scholarly journals Pilot Experiment on the Acceptability and Feasibility of HIV Self-Testing by Key Populations in Morocco: A Literature Review

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Djè Jean Sylvestre Kouakou ◽  
Ousmane Bocoum
Keyword(s):  
Sex Workers ◽  
Undetectable Viral Load ◽  
Bibliographic Databases ◽  
People Living With Hiv ◽  
Global Challenge ◽  
Aids Epidemic ◽  
Self Testing ◽  
Screening Strategies ◽  
Sex With Men ◽  
Living With Hiv

Background: Faced with the global challenge of the AIDS epidemic, the United Nations has set a "90-90-90" target to stop the epidemic by 2030. To do this, three objectives will have to be achieved: to have detected 90% of People Living with HIV (PLHIV) by 2020, to have put 90% of them on treatment and to have 90% of PHAs on treatment who have an undetectable viral load. Achieving the target of 90% of PLHIV detected requires rethinking and diversifying the existing screening offer, especially since screening is the entry point into the health care system and can be one of the main obstacles to achieving the objectives set.Purpose: To identify the contexts in which projects on salivary HIV self-testing have been developed among sex workers (TS) and men who have sex with men (MSM).Results: A review was conducted from several PUBMED databases, GOOGLE SCHOLAR, JSTOR RECHERCHE4LIFE (HINARI),COCHRANE, Institutional Sites and International Organizations (WHO, COQCANADA, MINISTERES, UNAIDS) over the past ten years to better understand their goals and impacts in the fight against the AIDS epidemic The different research equations submitted to the bibliographic databases, combined with additional manual research, have identified 76 documents composed of articles , books, reports, guides and recommendations of which Twenty-six (26) documents were selected for their relevance: 19 articles, 1 Report, 3 Recommendations, 1 Press Release and 2 Guidelines .Conclusion: In short, this literature journey has made it possible to highlight more specifically the wide variety of screening strategies, the contexts in which salivary self-testing could be complementary to the traditional screening offer.

scholarly journals Ending AIDS in the Asia–Pacific region by 2030: are we on track? Policy, epidemiological and intervention insights

Sexual Health ◽  
2021 ◽  
Vol 18 (1) ◽  
pp. 1
Author(s):  
Kimberly Green ◽  
Heather-Marie A. Schmidt ◽  
Andrew J. Vallely ◽  
Lei Zhang ◽  
Angela Kelly-Hanku ◽  
...  
Keyword(s):  
Sex Workers ◽  
Asia Pacific ◽  
People Living With Hiv ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
The Past ◽  
Aids Epidemic ◽  
Sex With Men ◽  
Living With Hiv ◽  
Made In

The Asia–Pacific region is home to nearly 6 million people living with HIV. Across the region, key populations – men who have sex with men, transgender women, people who inject drugs, sex workers, prisoners – and their sexual partners make up the majority of those living with HIV. While significant progress has been made in the past 5 years towards UNAIDS’s 90–90–90 goals (90% of people with HIV diagnosed, 90% on antiretroviral therapy, 90% virologically suppressed), significant gaps remain. The papers in this Special Issue address important questions: are we on track to end the AIDS epidemic in the Asia–Pacific region? And can countries in this region reach the new UNAIDS targets for 2030?

Leveraging a Legacy of Activism: Black Lives Matter and the Future of HIV Prevention for Black MSM

2018 ◽  
Vol 30 (3) ◽  
pp. 208-212
Author(s):  
Derrick D. Matthews
Keyword(s):  
United States ◽  
The United States ◽  
Aids Education ◽  
Black Msm ◽  
People Living With Hiv ◽  
Black Lives Matter ◽  
Aids Epidemic ◽  
Hiv Epidemic ◽  
Sex With Men ◽  
Living With Hiv

