Home-based HIV Testing for Men Preferred over Clinic-based Testing by Pregnant Women and Their Male Partners, A Nested Cross-sectional Study

October 2015 - Combination Prevention

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Osoti, A.O., John-Stewart, G., Kiarie, J.N., et al. BMC Infectious Diseases (July 2015), 15:298. doi: 10.1186/s12879-015-1053-2.

This cross-sectional study, conducted within a randomized trial in rural Nyanza province, Kenya, compared the acceptability of three approaches—facility-based HIV testing services (HTS), home-based voluntary counseling and testing (VCT), or antenatal (ANC) clinic-based HTS—for testing the male partners of pregnant women. The authors interviewed 300 pregnant women and 188 male partners on their preferred setting and compared setting preference at baseline and at a six-week follow-up visit. They reported that 59.4 percent of all participants (women and partners) preferred home-based HTS for male partner HTS during pregnancy, compared to ANC clinic-based (28.3 percent) and VCT center-based (12.3 percent). In addition, more men than women (68.1 percent versus 54.0 percent) preferred home-based male partner HTS. Only 19.2 percent of men (compared to 34 percent of women) preferred ANC clinic-based HTS.VCT center-based testing was the least preferred setting, both among men (12.8 percent) and women (12.0 percent). At six-week follow-up, 81 percent of men and 65 percent of women preferred home-based over alternative HTS venues. The authors concluded that home-based HTS during pregnancy was the most acceptable for both female and male partners, and suggested that adopting home-based models may improve men's uptake of HTS and involvement in prevention of mother-to-child HIV transmission.

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