviews conducted subsample 35 participants understand experiencesin total 202 participants performed noninvasive oral fluidbased rapid test supervision hiv screening acceptance rate 100 motivators selftesting included ease testing 434 quick results 273 noninvasive procedure 232 sensitivity specificity 100 201 tests one test invalid concordance test result interpretation community health workers participants 985 cohens kappa k value k0566 p0001 interrater agreement although 926 participants reported instructions test easy understand 187 required assistance supervisor selftest major themes emerged qualitative interviews indicated importance following factors influencing acceptability selftesting clarity accessibility test instructions timeefficiency convenience testing noninvasiveness test fear incorrect results overall 965 participants recommended oraquick test kits become publicly availableselftesting hiv status using oral fluidbased rapid test supervision community health worker acceptable feasible among pregnant women rural india participants supportive making selftesting publicly available policy guidelines implementation research required advance hiv selftesting larger populations scale