This year marks the 30th anniversary of AIDS Education and Prevention. As we approach the United Nations goal of ending the AIDS epidemic by 2030, it is a useful time to reflect on and learn from history. In the United States, no such endeavor can be successful without addressing the specific context of Black men who have sex with men. In this commentary I highlight factors that led us to a state in which Black MSM represent approximately a quarter of all people living with HIV in the United States. I also look back at the power of activism during the beginning of the HIV epidemic. Using Black Lives Matter as a contemporary framework, I highlight natural linkages between activism 30 years ago, its incarnation and relationship to public health today, and its promise as the way forward in achieving the elimination of AIDS for Black MSM by 2030.

scholarly journals Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV: a study with respondent-driven sampling in Brazil

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Laio Magno ◽  
◽  
Andrea Fachel Leal ◽  
Daniela Knauth ◽  
Inês Dourado ◽  
...  
Keyword(s):  
People Living With Hiv ◽  
Respondent Driven Sampling ◽  
Self Testing ◽  
Hiv Test ◽  
Receptive Anal Sex ◽  
Biological And Behavioral Surveillance ◽  
Hiv Serostatus ◽  
Bisexual And Transgender ◽  
Sex With Men ◽  
Living With Hiv

Abstract Background Brazil has many people living with HIV (PLWH) who are unaware of their serostatus. The public health system has recently added HIV self-testing (HIVST) for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and explores factors associated with acceptability among MSM who have never tested for HIV or who had a previous negative result. Methods Respondent-driven sampling (RDS) was used to recruit 4176 MSM in 12 Brazilian cities in 2016 to this biological and behavioral surveillance study. We excluded from this analysis all MSM who were aware of their positive HIV serostatus. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted with Gile’s estimator in RDS Analyst software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or one or more times). Results For this analysis, 3605 MSM were included. The acceptability of HIVST was 49.1%, lower among those who had never tested for HIV (42.7%) compared to those who had a previous HIV negative test (50.1%). In the subgroup of MSM who had never tested for HIV, those who reported discrimination or who had a medical appointment in the last 12 months reported higher HIVST acceptability. Among MSM who had a previous negative HIV test, only those reporting condomless receptive anal sex reported higher HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in lesbian, gay, bisexual, and transgender nongovernmental organizations (LGBT-NGO), or complete secondary or incomplete higher undergraduate education reported higher acceptability. Conclusions The acceptability of HIVST was low among MSM, especially among those who never tested for HIV. Given access to HIVST in Brazil, we point to the need for programs that enhance promotion of testing addressed to MSM.

scholarly journals How Myanmar Is Working to Maintain Essential Services for People Living With HIV and Key Populations During the Covid-19 Pandemic

2021 ◽  
Vol 20 ◽  
pp. 232595822110177
Author(s):  
Oo Htun Nyunt ◽  
Nanda Myo Aung Wan ◽  
Pyae Soan ◽  
Oussama Tawil ◽  
Myo Kyaw Lwin ◽  
...  
Keyword(s):  
People Living With Hiv ◽  
Cross Sectional ◽  
Effective Response ◽  
Hiv Services ◽  
Global Challenge ◽  
Routinely Collected Data ◽  
Self Testing ◽  
Key Population ◽  
Essential Services ◽  
Living With Hiv

Background: Maintaining essential HIV services has being a Global challenge during the COVID-19 crises. Myanmar has 54 million inhabitants. Neighbor of China, Thailand, India and Bangladesh it was impacted by COVID-19, but came up with a comprehensive and effective response, following WHO recommendations. The HIV Prevalence is 0.58% and it is concentrated among key population. A HIV Contingency Plan was developed to face this challenge. Methodology: The programme-based cross-sectional descriptive study with analysis of routinely collected data from MoHS data system, between 2019 and 2020 was conducted, comparing first six months of 2019 and 2020. Results: HIV outreach activities and HIV testing were slightly affected after detection of first COVID-19 case, till mid May 2020. After that, outreach activities resumed. Introduction of HIV self-testing was initiated. 72% of more than 21,000 PWID on MMT were receiving take home dose up to 14 days and 60% of ART patients were receiving 6 months ARV dispensing. Conclusion: Essential HIV services were maintained.

scholarly journals Access to social protection by people living with, at risk of, or affected by HIV in Eswatini, Malawi, Tanzania and Zambia: results from Population-Based HIV Impact Assessments.

