Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers’ collective opinion and attitude in Côte d’Ivoire, Mali, and Senegal
Background: In West Africa, female sex workers are at increased risk of HIV acquisition and transmission. HIV self-testing could be an effective tool to improve access to and frequency of HIV testing to female sex workers, their clients and partners. This article explores their perceptions regarding...
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-04-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455057221092268 |
| _version_ | 1818017194842259456 |
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| author | Odette Ky-Zerbo Alice Desclaux Sokhna Boye Anthony Vautier Nicolas Rouveau Brou Alexis Kouadio Arlette Simo Fotso Dolorès Pourette Mathieu Maheu-Giroux Souleymane Sow Cheick Sidi Camara Clémence Doumenc-Aïdara Abdelaye Keita Marie Claude Boily Romain Silhol Marc d’Elbée Anne Bekelynck Papa Alioune Gueye Papa Moussa Diop Olivier Geoffroy Odé Kanku Kamemba Sanata Diallo Eboi Ehui Cheick Tidiane Ndour Joseph Larmarange |
| author_facet | Odette Ky-Zerbo Alice Desclaux Sokhna Boye Anthony Vautier Nicolas Rouveau Brou Alexis Kouadio Arlette Simo Fotso Dolorès Pourette Mathieu Maheu-Giroux Souleymane Sow Cheick Sidi Camara Clémence Doumenc-Aïdara Abdelaye Keita Marie Claude Boily Romain Silhol Marc d’Elbée Anne Bekelynck Papa Alioune Gueye Papa Moussa Diop Olivier Geoffroy Odé Kanku Kamemba Sanata Diallo Eboi Ehui Cheick Tidiane Ndour Joseph Larmarange |
| author_sort | Odette Ky-Zerbo |
| collection | DOAJ |
| description | Background: In West Africa, female sex workers are at increased risk of HIV acquisition and transmission. HIV self-testing could be an effective tool to improve access to and frequency of HIV testing to female sex workers, their clients and partners. This article explores their perceptions regarding HIV self-testing use and the redistribution of HIV self-testing kits to their partners and clients. Methods: Embedded within ATLAS, a qualitative study was conducted in Côte-d’Ivoire, Mali, and Senegal in 2020. Nine focus group discussions were conducted. A thematic analysis was performed. Results: A total of 87 participants expressed both positive attitudes toward HIV self-testing and their willingness to use or reuse HIV self-testing. HIV self-testing was perceived to be discreet, confidential, and convenient. HIV self-testing provides autonomy from testing by providers and reduces stigma. Some perceived HIV self-testing as a valuable tool for testing their clients who are willing to offer a premium for condomless sex. While highlighting some potential issues, overall, female sex workers were optimistic about linkage to confirmatory testing following a reactive HIV self-testing. Female sex workers expressed positive attitudes toward secondary distribution to their partners and clients, although it depended on relationship types. They seemed more enthusiastic about secondary distribution to their regular/emotional partners and regular clients with whom they had difficulty using condoms, and whom they knew enough to discuss HIV self-testing. However, they expressed that it could be more difficult with casual clients; the duration of the interaction being too short to discuss HIV self-testing, and they fear violence and/or losing them. Conclusion: Overall, female sex workers have positive attitudes toward HIV self-testing use and are willing to redistribute to their regular partners and clients. However, they are reluctant to promote such use with their casual clients. HIV self-testing can improve access to HIV testing for female sex workers and the members of their sexual and social network. |
| first_indexed | 2024-04-14T07:23:06Z |
| format | Article |
| id | doaj.art-e6771d72570f49f6873c7f6d8fdc542f |
| institution | Directory Open Access Journal |
| issn | 1745-5065 |
| language | English |
| last_indexed | 2024-04-14T07:23:06Z |
| publishDate | 2022-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj.art-e6771d72570f49f6873c7f6d8fdc542f2022-12-22T02:06:06ZengSAGE PublishingWomen's Health1745-50652022-04-011810.1177/17455057221092268Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers’ collective opinion and attitude in Côte d’Ivoire, Mali, and SenegalOdette Ky-Zerbo0Alice Desclaux1Sokhna Boye2Anthony Vautier3Nicolas Rouveau4Brou Alexis Kouadio5Arlette Simo Fotso6Dolorès Pourette7Mathieu Maheu-Giroux8Souleymane Sow9Cheick Sidi Camara10Clémence Doumenc-Aïdara11Abdelaye Keita12Marie Claude Boily13Romain Silhol14Marc d’Elbée15Anne Bekelynck16Papa Alioune Gueye17Papa Moussa Diop18Olivier Geoffroy19Odé Kanku Kamemba20Sanata Diallo21Eboi Ehui22Cheick Tidiane Ndour23Joseph Larmarange24 TransVIHMI, IRD, Université de Montpellier, INSERM, Montpellier, FranceCentre Régional de Recherche et de Formation à la Prise en Charge Clinique de Fann (CRCF), Dakar, SénégalCEPED, IRD, Université Paris Cité, INSERM, Paris, FranceSolidarité Thérapeutique et Initiatives pour la Santé (Solthis), Dakar, SénégalCEPED, IRD, Université Paris Cité, INSERM, Paris, FranceInstitut d’ethnosociologie (IES), Université Félix Houphouët Boigny de Cocody, Abidjan, Côte d’IvoireCEPED, IRD, Université Paris Cité, INSERM, Paris, FranceCEPED, IRD, Université