Dataset Information

Understanding linkage to care with HIV self-test approach in Lusaka, Zambia - A mixed method approach.

ABSTRACT:

Introduction

HIV self-testing (HIVST) is a novel approach designed to assist in achieving the goal of at least 90% of the population that learn their HIV status. A self-test user with a positive test is required to visit a clinic to link into HIV care, yet little is known about patient preferences for linkage strategies. We examined the intention to link to care amongst potential HIVST users and the suitability of three linkage to care strategies in Lusaka Province, Zambia.

Methods

We conducted a representative cross sectional survey of 1,617 individuals aged 16-49 years old in Lusaka Province. Participants were shown a video of the HIVST. Data on intention to link to care and preferred linkage to care strategies-text message, phone call and home visits were collected. Eight focus group discussions were held concurrently with survey respondents to understand their preferences between the three linkage to care strategies.

Results

Of 1617 enrolled, 60% were women, 40% were men, with an average age of 27years (IQR = 22, 35). More men than women had at least secondary education (84% vs 77%) and were either employed or self-employed (67% vs. 41%). 85% (95%CI = 83 to 86) of participants said they would link to care within the first week of a positive self-test. Income >2,000 Kwacha (USD 200) per month versus income < 2,000 Kwacha (Adjusted odds ratio (AOR) = 0.59; 95%CI: 0.40 to 0.88; p = 0.009) and never versus prior HIV testers (AOR = 0.54; 95%CI: 0.32 to 0.91; p = 0.020) were associated with reduced odds of intention to link to care. 53% (95%CI = 50 to 55) preferred being prompted to link to care by home visits compared to phone call (30%) or SMS (17%).

Conclusion

We found almost nine out of ten potential HIVST users in the general population intend to link to care shortly after a positive test, and preferred home visits or phone calls to facilitate linkage, rather than SMS. Also, higher income earners and those who never tested for HIV were associated with reduced odds of intention to link to care. Policy guidelines and implementation strategies for HIVST should be responsive to patient preferences for linkage to care strategies to achieve the continuum of HIV care.

SUBMITTER: Chipungu J

PROVIDER: S-EPMC5693414 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Publications

Understanding linkage to care with HIV self-test approach in Lusaka, Zambia - A mixed method approach.

Chipungu Jenala J Bosomprah Samuel S Zanolini Arianna A Thimurthy Harsha H Chilengi Roma R Sharma Anjali A Holmes Charles B CB

PloS one 20171117 11

<h4>Introduction</h4>HIV self-testing (HIVST) is a novel approach designed to assist in achieving the goal of at least 90% of the population that learn their HIV status. A self-test user with a positive test is required to visit a clinic to link into HIV care, yet little is known about patient preferences for linkage strategies. We examined the intention to link to care amongst potential HIVST users and the suitability of three linkage to care strategies in Lusaka Province, Zambia.<h4>Methods</h ...[more]

PMID: 29149194

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Dataset Information

Understanding linkage to care with HIV self-test approach in Lusaka, Zambia - A mixed method approach.

Introduction

Methods

Results

Conclusion

Publications

Understanding linkage to care with HIV self-test approach in Lusaka, Zambia - A mixed method approach.

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