Evidence map›Paper›PMID 32442226›Full record

ArticlePloS one2020

Local and national stakeholders' perceptions towards implementing and scaling up HIV self-testing and secondary distribution of HIV self-testing by Option B+ patients as an assisted partner service strategy to reach men in Haiti.

Donaldson F Conserve, Jacob Michel, Joseph Emmanuel Adrien Demes, Jean Marcxime Chéry, Jean-Gabriel Balan, Augustine Talumba Choko, Kesner François, Nancy Puttkammer

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.4field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 5 countries.

Donaldson F ConserveDepartment of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America.ORCID 0000-0001-8193-817X
Jacob MichelFamily Health International, Port-au-Prince, Haiti.
Joseph Emmanuel Adrien DemesUniversité de l'État d'Haiti, Port-au-Prince, Port-au-Prince, Haïti.
Jean Marcxime ChéryCentre Haïtien pour le Renforcement du Système de Santé (CHARESS), Port-au-Prince, Haïti.
Jean-Gabriel BalanCentre Haïtien pour le Renforcement du Système de Santé (CHARESS), Port-au-Prince, Haïti.
Augustine Talumba ChokoMalawi-Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Kesner FrançoisProgramme National de Lutte contre le SIDA (PNLS), Ministère de la Santé Publique et de la Population (MSPP), Port-au-Prince, Haïti.
Nancy PuttkammerInternational Training and Education Center for Health (I-TECH), Department of Global Health, University of Washington, Seattle, Washington, United States of America.
Ministère de la Santé Publique · BIUniversity of Haiti · HTUniversity of Liverpool · GBUniversity of South Carolina · USUniversity of Washington · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Acceptability and Feasibility of Unsupervised HIV Self-Testing Among Networks of Men in TanzaniaR00MH110343 · NIMH · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI CONSERVE, DONALDSON · 2018 to 2020
$765k
NIAID NIH HHS P30 AI027757NIMH NIH HHS R00 MH110343
6 · The paper itself

Abstract

HIV self-testing (HIVST), which allows people to test in private, is an innovative testing strategy that has been shown to increase HIV testing among men. Delivering HIVST kits to men via women is one promising assisted partner service strategy. Little research has been conducted on HIVST secondary distribution to men by women living with HIV (WLWH) in the Caribbean and other settings. The purpose of this study was to assess the perspectives of WLWH, their male partners, and healthcare professionals on the perceived advantages and disadvantages of HIVST, and recommendations for implementing HIVST in Haiti, with a focus on secondary distribution of HIVST to men by WLWH. Sixteen key informant interviews and nine focus groups with 44 healthcare workers, 31 Option B+ clients, and 13 men were carried out in Haiti. Key informants were representatives of the Ministry of Health and of a non-governmental agency involved in HIV partner services. Focus group members included program leads and staff members from the HIV care and treatment program, the Option B+ program, the community health service program, and the HIV counseling and testing services from 2 hospitals. Perceived HIVST advantage included an increase in the number of people who would learn their HIV status and start treatment. The perceived disadvantages were lack of support to ensure self-testers initiate treatment, uncertainty about male partner's reaction, risk of violence towards women delivering HIVST kits after receiving an HIVST kit from a woman, and the inability of women to counsel a man in case his self-test result is positive. Recommendations for integrating HIVST and secondary distribution of HIVST by WLWH included coupling HIVST distribution with public information, education, and communication through media and social marketing, relying on community health workers to mediate use of HIVST and ensure linkage to care, piloting HIVST programs on a small scale. HIVST is an appropriate and feasible strategy HIV prevention for men and women; however, more research is needed on how best to implement different strategies for this approach in the Caribbean.

Indexed as

Diagnostic Self EvaluationAdultAttitudeFemaleFocus GroupsHaitiHealth PersonnelHIV-1HIV InfectionsHumansMaleMass ScreeningQualitative ResearchReagent Kits, DiagnosticSelf CareReagent Kits, Diagnostic

Identifiers

PMID32442226
PMCPMC7244176
OpenAlexW3027982948

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.