Evidence map›Paper›PMID 37471434›Full record

ArticlePloS one2023

Youth and healthcare workers' perspectives on the feasibility and acceptability of self-testing for HIV, Hepatitis and Syphilis among young people: Qualitative findings from a pilot study in Gaborone, Botswana.

Kyegombe Nambusi, Ajibola Gbolahan, Sakoi-Mosetlhi Maureen, Rebatenne T Tsholofelo, Anderson M Motswedi, Gaseitsiwe Simani, Makhema Joseph, Ngwenya Una, Moyo S Sikhulile, Sauzet Odile and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 4 countries.

Kyegombe NambusiDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0002-3986-0361
Ajibola GbolahanBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.ORCID 0000-0002-5408-4823
Sakoi-Mosetlhi MaureenBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Rebatenne T TsholofeloBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Anderson M MotswediBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Gaseitsiwe SimaniBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Makhema JosephBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Ngwenya UnaBotswana Family Welfare Association, Gaborone, Botswana.
Moyo S SikhulileBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Sauzet OdileDepartment of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany.
Mupfumi LucyBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.ORCID 0000-0002-2290-2481
Botswana Harvard AIDS Institute Partnership · BWHarvard University · USBielefeld University · DELondon School of Hygiene & Tropical Medicine · GB

Funding

University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
FIC NIH HHS D43 TW009343
6 · The paper itself

Abstract

introductionLittle is known regarding the attitudes and perspectives of young people and healthcare workers in Botswana about dual self-testing for HIV and STIs including its acceptability, or their perceptions of the opportunities and limitations of this approach.

methodsFrom July to November 2021, 25 young people and 6 healthcare workers were purposively sampled for in-depth telephone interviews conducted in English or Setswana. The interviews followed a semi-structured topic guide, were audio recorded, transcribed, and analysed thematically using deviant case and constant comparative techniques. The study was part of a pilot project evaluating dual self-testing for HIV and STIs among young people in Gaborone.

resultsWe found that most of the young people were already aware of their HIV status and were motivated to participate in self-testing mainly because they were interested in learning their STI status. Whilst most were excited about the autonomy and convenience offered by self-testing, some participants expressed nervousness particularly of the finger-prick process, and preferred healthcare worker-administered tests. Both young people and healthcare workers raised concerns about the potential negative mental health outcomes of unexpected test results and emphasized the importance of pre- and post-test counselling and seamless linkage to care.

conclusionDual self-testing for HIV and STIs has the potential to empower young people to take control of their sexual health. However, it is crucial to ensure that proper support and counselling services are in place, along with effective mechanisms for linkage to care. This study emphasizes the importance of integrating pre- and post-test counselling into self-testing programs to ensure that young people feel adequately supported throughout the testing process. By doing so, self-testing can become a valuable tool for improving the sexual health outcomes of young people in Botswana.

Indexed as

HepatitisHepatitis AHIV InfectionsSexually Transmitted DiseasesSyphilisAdolescentBotswanaFeasibility StudiesHealth PersonnelHumansPilot ProjectsSelf-Testing

Identifiers

PMID37471434
PMCPMC10358881
OpenAlexW4384923471

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.