Willingness to Use HIV Self-test Kits and Willingness to Pay Among Urban Antenatal Clients in Cote D'Ivoire and Tanzania: a Cross-sectional Study

Overview

Journal Trop Med Int Health

Specialties Public Health
Tropical Medicine

Date 2020 Jul 2

PMID 32609932

Citations 8

Authors

Kim Ashburn

Gretchen Antelman

Marc Kouadio NGoran

Ola Jahanpour

Aida Yemaneberhan

Bernard NGuessan Kouakou

Erin Kazemi

Malia Duffy

Pongathie Adama

Deborah Kajoka

Alexandra Coombs

Josef Tayag

David Sullivan

Alex Vrazo

Affiliations

Soon will be listed here.

Abstract

Objectives: To generate evidence on willingness to use HIV self-test kits and willingness to pay among antenatal care clients in public and private facilities in Cote d'Ivoire and Tanzania.

Methods: Cross-sectional survey data were collected from 414 clients recruited from 35 high-volume facilities in Cote d'Ivoire and from 385 clients in 33 high-volume facilities in Tanzania. Surveys covered willingness to use HIV self-test kits, prices clients were willing to pay, advantages and disadvantages and views on specific qualities of HIV self-tests. Market data on availability of proxy self-testing products (e.g. pregnancy and malaria tests) and attitudes of pharmacists towards HIV self-test kits were collected from 51 pharmacies in Cote d'Ivoire and 59 in Tanzania.

Results: Willingness to use HIV self-test kits was 65% in Cote d'Ivoire and 69% in Tanzania. Median ideal prices women would pay ranged from USD 1.77 in Cote d'Ivoire to USD 0.87 in Tanzania. Proxy self-test kits were available in pharmacies, and interest was high in stocking HIV self-test kits.

Conclusions: Implications for national HIV self-test policy and planning include keeping prices low, providing psychological and HIV counselling, and ensuring linkage to HIV care and treatment services. Private pharmacies will play a key role in providing access to HIV self-test kits.

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