| Autor: |
Eshun-Wilson, Ingrid, Jamil, Muhammad S, T Charles, Witzel, Glidden, Dave V, Cheryl, Johnson, Noelle, Trouneau, Ford, Nathan, McGee, Kathleen, Chris, Kemp, Stefan, Baral, Schwartz, Sheree, Elvin, Geng H |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| ISSN: |
1058-4838 |
| Popis: |
BACKGROUND: We conducted a systematic review and network meta-analysis to identify which HIV self-testing (HIVST) distribution strategies are most effective. METHODS: We abstracted data from randomized controlled trials and observational studies published between June 4, 2006 and June 4, 2019. RESULTS: We included 33 studies, yielding six HIVST distribution strategies. All distribution strategies increased testing uptake compared to standard testing: in sub-Saharan Africa, partner HIVST distribution ranked highest (78% probability); in North America, Asia and the Pacific regions, web-based distribution ranked highest (93% probability), and facility based distribution ranked second in all settings. Across HIVST distribution strategies HIV positivity and linkage was similar to standard testing. CONCLUSION: A range of HIVST distribution strategies are effective in increasing HIV testing. HIVST distribution by sexual partners, web-based distribution, as well as health facility distribution strategies should be considered for implementation to expand the reach of HIV testing services. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
