Cargando…

A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya

Promoting awareness of serostatus and frequent HIV testing is especially important among high risk populations such as female sex workers (FSW) and their sexual partners. HIV self-testing is an approach that is gaining ground in sub-Saharan Africa as a strategy to increase knowledge of HIV status an...

Descripción completa

Detalles Bibliográficos
Autores principales: Maman, Suzanne, Murray, Katherine R., Napierala Mavedzenge, Sue, Oluoch, Lennah, Sijenje, Florence, Agot, Kawango, Thirumurthy, Harsha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367822/
https://www.ncbi.nlm.nih.gov/pubmed/28346527
http://dx.doi.org/10.1371/journal.pone.0174629
_version_ 1782517840315678720
author Maman, Suzanne
Murray, Katherine R.
Napierala Mavedzenge, Sue
Oluoch, Lennah
Sijenje, Florence
Agot, Kawango
Thirumurthy, Harsha
author_facet Maman, Suzanne
Murray, Katherine R.
Napierala Mavedzenge, Sue
Oluoch, Lennah
Sijenje, Florence
Agot, Kawango
Thirumurthy, Harsha
author_sort Maman, Suzanne
collection PubMed
description Promoting awareness of serostatus and frequent HIV testing is especially important among high risk populations such as female sex workers (FSW) and their sexual partners. HIV self-testing is an approach that is gaining ground in sub-Saharan Africa as a strategy to increase knowledge of HIV status and promote safer sexual decisions. However, little is known about self-test distribution strategies that are optimal for increasing testing access among hard-to-reach and high risk individuals. We conducted a qualitative study with 18 FSW who participated in a larger study that provided them with five oral fluid-based self-tests, training on how to use the tests, and encouragement to offer the self-tests to their sexual partners using their discretion. Women demonstrated agency in the strategies they used to introduce self-tests to their partners and to avoid conflict with partners. They carefully considered with whom to share self-tests, often assessing the possibility for negative reactions from partners as part of their decision making process. When women faced negative reactions from partners, they drew on strategies they had used before to avoid conflict and physical harm from partners, such as not responding to angry partners and forgoing payment to leave angry partners quickly. Some women also used self-tests to make more informed sexual decisions with their partners.
format Online
Article
Text
id pubmed-5367822
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-53678222017-04-06 A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya Maman, Suzanne Murray, Katherine R. Napierala Mavedzenge, Sue Oluoch, Lennah Sijenje, Florence Agot, Kawango Thirumurthy, Harsha PLoS One Research Article Promoting awareness of serostatus and frequent HIV testing is especially important among high risk populations such as female sex workers (FSW) and their sexual partners. HIV self-testing is an approach that is gaining ground in sub-Saharan Africa as a strategy to increase knowledge of HIV status and promote safer sexual decisions. However, little is known about self-test distribution strategies that are optimal for increasing testing access among hard-to-reach and high risk individuals. We conducted a qualitative study with 18 FSW who participated in a larger study that provided them with five oral fluid-based self-tests, training on how to use the tests, and encouragement to offer the self-tests to their sexual partners using their discretion. Women demonstrated agency in the strategies they used to introduce self-tests to their partners and to avoid conflict with partners. They carefully considered with whom to share self-tests, often assessing the possibility for negative reactions from partners as part of their decision making process. When women faced negative reactions from partners, they drew on strategies they had used before to avoid conflict and physical harm from partners, such as not responding to angry partners and forgoing payment to leave angry partners quickly. Some women also used self-tests to make more informed sexual decisions with their partners. Public Library of Science 2017-03-27 /pmc/articles/PMC5367822/ /pubmed/28346527 http://dx.doi.org/10.1371/journal.pone.0174629 Text en © 2017 Maman et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Maman, Suzanne
Murray, Katherine R.
Napierala Mavedzenge, Sue
Oluoch, Lennah
Sijenje, Florence
Agot, Kawango
Thirumurthy, Harsha
A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya
title A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya
title_full A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya
title_fullStr A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya
title_full_unstemmed A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya
title_short A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya
title_sort qualitative study of secondary distribution of hiv self-test kits by female sex workers in kenya
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367822/
https://www.ncbi.nlm.nih.gov/pubmed/28346527
http://dx.doi.org/10.1371/journal.pone.0174629
work_keys_str_mv AT mamansuzanne aqualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT murraykatheriner aqualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT napieralamavedzengesue aqualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT oluochlennah aqualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT sijenjeflorence aqualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT agotkawango aqualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT thirumurthyharsha aqualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT mamansuzanne qualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT murraykatheriner qualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT napieralamavedzengesue qualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT oluochlennah qualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT sijenjeflorence qualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT agotkawango qualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya
AT thirumurthyharsha qualitativestudyofsecondarydistributionofhivselftestkitsbyfemalesexworkersinkenya