Paris Cité, INSERM, Paris, FranceDepartment of Epidemiology, Biostatistics, and Occupational Health, School of Population and Global Health, McGill University, Montréal, QC, CanadaCentre Régional de Recherche et de Formation à la Prise en Charge Clinique de Fann (CRCF), Dakar, SénégalInstitut Malien de Recherche en Sciences Sociales (IMRSS), Bamako, MaliSolidarité Thérapeutique et Initiatives pour la Santé (Solthis), Dakar, SénégalInstitut National de Recherche en Santé Publique (INRSP), Bamako, MaliMRC Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, London, UKMRC Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, London, UKDepartment of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UKProgramme PAC-CI, ANRS Research Site, Treichville University Hospital, Abidjan, Côte d’IvoireSolidarité Thérapeutique et Initiatives pour la Santé (Solthis), Dakar, SénégalSolidarité Thérapeutique et Initiatives pour la Santé (Solthis), Dakar, SénégalSolidarité Thérapeutique et Initiatives pour la Santé (Solthis), Abidjan, Côte d’IvoireSolidarité Thérapeutique et Initiatives pour la Santé (Solthis), Bamako, MaliSolidarité Thérapeutique et Initiatives pour la Santé (Solthis), Dakar, SénégalProgramme National de Lutte contre le Sida (PNLS), Abidjan, Côte d’IvoireDivision de Lutte contre le Sida et les IST, Ministère de la Santé et de l’Action Sociale, Institut d’Hygiène Sociale, Dakar, SénégalCEPED, IRD, Université Paris Cité, INSERM, Paris, FranceBackground: In West Africa, female sex workers are at increased risk of HIV acquisition and transmission. HIV self-testing could be an effective tool to improve access to and frequency of HIV testing to female sex workers, their clients and partners. This article explores their perceptions regarding HIV self-testing use and the redistribution of HIV self-testing kits to their partners and clients. Methods: Embedded within ATLAS, a qualitative study was conducted in Côte-d’Ivoire, Mali, and Senegal in 2020. Nine focus group discussions were conducted. A thematic analysis was performed. Results: A total of 87 participants expressed both positive attitudes toward HIV self-testing and their willingness to use or reuse HIV self-testing. HIV self-testing was perceived to be discreet, confidential, and convenient. HIV self-testing provides autonomy from testing by providers and reduces stigma. Some perceived HIV self-testing as a valuable tool for testing their clients who are willing to offer a premium for condomless sex. While highlighting some potential issues, overall, female sex workers were optimistic about linkage to confirmatory testing following a reactive HIV self-testing. Female sex workers expressed positive attitudes toward secondary distribution to their partners and clients, although it depended on relationship types. They seemed more enthusiastic about secondary distribution to their regular/emotional partners and regular clients with whom they had difficulty using condoms, and whom they knew enough to discuss HIV self-testing. However, they expressed that it could be more difficult with casual clients; the duration of the interaction being too short to discuss HIV self-testing, and they fear violence and/or losing them. Conclusion: Overall, female sex workers have positive attitudes toward HIV self-testing use and are willing to redistribute to their regular partners and clients. However, they are reluctant to promote such use with their casual clients. HIV self-testing can improve access to HIV testing for female sex workers and the members of their sexual and social network.https://doi.org/10.1177/17455057221092268 |
| spellingShingle | Odette Ky-Zerbo Alice Desclaux Sokhna Boye Anthony Vautier Nicolas Rouveau Brou Alexis Kouadio Arlette Simo Fotso Dolorès Pourette Mathieu Maheu-Giroux Souleymane Sow Cheick Sidi Camara Clémence Doumenc-Aïdara Abdelaye Keita Marie Claude Boily Romain Silhol Marc d’Elbée Anne Bekelynck Papa Alioune Gueye Papa Moussa Diop Olivier Geoffroy Odé Kanku Kamemba Sanata Diallo Eboi Ehui Cheick Tidiane Ndour Joseph Larmarange Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers’ collective opinion and attitude in Côte d’Ivoire, Mali, and Senegal Women's Health |
| title | Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers’ collective opinion and attitude in Côte d’Ivoire, Mali, and Senegal |
| title_full | Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers’ collective opinion and attitude in Côte d’Ivoire, Mali, and Senegal |
| title_fullStr | Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers’ collective opinion and attitude in Côte d’Ivoire, Mali, and Senegal |
| title_full_unstemmed | Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers’ collective opinion and attitude in Côte d’Ivoire, Mali, and Senegal |
| title_short | Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers’ collective opinion and attitude in Côte d’Ivoire, Mali, and Senegal |
| title_sort | willingness to use and distribute hiv self test kits to clients and partners a qualitative analysis of female sex workers collective opinion and attitude in cote d ivoire mali and senegal |
| url | https://doi.org/10.1177/17455057221092268 |
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