2021 ◽  
Author(s):  
David Chipanta ◽  
Audrey Pettifor ◽  
Jessie Edwards ◽  
Danielle Giovenco ◽  
Hillary Mariko Topazian ◽  
...  
Keyword(s):  
General Population ◽  
Adolescent Girls ◽  
Young Women ◽  
Sex Workers ◽  
Social Protection ◽  
Population Group ◽  
Population Based ◽  
People Living With Hiv ◽  
Sex With Men ◽  
Living With Hiv

We aimed to measure social protection (SP) coverage among the general population and women and men living with HIV (WLHIV, MLHV), female and male sex workers (FSW, MSW), men who have sex with men (MSM), adolescent girls young women (AGYW), and orphans vulnerable children (OVC). We used Population-Based HIV Impact Assessments data from Eswatini, Malawi, Tanzania and Zambia. We generated survey-weighted proportions for each population group receiving any SP benefits, along with 95% confidence intervals (CI) using jackknife variance estimation. The proportion reported receiving SP benefits among the general population ranged from 7.7% (95% CI: 6.7%:8.8%) in Zambia to 39.6% (95% CI: 36.8%: 42.5%) in Eswatini. SP benefits by WLHIV, MLHIV, AGYW, OVC, SW and MSM were lower than the 2017-19 global average of 45%. Data on access to SP benefits by people living with or affected by HIV from other regions is needed to estimate their SP coverage better. Keywords social protection, cash transfers, people living with HIV, sex workers, adolescent girls and young women, men who have sex with men.

scholarly journals Internet-based HIV self-testing program to increase HIV testing uptake for men who have sex with men in Brazil (Preprint)

2019 ◽  
Author(s):  
Raquel Brandini De Boni ◽  
Valdilea Gonçalves Veloso ◽  
Nilo M Fernandes ◽  
Flavia Lessa ◽  
Renato Girade Correa ◽  
...  
Keyword(s):  
Scale Up ◽  
Integrated System ◽  
World Health ◽  
People Living With Hiv ◽  
System P ◽  
Self Testing ◽  
Testing Uptake ◽  
Sex With Men ◽  
Health Organization ◽  
Living With Hiv

BACKGROUND Approximately 30% of people living with HIV worldwide are estimated to be unaware of their infection. HIV self-testing (HIVST) is a strategy recommended by the World Health Organization which increases access to and uptake of testing among key populations who are at high risk for HIV infection. OBJECTIVE To describe the development and feasibility of a free, anonymous, Internet-based HIV self-testing (HIVST) strategy designed for men who have sex with men (MSM) in Curitiba, Brazil (E-testing). METHODS The project was developed under the scope of the “A Hora é Agora” (Time is now) program. Individuals aiming to request an HIVST package (2 tests each) answered an anonymous 5-minute questionnaire regarding inclusion criteria and sexual risk behavior. Eligible individuals could receive one package every 6 months for free. Website analytics, response to online questionnaires, packages distribution, and return of test results were monitored via a platform-integrated system. RESULTS Between February 2015 and January 2016, the website documented 17,786 unique visitors with 3,218 provided complete answers to the online questionnaires. Most individuals self-reported being white (77%), young (median age was 25 years, interquartile range 22-31), educated (87.3% complete secondary education or more), and had previously tested for HIV (62.5%). Overall, 2,526 HIVST packages were delivered; of those, 542 (21.4%) reported a result online or by mail (23 reactive and 11 invalid). During the study period, 37 individuals reporting to have used E-testing visited the pre-specified health facility for confirmatory testing (30 positive; 7 negative). CONCLUSIONS E-testing proved highly feasible and acceptable in this study, thus supporting scale-up to additional MSM population centers in Brazil.

scholarly journals Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV: a study with respondent-driven sampling in Brazil

