Is the Philippines ready for HIV self-testing?

Autor: Charlotte Hemingway, Leila Coppens, Paul Mark B. Medina, Emmanuel S. Baja, Tyrone Reden Sy, Miriam Taegtmeyer, Jesal Gohil, Ernest Genesis Guevara, Godofreda V. Dalmacion
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
medicine.medical_specialty
wc_503_1
Adolescent
wc_140
Philippines
Human immunodeficiency virus (HIV)
HIV self-testing
wa_395
wc_503
HIV Infections
medicine.disease_cause
Transgender Persons
Transgender women
Men who have sex with men
Young Adult
03 medical and health sciences
0302 clinical medicine
Humans
Mass Screening
Medicine
National level
030212 general & internal medicine
Homosexuality
Male
Qualitative Research
030505 public health
business.industry
Men who have sex with men (MSM)
Public health
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Focus Groups
Patient Acceptance of Health Care
Focus group
Policy
Family medicine
Feasibility Studies
Female
Biostatistics
0305 other medical science
business
Research Article
Qualitative research
TGW
Regulation
Zdroj: BMC Public Health, Vol 20, Iss 1, Pp 1-8 (2020)
BMC Public Health
ISSN: 1471-2458
Popis: Background The Philippines is facing a rapidly rising HIV epidemic among young men who have sex with men (MSM). Testing rates among young populations is poor. HIV self-testing (HIVST) is a promising strategy to address this testing gap. The study’s purpose was to explore the perceived acceptability, feasibility and programmatic challenges of HIVST among key informants and target users. Method A qualitative study involving semi-structured interviews and focus group discussions (FGD). We interviewed 15 key informants involved with HIV testing programs or policies and 42 target users in six FGD in Metro Manila. We held separate discussions with high socio-economic MSM (n = 12), urban poor MSM (n = 15) and transgender women (TGW) (n = 15). Results were analysed using a thematic framework approach. Results MSM and TGW welcomed the convenience and privacy HIVST could provide. They preferred an inexpensive accurate blood-based kit attained from reputable sites. Key informants at national and local level equally welcomed HIVST but identified a number of policy and regulatory issues. Both groups articulated the challenge of enrolling those who test reactive using HIVST to further testing and treatment in an environment characterised by acute stigma around HIV. Conclusions HIVST was found to be highly acceptable to target users and was welcomed as an additional testing approach at national level. Strategic alliances are now needed between stakeholders to proactively deliver a patient-centred HIVST program that could provide an effective, safe means of increasing testing coverage in this escalating context.
Databáze: OpenAIRE
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