Investigating the effectiveness of web‐based HIV self‐test distribution and linkage to HIV treatment and PrEP among groups at elevated risk of HIV in Viet Nam provinces: a mixed‐methods analysis of implementation from pilot to scale‐up

Autor: Van Thi Thuy Nguyen, Yasmin Dunkley, Vo Hai Son, Augustine T. Choko, Phan Thi Thu Huong, Pham Duc Manh, Truong Minh Truong, Huynh Minh Truc, Dap Thanh Giang, Le Thanh Tung, Van Dinh Hoa, Rachel Baggaley, Cheryl Johnson
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of the International AIDS Society, Vol 27, Iss S1, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 1758-2652
DOI: 10.1002/jia2.26264
Popis: Abstract Introduction In Viet Nam, key populations (KPs) face barriers accessing HIV services. Virtual platforms can be leveraged to increase access for KPs, including for HIV self‐testing (HIVST). This study compares reach and effectiveness of a web‐based HIVST intervention from pilot to scale‐up in Viet Nam. Methods A mixed‐methods explanatory sequential design used cross‐sectional and thematic analysis. The pilot launched in Can Tho in November 2020, followed by Hanoi and Nghe An in April 2021. Scale‐up included Can Tho and Nghe An, with 21 novel provinces from April to December 2022. After risk assessment, participants registered on the website, receiving HIVST (OraQuick®) by courier, peer educator or self‐pick‐up. Test result reporting and completing satisfaction surveys were encouraged. Intervention reach was measured through numbers accessing the testing, disaggregated by demographics, and proportion of individuals reporting self‐testing post‐registration. Effectiveness was measured through numbers reporting self‐test results, testing positive and linking to care, and testing negative and using HIVST to manage pre‐exposure prophylaxis (PrEP) use. Thematic content analysis of free‐text responses from the satisfaction survey synthesized quantitative outcomes. Results In total, 17,589 participants registered on the HIVST website; 11,332 individuals ordered 13,334 tests. Participants were generally young, aged
Databáze: Directory of Open Access Journals
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