Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya.
Men who have sex with men (MSM) bear a disproportionate burden of new HIV infections in Kenya, while experiencing discrimination, leading to suboptimal levels of HIV care. HIV self-testing (HIVST) is a tool to increase HIV screening and earlier diagnosis; however, questions remain regarding how best...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
|
| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0001547 |
| _version_ | 1797697974103441408 |
|---|---|
| author | Souradet Y Shaw Stella Leung Shajy Isac Helgar Musyoki Mary Mugambi Japheth Kioko Janet Musimbi Kennedy Olango Samuel Kuria Martin K Ongaro Jeffrey Walimbwa Memory Melon Faran Emmanuel Stephen Moses James F Blanchard Michael Pickles Lisa Lazarus Robert R Lorway Marissa L Becker Sharmistha Mishra Parinita Bhattacharjee |
| author_facet | Souradet Y Shaw Stella Leung Shajy Isac Helgar Musyoki Mary Mugambi Japheth Kioko Janet Musimbi Kennedy Olango Samuel Kuria Martin K Ongaro Jeffrey Walimbwa Memory Melon Faran Emmanuel Stephen Moses James F Blanchard Michael Pickles Lisa Lazarus Robert R Lorway Marissa L Becker Sharmistha Mishra Parinita Bhattacharjee |
| author_sort | Souradet Y Shaw |
| collection | DOAJ |
| description | Men who have sex with men (MSM) bear a disproportionate burden of new HIV infections in Kenya, while experiencing discrimination, leading to suboptimal levels of HIV care. HIV self-testing (HIVST) is a tool to increase HIV screening and earlier diagnosis; however, questions remain regarding how best to scale-up HIVST to MSM in Kenya. The main objective of this study was to examine changes in knowledge and use of HIVST after implementation of a community-led HIVST project. Participants were MSM recruited from Kisumu, Mombasa, and Kiambu counties. Data were collected from two rounds (Round 1: 2019; Round 2: 2020) of serial cross-sectional integrated biological and behavioural assessments (IBBA), pre-, and post-project implementation. Two main outcomes were measured: 1) whether the respondent had ever heard of HIVST; and 2) whether they had ever used HIVST kits. Changes in outcomes between IBBA rounds were examined using modified multivariable Poisson regression models; adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI) are reported. A total of 2,328 respondents were included in main analyses. The proportion of respondents who had heard of HIVST increased from 75% in Round 1 to 94% in Round 2 (aPR: 1.2, 95% CI: 1.2-1.3), while those reporting using an HIVST kit increased from 20% to 53% (aPR: 2.3, 95% CI: 2.0-2.6). Higher levels of education and HIV programme awareness were associated with both outcomes. Awareness and use of HIVST kits increased after implementation of a community-led HIVST implementation project, demonstrating the importance of integration with existing community groups. |
| first_indexed | 2024-03-12T03:47:32Z |
| format | Article |
| id | doaj.art-731941b42d3841189deb7adc2b06918d |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T03:47:32Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-731941b42d3841189deb7adc2b06918d2023-09-03T12:42:42ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0138e000154710.1371/journal.pgph.0001547Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya.Souradet Y ShawStella LeungShajy IsacHelgar MusyokiMary MugambiJapheth KiokoJanet MusimbiKennedy OlangoSamuel KuriaMartin K OngaroJeffrey WalimbwaMemory MelonFaran EmmanuelStephen MosesJames F BlanchardMichael PicklesLisa LazarusRobert R LorwayMarissa L BeckerSharmistha MishraParinita BhattacharjeeMen who have sex with men (MSM) bear a disproportionate burden of new HIV infections in Kenya, while experiencing discrimination, leading to suboptimal levels of HIV care. HIV self-testing (HIVST) is a tool to increase HIV screening and earlier diagnosis; however, questions remain regarding how best to scale-up HIVST to MSM in Kenya. The main objective of this study was to examine changes in knowledge and use of HIVST after implementation of a community-led HIVST project. Participants were MSM recruited from Kisumu, Mombasa, and Kiambu counties. Data were collected from two rounds (Round 1: 2019; Round 2: 2020) of serial cross-sectional integrated biological and behavioural assessments (IBBA), pre-, and post-project implementation. Two main outcomes were measured: 1) whether the respondent had ever heard of HIVST; and 2) whether they had ever used HIVST kits. Changes in outcomes between IBBA rounds were examined using modified multivariable Poisson regression models; adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI) are reported. A total of 2,328 respondents were included in main analyses. The proportion of respondents who had heard of HIVST increased from 75% in Round 1 to 94% in Round 2 (aPR: 1.2, 95% CI: 1.2-1.3), while those reporting using an HIVST kit increased from 20% to 53% (aPR: 2.3, 95% CI: 2.0-2.6). Higher levels of education and HIV programme awareness were associated with both outcomes. Awareness and use of HIVST kits increased after implementation of a community-led HIVST implementation project, demonstrating the importance of integration with existing community groups.https://doi.org/10.1371/journal.pgph.0001547 |
| spellingShingle | Souradet Y Shaw Stella Leung Shajy Isac Helgar Musyoki Mary Mugambi Japheth Kioko Janet Musimbi Kennedy Olango Samuel Kuria Martin K Ongaro Jeffrey Walimbwa Memory Melon Faran Emmanuel Stephen Moses James F Blanchard Michael Pickles Lisa Lazarus Robert R Lorway Marissa L Becker Sharmistha Mishra Parinita Bhattacharjee Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya. PLOS Global Public Health |
| title | Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya. |
| title_full | Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya. |
| title_fullStr | Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya. |
| title_full_unstemmed | Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya. |
| title_short | Assessing awareness and use of HIV self-testing kits after the introduction of a community-based HIV self-testing programme among men who have sex with men in Kenya. |
| title_sort | assessing awareness and use of hiv self testing kits after the introduction of a community based hiv self testing programme among men who have sex with men in kenya |
| url | https://doi.org/10.1371/journal.pgph.0001547 |
| work_keys_str_mv | AT souradetyshaw assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT stellaleung assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT shajyisac assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT helgarmusyoki assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT marymugambi assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT japhethkioko assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT janetmusimbi assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT kennedyolango assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT samuelkuria assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT martinkongaro assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT jeffreywalimbwa assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT memorymelon assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT faranemmanuel assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT stephenmoses assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT jamesfblanchard assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT michaelpickles assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT lisalazarus assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT robertrlorway assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT marissalbecker assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT sharmisthamishra assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya AT parinitabhattacharjee assessingawarenessanduseofhivselftestingkitsaftertheintroductionofacommunitybasedhivselftestingprogrammeamongmenwhohavesexwithmeninkenya |