Augustine Choko|Nicola Desmond|Emily L. Webb|Kondwani Chavula|Sue Napierala|Charlotte A. Gaydos|Simon D Makombe|Treza Chunda|S. Bertel Squire|Neil French|Victor Mwapasa|Elizabeth L. Corbett
The Uptake and Accuracy of Oral Kits for HIV Self-Testing in High HIV Prevalence Setting: A Cross-Sectional Feasibility Study in Blantyre, Malawi
Malawi-Liverpool-Wellcome Trust Clinical Research Programme|University of Liverpool|University of Liverpool|Liverpool School of Tropical Medicine|Malawi-Liverpool-Wellcome Trust Clinical Research Programme|London School of Hygiene & Tropical Medicine|Malawi-Liverpool-Wellcome Trust Clinical Research Programme|University of Liverpool|London School of Hygiene & Tropical Medicine|Johns Hopkins Medicine|Johns Hopkins University|Ministry of Health|Malawi-Liverpool-Wellcome Trust Clinical Research Programme|University of Liverpool|Liverpool School of Tropical Medicine|London School of Hygiene & Tropical Medicine|Malawi-Liverpool-Wellcome Trust Clinical Research Programme|University of Liverpool|London School of Hygiene & Tropical Medicine|Malawi-Liverpool-Wellcome Trust Clinical Research Programme|University of Liverpool
although hiv testing counseling htc uptake increased dramatically africa facilitybased services unlikely ever meet ongoing need full major constraint scaling community homebased htc services unacceptability receiving htc provider known personally prospective clients investigated potential supervised oral hiv selftesting perspectiveadult members 60 households 72 members community peer groups urban blantyre malawi selected using populationweighted random cluster sampling participants offered selftesting plus confirmatory htc parallel testing two rapid fingerprick blood tests standard htc alone testing 283 956 298 selected adults participated including 136 480 men 175 618 previously tested 19 known hiv positive although 64 215 within last year hiv prevalence 185 among 260 919 opted selftest brief demonstration illustrated instructions accuracy 992 two false negatives although 985 rated test hard 100 made minor procedural errors 100 required extra help participants indicated willingness accept selftest kits htc neighbor acceptability 945 versus 468 p 0001oral supervised selftesting highly acceptable accurate although minor errors need supervisory support common novel option potential high uptake local community level supervised safely linked counseling care