HIV self-testing values and preferences among sex workers, fishermen, and mainland community members in Rakai, Uganda: A qualitative study

Virginia Burke, Neema Nakyanjo, William Ddaaki, Caitlin Payne, Naadiya Hutchinson, Maria J Wawer, Fred Nalugoda, Caitlin E Kennedy

Research output: Contribution to journalArticle

Abstract

HIV self-testing may encourage greater uptake of testing, particularly among key populations and other high-risk groups, but local community perceptions will influence test uptake and use. We conducted 33 in-depth interviews and 6 focus group discussions with healthcare providers and community members in high-risk fishing communities (including sex workers and fishermen) and lower-risk mainland communities in rural Uganda to evaluate values and preferences around HIV self-testing. While most participants were unfamiliar with HIV self-testing, they cited a range of potential benefits, including privacy, convenience, and ability to test before sex. Concerns focused on the absence of a health professional, risks of careless kit disposal and limited linkage to care. Participants also discussed issues of kit distribution strategies and cost, among others. Ultimately, most participants concluded that benefits outweighed risks. Our findings suggest a potential role for HIV self-testing across populations in these settings, particularly among these key populations. Program implementers will need to consider how to balance HIV self-testing accessibility with necessary professional support.

Original languageEnglish (US)
Article numbere0183280
JournalPLoS One
Volume12
Issue number8
DOIs
StatePublished - Aug 1 2017

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Sex Workers
Uganda
fishermen
HIV
gender
Testing
testing
Population
Privacy
Rural Population
Focus Groups
Health Personnel
risk groups
focus groups
Interviews
rural communities
health care workers
Costs and Cost Analysis
Health
health services

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

HIV self-testing values and preferences among sex workers, fishermen, and mainland community members in Rakai, Uganda : A qualitative study. / Burke, Virginia; Nakyanjo, Neema; Ddaaki, William; Payne, Caitlin; Hutchinson, Naadiya; Wawer, Maria J; Nalugoda, Fred; Kennedy, Caitlin E.

In: PLoS One, Vol. 12, No. 8, e0183280, 01.08.2017.

Research output: Contribution to journalArticle

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