The evolution of HIV self-testing and the introduction of digital interventions to improve HIV self-testing
HIV self-testing (HIVST) complements traditional HIV testing programmes by removing barriers and increasing access to testing for key populations, and digital interventions have been developed for HIVST to improve the testing and linkage to care experience for users. The first HIVST kit was proposed...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Reproductive Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/frph.2023.1121478/full |
| _version_ | 1797767032301682688 |
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| author | Alex Emilio Fischer Alex Emilio Fischer Musaed Abrahams Luke Shankland Samanta Tresha Lalla-Edward Vinodh A. Edward Vinodh A. Edward Vinodh A. Edward John De Wit |
| author_facet | Alex Emilio Fischer Alex Emilio Fischer Musaed Abrahams Luke Shankland Samanta Tresha Lalla-Edward Vinodh A. Edward Vinodh A. Edward Vinodh A. Edward John De Wit |
| author_sort | Alex Emilio Fischer |
| collection | DOAJ |
| description | HIV self-testing (HIVST) complements traditional HIV testing programmes by removing barriers and increasing access to testing for key populations, and digital interventions have been developed for HIVST to improve the testing and linkage to care experience for users. The first HIVST kit was proposed in 1986, but it took 10 years for the home sample collection (HSC) HIVST to become available and another 16 years for rapid diagnostic test HIVST to be approved by the Federal Drug Administration. Since then, studies have shown high usability and performance of HIVST, which led the World Health Organization formally recommending HIVST in 2016, and currently almost 100 countries have incorporated HIVST into their national testing strategy. Despite the popularity, HIVST present challenges around pre-and post-test counselling, as well as the ability to report results and link users to care, and digital interventions for HIVST have been introduced to address these challenges. The first digital intervention for HIVST was introduced in 2014 and showed that digital interventions could be used to distribute HIVST kits, report results and link users to care. Since then, dozens of studies have been conducted, which have validated and expanded on these early findings, but many were pilot studies with small sample sizes and lacked the standardization of indicators required to aggregate data across platforms to prove impact at scale. For digital interventions for HIVST to be championed for scale-up, they must continue to show measurable impact at larger scales, while still maintaining and standardizing data security and integrity. |
| first_indexed | 2024-03-12T20:33:02Z |
| format | Article |
| id | doaj.art-3543e20d44c54791a92d9da5557cd06c |
| institution | Directory Open Access Journal |
| issn | 2673-3153 |
| language | English |
| last_indexed | 2024-03-12T20:33:02Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Reproductive Health |
| spelling | doaj.art-3543e20d44c54791a92d9da5557cd06c2023-08-01T17:46:08ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532023-02-01510.3389/frph.2023.11214781121478The evolution of HIV self-testing and the introduction of digital interventions to improve HIV self-testingAlex Emilio Fischer0Alex Emilio Fischer1Musaed Abrahams2Luke Shankland3Samanta Tresha Lalla-Edward4Vinodh A. Edward5Vinodh A. Edward6Vinodh A. Edward7John De Wit8Aviro Health, Cape Town, South AfricaDepartment of Interdisciplinary Social Science, Public Health, Utrecht University, Utrecht, NetherlandsAviro Health, Cape Town, South AfricaAviro Health, Cape Town, South AfricaEzintsha, Faculty of Health Sciences, University of the Witswatersrand, Johannesburg, South AfricaDepartment of Interdisciplinary Social Science, Public Health, Utrecht University, Utrecht, NetherlandsThe Aurum Institute, Johannesburg, South AfricaSchool of Health Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South AfricaDepartment of Interdisciplinary Social Science, Public Health, Utrecht University, Utrecht, NetherlandsHIV self-testing (HIVST) complements traditional HIV testing programmes by removing barriers and increasing access to testing for key populations, and digital interventions have been developed for HIVST to improve the testing and linkage to care experience for users. The first HIVST kit was proposed in 1986, but it took 10 years for the home sample collection (HSC) HIVST to become available and another 16 years for rapid diagnostic test HIVST to be approved by the Federal Drug Administration. Since then, studies have shown high usability and performance of HIVST, which led the World Health Organization formally recommending HIVST in 2016, and currently almost 100 countries have incorporated HIVST into their national testing strategy. Despite the popularity, HIVST present challenges around pre-and post-test counselling, as well as the ability to report results and link users to care, and digital interventions for HIVST have been introduced to address these challenges. The first digital intervention for HIVST was introduced in 2014 and showed that digital interventions could be used to distribute HIVST kits, report results and link users to care. Since then, dozens of studies have been conducted, which have validated and expanded on these early findings, but many were pilot studies with small sample sizes and lacked the standardization of indicators required to aggregate data across platforms to prove impact at scale. For digital interventions for HIVST to be championed for scale-up, they must continue to show measurable impact at larger scales, while still maintaining and standardizing data security and integrity.https://www.frontiersin.org/articles/10.3389/frph.2023.1121478/fullHIV self-screeningdigital healthmobile health (mHealth)HIV self-testing (HIVST)HIVdigital intervention |
| spellingShingle | Alex Emilio Fischer Alex Emilio Fischer Musaed Abrahams Luke Shankland Samanta Tresha Lalla-Edward Vinodh A. Edward Vinodh A. Edward Vinodh A. Edward John De Wit The evolution of HIV self-testing and the introduction of digital interventions to improve HIV self-testing Frontiers in Reproductive Health HIV self-screening digital health mobile health (mHealth) HIV self-testing (HIVST) HIV digital intervention |
| title | The evolution of HIV self-testing and the introduction of digital interventions to improve HIV self-testing |
| title_full | The evolution of HIV self-testing and the introduction of digital interventions to improve HIV self-testing |
| title_fullStr | The evolution of HIV self-testing and the introduction of digital interventions to improve HIV self-testing |
| title_full_unstemmed | The evolution of HIV self-testing and the introduction of digital interventions to improve HIV self-testing |
| title_short | The evolution of HIV self-testing and the introduction of digital interventions to improve HIV self-testing |
| title_sort | evolution of hiv self testing and the introduction of digital interventions to improve hiv self testing |
| topic | HIV self-screening digital health mobile health (mHealth) HIV self-testing (HIVST) HIV digital intervention |
| url | https://www.frontiersin.org/articles/10.3389/frph.2023.1121478/full |
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