Community-Based HIV Self-Testing Distribution Packet

This set of tools is for community-based distribution of HIV self-testing kits. Zambart developed these tools for use in Zambia in a two-arm cluster randomized trial in four HPTN 071/PopART intervention communities. All individuals aged 16 years and above were eligible for the study if they reported not knowing their HIV status and consented to household visits. The intervention was delivered by community health workers. The toolkit includes a flow diagram for HIV self-test (HIVST) kit distribution, which can be used as a job aid for community health workers. In this model, self-testers can test on-site with the community health worker, can test privately off-site, or can deliver HIV self-tests to their sexual partner or spouse. Attached is the agreement form to deliver HIVST to a partner. If a self-tester chose to use an HIVST kit off-site, health workers gave them a form to self-report their results. In the study, 4238 participants selected HIVST, of which 3727 (88%) chose the supervised option and 511 (12%) chose unsupervised. Women were more likely than men to select supervised HIVST. Of 138 participants who reported a reactive self-test result, 105 (76%) linked to confirmatory testing. The intervention showed an increase in uptake of HIV testing among men when provided options for supervised and unsupervised HIVST in a community setting.