Adolescents' and caregivers' perceptions of caregiver-provided testing and HIV self-testing using oral mucosal transudate tests in Zimbabwe: a short report

Autor: Kearsley A. Stewart, Chido Dziva Chikwari, Rashida A. Ferrand, Hilda Mujuru, Ethel Dauya, Crissi Rainer, Grace McHugh, Belinda Chihota
Rok vydání: 2020
Předmět:
Adult
Male
Zimbabwe
medicine.medical_specialty
Health Knowledge
Attitudes
Practice

Health (social science)
Social Psychology
Adolescent
media_common.quotation_subject
Human immunodeficiency virus (HIV)
HIV Infections
Hiv testing
medicine.disease_cause
Health Services Accessibility
Interviews as Topic
03 medical and health sciences
Young Adult
0302 clinical medicine
Hiv test
Perception
Surveys and Questionnaires
Health care
medicine
Humans
Mass Screening
030212 general & internal medicine
Child
Qualitative Research
media_common
030505 public health
business.industry
Public Health
Environmental and Occupational Health

AIDS Serodiagnosis
Exudates and Transudates
Patient Acceptance of Health Care
Transudate
3. Good health
Test (assessment)
Body Fluids
Self-Testing
Caregivers
Family medicine
Child
Preschool

Female
Worry
0305 other medical science
business
Zdroj: AIDS care. 33(1)
ISSN: 1360-0451
Popis: Uptake of HIV testing remains lower among children and adolescents compared to adults. This study explored adolescents' perceptions of HIV self-testing (HIVST) and caregivers' perceptions of testing their children using an oral mucosal transudate (OMT) rapid HIV test (caregiver-provided testing). We conducted 31 interviews with adolescents aged 16-18 years and caregivers of children aged 2-15 years who received an OMT test. Participants described barriers to HIV testing including lack of privacy and the potential for discrimination by community members towards children and adolescents who received an HIV test. Most participants felt caregiver-provided testing and HIVST could address these barriers through increased privacy. Some participants expressed worry about their ability to correctly perform the OMT and their anxious reactions to a positive result. Counseling and assistance from health care workers were viewed as ways to alleviate concerns. Concerns shaped participants' preferences for facility-based HIVST and caregiver-provided testing. Findings demonstrate HIVST performed by adolescents and caregiver-provided testing could increase the uptake of HIV testing. Concerns related to being able to test correctly and the availability of post-test counseling must be addressed in any future delivery mechanisms.
Databáze: OpenAIRE