Academic Journal
Index-linked Assisted HIV Self-Testing for Children 2-14 Years: Results of a Pilot Evaluation in Ethiopia
| العنوان: | Index-linked Assisted HIV Self-Testing for Children 2-14 Years: Results of a Pilot Evaluation in Ethiopia |
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| المؤلفون: | Gutema, Yoseph, Lulseged, Sileshi, Getachew, Mirtie, Getahun, Meklit, Melaku, Zenebe, Tilahun, Michael, Shimelis, Mesfin, Temesgen, Chanie, Asres, Tsegaye, Dereje, Adinew, Assefa, Alemu, Tewoldebirhan, Esayas, Teferi, Wondimu, Mekonnen, Alemayehu, Fayorsey, Ruby, Zerbe, Allison, Gunn, Jayleen, Medley, Amy, Gross, Jessica, Hrapcak, Susan, Abrams, Elaine J. |
| المصدر: | JAIDS Journal of Acquired Immune Deficiency Syndromes ; ISSN 1525-4135 1944-7884 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2024 |
| الوصف: | Background: Case identification remains a challenge to reaching the United Nations 95-95-95 targets for children with HIV. While the World Health Organization approved oral mucosal HIV self-testing (HIVST) for children over 2 years in 2019, there is little information on HIVST for pediatric case identification in Ethiopia. Setting: Nine health facilities across Ethiopia. Methods: We implemented a pilot program from November 2021-April 2022 to assess acceptability and feasibility of using HIVST to screen children 2-14 years of adult index clients, (i.e., parents/caregivers living with HIV and on antiretroviral therapy). HIV-positive adults who had children with unknown HIV status were given HIVST kits (OraQuick ® ) to screen their children at home. Parents/caregivers were asked to report results telephonically and bring children screening positive to the health facility for confirmatory HIV testing. We defined HIVST acceptability as ≥50% of parents/caregivers accepting testing and ≥50% reporting results within seven days of receiving a test kit. Feasibility was defined as ≥60% of children with a reactive HIVST receiving confirmatory testing and <5 serious social harms reported per 1000 kits distributed. Results: Overall, 1496 of 1651 (91%) parents/caregivers accepted HIVST kits to test their children at home and 1204 (71%) reported results within seven days. Of 17 children (1%) with reactive results, 13 (76%) received confirmatory testing; of which 7 (54%) were confirmed to be HIV-positive. One serious social harm was reported. Conclusion: Providing adult parents/caregivers with HIVST kits to screen their children at home is an acceptable and feasible strategy to reach untested children and improve pediatric case finding in a low prevalence setting. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/qai.0000000000003533 |
| DOI: | 10.1097/QAI.0000000000003533 |
| الاتاحة: | http://dx.doi.org/10.1097/qai.0000000000003533 https://journals.lww.com/10.1097/QAI.0000000000003533 |
| Rights: | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| رقم الانضمام: | edsbas.2343151C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/qai.0000000000003533 |
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