Conference on Retroviruses and Opportunistic Infections (CROI)
Conference on Retroviruses and Opportunistic Infections (CROI)
March 01, 2011
1 min read
Save

HIV oral self-test accurate, preferred testing method in Malawi

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.

BOSTON – Results from a community-based study that assessed the use of an HIV self-test in Malawi indicated a 92% uptake of self-testing and was the preferred testing method for repeat testing in both men and women.

“This is the first study looking at HIV self-testing using oral testing kits in Africa,” Augustine Choko, of the Malawi-Liverpool Wellcome Trust Clinical Research Program, said during a presentation. “It was very important for us to look at self-testing because HIV testing uptake still remains very unsatisfactory using the current strategies that we have.”

The study cohort included 283 randomly selected participants residing in Blantyre, Malawi; 52% were women, and 61.8% tested for HIV, but only 22.3% within the last year. Three different testing options were offered to participants, including self-testing and immediate confirmatory HIV testing and counseling, standard HIV testing and counseling alone or no testing at all.

Only 18.5% of HIV-positive participants reported previous knowledge of their HIV-status. Of 91.9% who opted to self-test, self-read accuracy was 99.2%. Despite 10% of participants who reported errors with testing and required extra help during self testing due to the inability to take their own mouth swabs and unable to read results, 98.5% of participants said it was “not hard at all to do.”

Further, 98% of participants stated it was “very likely” that they would self-test in the future; 56.4% wanted their next test to be a self-test; and all participants stated they would recommend self-testing to family and friends. Compared with HIV testing and counseling offered by a neighbor (48.2%; P=.001), 94% preferred local distribution of self-test kits.

“Self-testing was very popular and highly accurate, as 92% of randomly selected individuals opted to self-test,” Choko said. – by Ashley DeNyse

For more information:

  • Choko A. #42. Presented at: 18th Conference on Retroviruses and Opportunistic Infections; Feb. 27-March 3, 2011; Boston.
Twitter Follow InfectiousDiseaseNews.com on Twitter.