Characterising the HIV self-testing market in Kenya: Awareness and usage, barriers and motivators to uptake, and propensity to pay.

HIVST has a key role in ensuring countries meet their 95-95-95 goals. For HIVST to be sustainable, we should explore sharing costs with users as well as the overall experience. This research explores why a consumer would use HIVST and willingness to pay for HIVST through surveying 1,021 participants...

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Main Authors: Rebecca L West, Lily Freeman, Charlotte Pahe, Harmon Momanyi, Catherine Kidiga, Serah Malaba, Joanna Ciecielag, Mary-Clare Ridge, Emma Goldwin, Heather Awsumb, Sunny Sharma
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.0001776
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author Rebecca L West
Lily Freeman
Charlotte Pahe
Harmon Momanyi
Catherine Kidiga
Serah Malaba
Joanna Ciecielag
Mary-Clare Ridge
Emma Goldwin
Heather Awsumb
Sunny Sharma
author_facet Rebecca L West
Lily Freeman
Charlotte Pahe
Harmon Momanyi
Catherine Kidiga
Serah Malaba
Joanna Ciecielag
Mary-Clare Ridge
Emma Goldwin
Heather Awsumb
Sunny Sharma
author_sort Rebecca L West
collection DOAJ
description HIVST has a key role in ensuring countries meet their 95-95-95 goals. For HIVST to be sustainable, we should explore sharing costs with users as well as the overall experience. This research explores why a consumer would use HIVST and willingness to pay for HIVST through surveying 1,021 participants 18-35 living in Nairobi or Kisumu who were not diagnosed as HIV positive and who are not currently taking PrEP for HIV. A majority (89.8%) would pay 100 KSH and 64.7% would pay 300 KSH, at higher prices likelihood of paying dropped sharply. Price reduction or subsidization coupled with interventions to address the identified barriers may increase HIVST uptake. We identified 5 distinct groups based on willingness to pay and drivers/ barriers to HIVST uptake. These were created using dimension reduction, hierarchical clustering, and k-means analysis to group respondents. 79% of participants had ever heard of HIVST, and 24% had ever used HIVST. The 5 groups included active users, unlikely users, and three segments interested in HIVST with different barriers: need for HCP support, need for increased privacy/confidentiality, and fear of positive result/disclosure.
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spelling doaj.art-cf0d6323de0244918cb07c1cc0758fd12023-09-03T09:59:04ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0134e000177610.1371/journal.pgph.0001776Characterising the HIV self-testing market in Kenya: Awareness and usage, barriers and motivators to uptake, and propensity to pay.Rebecca L WestLily FreemanCharlotte PaheHarmon MomanyiCatherine KidigaSerah MalabaJoanna CiecielagMary-Clare RidgeEmma GoldwinHeather AwsumbSunny SharmaHIVST has a key role in ensuring countries meet their 95-95-95 goals. For HIVST to be sustainable, we should explore sharing costs with users as well as the overall experience. This research explores why a consumer would use HIVST and willingness to pay for HIVST through surveying 1,021 participants 18-35 living in Nairobi or Kisumu who were not diagnosed as HIV positive and who are not currently taking PrEP for HIV. A majority (89.8%) would pay 100 KSH and 64.7% would pay 300 KSH, at higher prices likelihood of paying dropped sharply. Price reduction or subsidization coupled with interventions to address the identified barriers may increase HIVST uptake. We identified 5 distinct groups based on willingness to pay and drivers/ barriers to HIVST uptake. These were created using dimension reduction, hierarchical clustering, and k-means analysis to group respondents. 79% of participants had ever heard of HIVST, and 24% had ever used HIVST. The 5 groups included active users, unlikely users, and three segments interested in HIVST with different barriers: need for HCP support, need for increased privacy/confidentiality, and fear of positive result/disclosure.https://doi.org/10.1371/journal.pgph.0001776
spellingShingle Rebecca L West
Lily Freeman
Charlotte Pahe
Harmon Momanyi
Catherine Kidiga
Serah Malaba
Joanna Ciecielag
Mary-Clare Ridge
Emma Goldwin
Heather Awsumb
Sunny Sharma
Characterising the HIV self-testing market in Kenya: Awareness and usage, barriers and motivators to uptake, and propensity to pay.
PLOS Global Public Health
title Characterising the HIV self-testing market in Kenya: Awareness and usage, barriers and motivators to uptake, and propensity to pay.
title_full Characterising the HIV self-testing market in Kenya: Awareness and usage, barriers and motivators to uptake, and propensity to pay.
title_fullStr Characterising the HIV self-testing market in Kenya: Awareness and usage, barriers and motivators to uptake, and propensity to pay.
title_full_unstemmed Characterising the HIV self-testing market in Kenya: Awareness and usage, barriers and motivators to uptake, and propensity to pay.
title_short Characterising the HIV self-testing market in Kenya: Awareness and usage, barriers and motivators to uptake, and propensity to pay.
title_sort characterising the hiv self testing market in kenya awareness and usage barriers and motivators to uptake and propensity to pay
url https://doi.org/10.1371/journal.pgph.0001776
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