AIDSFree Prevention Update

Thank you for being a valued reader of the AIDSFree Prevention Update. For 10 years, the Prevention Update has served as a resource to keep you up-to-date with the latest research, tools, and reports on HIV prevention. Moving forward, we will not be publishing further issues of the AIDSFree Prevention Update.

The AIDSFree Prevention Update provides a sample of summaries and abstracts of recent articles on global HIV prevention issues from a variety of scientific, peer-reviewed journals. It also includes state-of-the-art program resources, such as tools, curricula, program reports, and unpublished research findings.

December 2017 - Combination Prevention

HIV Self-Testing in Lusaka Province, Zambia: Acceptability, Comprehension of Testing Instructions, and Individual Preferences for Self-Test Kit Distribution in a Population-Based Sample of Adolescents and Adults

Zanolini,, A., Chipungu, J., Vinikoor, M.J., et al. AIDS Research and Human Retroviruses (e-publication ahead of print), doi:10.1089/AID.2017.0156.

The authors used a population-based survey of 1,617 adolescents and adults in Zambia to describe preferences for HIV self-testing (HIVST). They also conducted a discrete choice experiment (DCE) in which participants could choose among several testing models. Participants received HIVST instructions via either a visual aid sheet or video, and were tested on their comprehension. Following the video, 91 percent of respondents reported finding HIVST acceptable, and 87 percent reported that HIVST increased the likelihood of testing. Thirty-five percent expressed concerns about lack of counseling and suicide risk, but only 2.1 percent indicated that these concerns should reduce access to HIVST. Findings from the DCE demonstrated that counseling and HIVST motivated HIV testing. For those who had not been tested previously, having HIVST was the most important influence. Most participants who received the visual aid sheet (73%) expressed confidence about self-testing. Most participants who looked at the instructional video expressed confidence about using HIVST (79%), but the video did not increase knowledge on how to test. Participants were willing to pay US$3–5 for HIVST. The authors concluded that HIVST is highly acceptable and should be introduced via a pilot activity in Zambia; they urged further research to guide development of national guidance on HIVST.