Challenges of HIV Self-Test Distribution for Index Testing When HIV Status Disclosure Is Low: Preliminary Results of a Qualitative Study in Bamako (Mali) as Part of the ATLAS Project - Archive ouverte HAL Access content directly
Journal Articles Frontiers in Public Health Year : 2021

Challenges of HIV Self-Test Distribution for Index Testing When HIV Status Disclosure Is Low: Preliminary Results of a Qualitative Study in Bamako (Mali) as Part of the ATLAS Project

Sokhna Boye
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Seydou Bouaré
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Odette Ky-Zerbo
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Nicolas Rouveau
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Arlette Simo Fotso
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Marc d'Elbée
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Romain Silhol
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Mathieu Maheu-Giroux
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Anthony Vautier
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Guillaume Breton
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Abdelaye Keita
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Anne Bekelynck
  • Function : Author
Alice Desclaux
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Joseph Larmarange

Abstract

consultations, it was not appropriate to propose partner HIVST (e.g., when PLHIV were widowed, did not have partners, or had delegated someone to renew their prescriptions). Some PLHIV had not disclosed their HIV status to their partners. Dispensing HIV self-tests was time-consuming, and medical consultations were very short. Three main barriers to HIVST distribution when HIV status had not been disclosed to partners were identified: (1) almost all health professionals avoided offering HIVST to PLHIV when they thought or knew that the PLHIV had not disclosed their HIV status to partners; (2) PLHIV were reluctant to offer HIVST to their partners if they had not disclosed their HIV-positive status to them; (3) there was limited use of strategies to support the disclosure of HIV status. Conclusion: It is essential to strengthen strategies to support the disclosure of HIV+ status. It is necessary to develop a specific approach for the provision of HIV self-tests for the partners of PLHIV by rethinking the involvement of stakeholders. This approach should provide them with training tailored to the issues related to the (non)disclosure of HIV status and gender inequalities, and improving counseling for PLHIV.
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Dates and versions

hal-03790975 , version 1 (28-09-2022)

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Sokhna Boye, Seydou Bouaré, Odette Ky-Zerbo, Nicolas Rouveau, Arlette Simo Fotso, et al.. Challenges of HIV Self-Test Distribution for Index Testing When HIV Status Disclosure Is Low: Preliminary Results of a Qualitative Study in Bamako (Mali) as Part of the ATLAS Project. Frontiers in Public Health, 2021, 9, ⟨10.3389/fpubh.2021.653543⟩. ⟨hal-03790975⟩
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