Highlights
- •HIV self-testing could be an additional approach to overcome barriers to diagnose HIV infected patients.
- •HIV self-testing is an opportunity and a key to unlock the first 90 in West and Central Africa.
- •Implementing HIV self-testing is challenging in low prevalence settings.
- •Research and implementation of HIV self-testing are limited in West Africa and Central Africa.
Abstract
Keywords
Introduction
Joint United Nations Programme on HIV/AIDS (UNAIDS). West and Central Africa [Available from]: https://www.unaids.org/en/regionscountries/westandcentralafrica. [Accessed 27 June 2019] 2020.
- Choko A.
- MacPherson P.
- Webb E.L.
- Willey B.A.
- Feasy H.
- Sambakunsi R.
- et al.
UNITAID, UNITAID. The ATLAS project in West Africa: a big innovation at local level to achieve the global HIV screening goal by 2020 [Internet], Unitaid. [cited 2019 Jun 19]. [Available from]: https://unitaid.org/news-blog/avec-le-projet-atlas-en-afrique-de-louest-une-innovation-majeure-au-plus-pres-du-terrain-pour-atteindre-lobjectif-mondial-lie-au-depistage-du-vih-dici-2020. [Accessed 2 February 2020] UNITAID 2019.
First challenge: identify the best the target population
Barriers | |
---|---|
MSM |
|
FSW |
|
DU |
|
Adolescents |
|
Men |
|
Women |
|
Couples |
|
Second challenge: acceptability of HIVST
- Choko A.
- MacPherson P.
- Webb E.L.
- Willey B.A.
- Feasy H.
- Sambakunsi R.
- et al.
Third challenge: strategies for the distribution of HIVST
- Sibanda E.L.
- d’Elbée M.
- Maringwa G.
- Ruhode N.
- Tumushime M.
- Madanhire C.
- et al.
Fourth challenge: linkage to HIV prevention and care services/facilities
Fifth challenge: funding/sustainability/susbsidy
OraSure Technologies. OraSure Technologies - OraQuick® Self-Test [Internet], [cited 2019 Oct 31]. [Available from]: https://www.orasure.com/products-infectious/products-infectious-oraquick-self-test.asp. OraSure Technologies 2013.
The Lancet HIV, The Lancet HIV. Divergent paths to the end of AIDS [Editorial]. The Lancet HIV, [Available from]: https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(17)30157-1/fulltext. [Accessed 4 February] 9 The Lancet HIV 2017.
Sixth challenge: research gaps
UNITAID, UNITAID. The ATLAS project in West Africa: a big innovation at local level to achieve the global HIV screening goal by 2020 [Internet], Unitaid. [cited 2019 Jun 19]. [Available from]: https://unitaid.org/news-blog/avec-le-projet-atlas-en-afrique-de-louest-une-innovation-majeure-au-plus-pres-du-terrain-pour-atteindre-lobjectif-mondial-lie-au-depistage-du-vih-dici-2020. [Accessed 2 February 2020] UNITAID 2019.
Reference Number | Country | Population | HIV ST kits | Main results |
---|---|---|---|---|
Tonen-Wolyec et al., 2019a | DRC – Bunia | N = 1,012 University Students | Blood based HIV ST |
|
Tonen-Wolyec et al., 2019b | DRC - Kisangani | N = 628 Adolescents (15 to 19 years old) | Blood based HIV ST (Exacto Test HIV kit) |
|
Lyons et al., 2019 | Senegal | N = 1,149 Through convenience sample | Oral test (OraQuick HIV self-test kit) |
|
Grésenguet et al., 2017 | Central African Republic – Bangui | N = 300 adult volunteers | Blood based test (Exacto Test HIV kit) |
|
Izizag et al., 2018 | DRC - Kikwit university | N = 290 University Students Media | Not mentioned |
|
Tun et al., 2018
Uptake of HIV self-testing and linkage to treatment among men who have sex with men (MSM) in Nigeria: a pilot programme using key opinion leaders to reach MSM. J Int AIDS Soc. 2018; e25124https://doi.org/10.1002/jia2.25124 | Nigeria | N = 257 MSM Median age 25 years old | Oral test (OraQuick HIV antibody test) |
|
Tonen-Wolyec et al., 2018
Evaluation of the practicability and virological performance of finger-stick whole-blood HIV self-testing in French-speaking sub-Saharan Africa. PLoS One. 2018; 13e0189475https://doi.org/10.1371/journal.pone.0189475 | DRC – Kisangani and Bunia | N = 322 General population and health care workers Mean age = 30 years old | Blood based test (Exacto Test HIV kit) |
|
Conclusion
Conflict of interest
Funding source
Ethics approval and consent to participate
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