2020 ◽  
Author(s):  
Laio Magno ◽  
Andrea Fachel Leal ◽  
Daniela Knauth ◽  
Ines Dourado ◽  
Mark Guimarães Drew Crosland Guimarães ◽  
...  
Keyword(s):  
People Living With Hiv ◽  
Respondent Driven Sampling ◽  
Self Testing ◽  
Hiv Test ◽  
Receptive Anal Sex ◽  
Biological And Behavioral Surveillance ◽  
Hiv Serostatus ◽  
Bisexual And Transgender ◽  
Sex With Men ◽  
Living With Hiv

Abstract Background: Brazil has many people living with HIV (PLWH) who are unaware of their serostatus. The public health system has recently added HIV self-testing (HIVST) for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and explores factors associated with acceptability among MSM who have never tested for HIV or who had a previous negative result.Methods: Respondent-driven sampling (RDS) was used to recruit 4,176 MSM in 12 Brazilian cities in 2016 to this biological and behavioral surveillance study. We excluded from this analysis all MSM who were aware of their positive HIV serostatus. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted with Gile’s estimator in RDS Analyst software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or one or more times).Results: For this analysis, 3,605 MSM were included. The acceptability of HIVST was 49.1%, lower among those had never tested for HIV (42.7%) compared to those who had a previous HIV negative test (50.1%). In the subgroup of MSM who had never tested for HIV, those who reported discrimination or who had a medical appointment in the last 12 months reported higher HIVST acceptability. Among MSM who had a previous negative HIV test, only those reporting condomless receptive anal sex reported higher HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in lesbian, gay, bisexual, and transgender nongovernmental organizations (LGBT-NGO), or complete secondary or incomplete higher undergraduate education reported higher acceptability. Conclusions: The acceptability of HIVST was low among MSM, especially among those who never tested for HIV. Given access to HIVST in Brazil, we point to the need for programs that enhance promotion of testing addressed to MSM.

scholarly journals Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV: a study with respondent-driven sampling in Brazil

2020 ◽  
Author(s):  
Laio Magno ◽  
Andrea Fachel Leal ◽  
Daniela Knauth ◽  
Ines Dourado ◽  
Mark Guimarães Drew Crosland Guimarães ◽  
...  
Keyword(s):  
People Living With Hiv ◽  
Respondent Driven Sampling ◽  
Self Testing ◽  
Hiv Test ◽  
Receptive Anal Sex ◽  
Biological And Behavioral Surveillance ◽  
Hiv Serostatus ◽  
Bisexual And Transgender ◽  
Sex With Men ◽  
Living With Hiv

Abstract Background: Brazil has many people living with HIV (PLWH) who are unaware of their serostatus. The public health system has recently added HIV self-testing (HIVST) for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and explores factors associated with acceptability among MSM who have never tested for HIV or who had a previous negative result.Methods: Respondent-driven sampling (RDS) was used to recruit 4,176 MSM in 12 Brazilian cities in 2016 to this biological and behavioral surveillance study. We excluded from this analysis all MSM who were aware of their positive HIV serostatus. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted with Gile’s estimator in RDS Analyst software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or one or more times).Results: For this analysis, 3,605 MSM were included. The acceptability of HIVST was 49.1%, lower among those had never tested for HIV (42.7%) compared to those who had a previous HIV negative test (50.1%). In the subgroup of MSM who had never tested for HIV, those who reported discrimination or who had a medical appointment in the last 12 months reported higher HIVST acceptability. Among MSM who had a previous negative HIV test, only those reporting condomless receptive anal sex reported higher HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in lesbian, gay, bisexual, and transgender nongovernmental organizations (LGBT-NGO), or complete secondary or incomplete higher undergraduate education reported higher acceptability.Conclusions: The acceptability of HIVST was low among MSM, especially among those who never tested for HIV. Given access to HIVST in Brazil, we point to the need for programs that enhance promotion of testing addressed to MSM.

scholarly journals An Internet-Based HIV Self-Testing Program to Increase HIV Testing Uptake Among Men Who Have Sex With Men in Brazil: Descriptive Cross-Sectional Analysis

