Results of the Sukuma Ndoda ("Stand up, Man") HIV Self-Screening and Assisted Linkage to Care Project in Johannesburg: A Quasi-Experimental Pre-Post Evaluation.

Autor:	Lippman SA; Department of Medicine, University of California, San Francisco, San Francisco, CA., Grignon JS; International Training and Education Center for Health (I-TECH), Pretoria, South Africa.; Department of Global Health, University of Washington, Seattle, WA., Ditshwane B; International Training and Education Center for Health (I-TECH), Pretoria, South Africa., West RL; Department of Medicine, University of California, San Francisco, San Francisco, CA., Gilmore HJ; Department of Medicine, University of California, San Francisco, San Francisco, CA., Mazibuko S; International Training and Education Center for Health (I-TECH), Pretoria, South Africa., Mongwe LG; International Training and Education Center for Health (I-TECH), Pretoria, South Africa., Neilands TB; Department of Medicine, University of California, San Francisco, San Francisco, CA., Gutin SA; Department of Medicine, University of California, San Francisco, San Francisco, CA.; School of Nursing, University of California, San Francisco, San Francisco, CA., O'Connor C; Anova Health Institute, Johannesburg, South Africa., Santana MA; Gauteng Department of Health, Johannesburg District, Johannesburg, South Africa ; and., Majam M; Ezintsha, University of Witwatersrand, Johannesburg, South Africa .
Jazyk:	angličtina
Zdroj:	Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2024 Aug 01; Vol. 96 (4), pp. 367-375. Date of Electronic Publication: 2024 Jun 21.
DOI:	10.1097/QAI.0000000000003442
Abstrakt:	Background: HIV testing rates among South African men lag behind rates for women and national targets. Community-based HIV self-screening (HIVSS) distribution and follow-up by community health workers (CHWs) is a scalable option to increase testing coverage, diagnosis, and treatment initiation. We provided HIVSS and assisted linkage to care to men not recently tested (within the past 12 months) residing in high-HIV-burden areas of Johannesburg. Methods: CHWs distributed HIVSS in 6 clinic catchment areas. Follow-up to encourage confirmatory testing and antiretroviral therapy initiation was conducted through personal support (PS) or an automated short message service (SMS) follow-up and linkage system in 3 clinic areas each. Using a quasi-experimental pre-post design, we compared differences in the proportion of men testing in the clinic catchment areas during the HIVSS campaign (June-August 2019) to the 3 months prior (March-May 2019) and compared treatment initiations by assisted linkage strategy. Results: Among 4793 participants accepting HIVSS, 62% had never tested. Among 3993 participants with follow-up data, 90.6% reported using their HIVSS kit. Testing coverage among men increased by 156%, from under 4% when only clinic-based HIV testing services were available to 9.5% when HIVSS and HIV testing services were available (z = -11.6; P < 0.01). Reported test use was higher for men followed through PS (99% vs. 68% in SMS); however, significantly more men reported reactive self-test results in the SMS group compared with PS (6.4% vs. 2.0%), resulting in more antiretroviral therapy initiations in the SMS group compared with PS (23 vs. 9; P < 0.01). Conclusions: CHW HIVSS distribution significantly increases testing among men. While PS enabled personalized follow-up, reporting differences indicate SMS is more acceptable and better aligned with expectations of privacy associated with HIVSS. Competing Interests: The authors have no funding or conflicts of interest to disclose. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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