10.2196/14145 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e14145 ◽  
Author(s):  
Raquel Brandini De Boni ◽  
Valdilea Gonçalves Veloso ◽  
Nilo Martinez Fernandes ◽  
Flavia Lessa ◽  
Renato Girade Corrêa ◽  
...  
Keyword(s):  
Scale Up ◽  
Integrated System ◽  
World Health ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Self Testing ◽  
Testing Uptake ◽  
Sex With Men ◽  
Health Organization ◽  
Living With Hiv

BackgroundApproximately 30% of people living with HIV worldwide are estimated to be unaware of their infection. HIV self-testing (HIVST) is a strategy recommended by the World Health Organization to increase access to and uptake of testing among key populations who are at high risk for HIV infection.ObjectiveThis study aimed to describe the development and feasibility of a free, anonymous, internet-based HIVST strategy designed for men who have sex with men in Curitiba, Brazil (electronic testing [e-testing]).MethodsThe project was developed under the scope of the “A Hora é Agora” (The Time is Now) program. Individuals aiming to request an HIVST package (two tests each) answered an anonymous 5-minute questionnaire regarding inclusion criteria and sexual risk behavior. Eligible individuals could receive one package every 6 months for free. Website analytics, response to online questionnaires, package distribution, and return of test results were monitored via a platform-integrated system.ResultsBetween February 2015 and January 2016, the website documented 17,786 unique visitors and 3218 completed online questionnaires. Most individuals self-reported being white (77.0%), young (median age: 25 years, interquartile range: 22-31 years), educated (87.3% completed secondary education or more), and previously tested for HIV (62.5%). Overall, 2526 HIVST packages were delivered; of those, 542 (21.4%) reported a result online or by mail (23 reactive and 11 invalid). During the study period, 37 individuals who reported using e-testing visited the prespecified health facility for confirmatory testing (30 positive, 7 negative).ConclusionsE-testing proved highly feasible and acceptable in this study, thus supporting scale-up to additional centers for men who have sex with men in Brazil.

scholarly journals ‘Management of a spoiled identity’: systematic review of interventions to address self-stigma among people living with and affected by HIV

2019 ◽  
Vol 4 (2) ◽  
pp. e001285 ◽  
Author(s):  
Marija Pantelic ◽  
Janina I Steinert ◽  
Jay Park ◽  
Shaun Mellors ◽  
Fungai Murau
Keyword(s):  
Low Income ◽  
Sex Workers ◽  
Grey Literature ◽  
Scale Up ◽  
Bibliographic Databases ◽  
People Living With Hiv ◽  
Structural Level ◽  
Key Populations ◽  
Global Public Health ◽  
Living With Hiv

BackgroundSelf-stigma, also known as internalised stigma, is a global public health threat because it keeps people from accessing HIV and other health services. By hampering HIV testing, treatment and prevention, self-stigma can compromise the sustainability of health interventions and have serious epidemiological consequences. This review synthesised existing evidence of interventions aiming to reduce self-stigma experienced by people living with HIV and key populations affected by HIV in low-income and middle-income countries.MethodsStudies were identified through bibliographic databases, grey literature sites, study registries, back referencing and contacts with researchers, and synthesised following Cochrane guidelines.ResultsOf 5880 potentially relevant titles, 20 studies were included in the review. Represented in these studies were 9536 people (65% women) from Ethiopia, India, Kenya, Lesotho, Malawi, Nepal, South Africa, Swaziland, Tanzania, Thailand, Uganda and Vietnam. Seventeen of the studies recruited people living with HIV (of which five focused specifically on pregnant women). The remaining three studies focused on young men who have sex with men, female sex workers and men who inject drugs. Studies were clustered into four categories based on the socioecological level of risk or resilience that they targeted: (1) individual level only, (2) individual and relational levels, (3) individual and structural levels and (4) structural level only. Thirteen studies targeting structural risks (with or without individual components) consistently produced significant reductions in self-stigma. The remaining seven studies that did not include a component to address structural risks produced mixed effects.ConclusionStructural interventions such as scale-up of antiretroviral treatment, prevention of medication stockouts, social empowerment and economic strengthening may help substantially reduce self-stigma among individuals. More research is urgently needed to understand how to reduce self-stigma among young people and key populations, as well as how to tackle intersectional self-stigma.

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