RESEARCH PAPER
HIV self-testing in Iran: first implementation and feasibility study
1
Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
2
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
Submission date: 2020-11-01
Final revision date: 2021-04-28
Acceptance date: 2021-04-28
Publication date: 2023-01-19
HIV & AIDS Review 2023;22(1):70-76
KEYWORDS
TOPICS
ABSTRACT
Introduction:
A vast group of people carrying human immunodeficiency virus (HIV) is unaware of their HIV status. HIV self-testing (HIVST) is a key tool to achieve better expanding of testing by helping patients to be identified, but it faces its’ challenges, which need to be carefully discussed. We aimed to introduce and debate the best options and strategies required to maximize the benefits of HIVST in Iran.
Material and methods:
The authors investigated the above-mentioned question based on a review of 32 articles published between 2007 and 2018 on HIVST. Moreover, focus group discussions (FGDs) and interviews were conducted within 20 people from key populations, with six experts involved.
Results:
A road map for actualizing HIVST program can be characterized in three major steps, which include: 1) HIVST training and preparing each component by healthcare team; 2) HIVST-assisted and facility-based programs in selected centers, in the presence of supportive consultant assisting each tested person; 3) public access to HIVST kits through pharmacies, internet, and cyberspace.
Conclusions:
It seems that the dangers and detriments of HIVST are extremely constrained in comparison with its’ advantages. Overall, it can be considered as a feasible and effective approach in achieving the goal of identifying an increasing number of potential HIV-positive patients and support healthcare system.
A vast group of people carrying human immunodeficiency virus (HIV) is unaware of their HIV status. HIV self-testing (HIVST) is a key tool to achieve better expanding of testing by helping patients to be identified, but it faces its’ challenges, which need to be carefully discussed. We aimed to introduce and debate the best options and strategies required to maximize the benefits of HIVST in Iran.
Material and methods:
The authors investigated the above-mentioned question based on a review of 32 articles published between 2007 and 2018 on HIVST. Moreover, focus group discussions (FGDs) and interviews were conducted within 20 people from key populations, with six experts involved.
Results:
A road map for actualizing HIVST program can be characterized in three major steps, which include: 1) HIVST training and preparing each component by healthcare team; 2) HIVST-assisted and facility-based programs in selected centers, in the presence of supportive consultant assisting each tested person; 3) public access to HIVST kits through pharmacies, internet, and cyberspace.
Conclusions:
It seems that the dangers and detriments of HIVST are extremely constrained in comparison with its’ advantages. Overall, it can be considered as a feasible and effective approach in achieving the goal of identifying an increasing number of potential HIV-positive patients and support healthcare system.
REFERENCES (33)
1.
Yoshimura K. Current status of HIV/AIDS in the ART era. J Infect Chemother 2017; 23: 12-16.
2.
World Health Organization. The top 10 causes of death 2018, May 24. Available from: https://www.who.int/news-room/....
3.
Deeks SG, Lewin SR, Havlir DV. The end of AIDS: HIV infection as a chronic disease. Lancet 2013; 382: 1525-1533.
4.
World Health Organization. Number of people (all ages) living with HIV estimates by WHO region. 2019, August 2.
5.
World Health Organization. Antiretroviral therapy coverage estimates by WHO region. 2019, August 2.
6.
Collaborators GH. Estimates of global, regional, and national incidence, prevalence, and mortality of HIV, 1980-2015: the Global Burden of Disease Study 2015. Lancet HIV 2016; 3: e361-e387.
7.
Campbell CH Jr, Marum ME, Alwano-Edyegu M, Dillon BA, Moore M, Gumisiriza E. The role of HIV counseling and testing in the developing world. AIDS Educ Prev 1997; 9 (3 Suppl): 92-104.
8.
UNAIDS. UNAIDS report on the global AIDS epidemic; 2010. Available from: https://www.unaids.org/globalr....
9.
Holtgrave DR, Pinkerton SD. Can increasing awareness of HIV seropositivity reduce infections by 50% in the United States? J Acquir Immune Defic Syndr 2007; 44: 360-363.
10.
Ibitoye M, Frasca T, Giguere R, Carballo-Dieguez A. Home testing past, present and future: lessons learned and implications for HIV home tests. AIDS Behav 2014; 18: 933-949.
11.
Krause J, Subklew-Sehume F, Kenyon C, Colebunders R. Acceptability of HIV self-testing: a systematic literature review. BMC Public Health 2013; 13: 735.
12.
Figueroa C, Johnson C, Ford N, et al. Reliability of HIV rapid diagnostic tests for self-testing compared with testing by health-care workers: a systematic review and meta-analysis. Lancet HIV 2018; 5: e277-e290.
13.
NASCOP. HIV Self-Testing. An operational manual for the delivery of HIV Self-Testing services in Kenya; 2017. Available from: http://hivst.org/files1/Kenya_....
14.
Yan H, Yang H, Raymond HF, et al. Experiences and correlates of HIV self-testing among men who have sex with men in Jiangsu province, China. AIDS Behav 2015; 19: 485-491.
15.
Lee VJ, Tan SC, Earnest A, Seong PS, Tan HH, Leo YS. User acceptability and feasibility of self-testing with HIV rapid tests. J Acquir Immune Defic Syndr 2007; 45: 4494-53.
16.
Noble M, Jones AM, Bowles K, DiNenno EA, Tregear SJ. HIV testing among internet-using MSM in the United States: systematic review. AIDS Behav 2017; 21: 561-575.
17.
Heard AC, Brown AN. Public readiness for HIV self-testing in Kenya. AIDS Care 2016; 28: 1528-1532.
18.
Wood BR, Ballenger C, Stekler JD. Arguments for and against HIV self-testing. HIV AIDS (Auckl) 2014; 6: 117-126.
19.
Qin Y, Tang W, Nowacki A, et al. Benefits and potential harms of human immunodeficiency virus self-testing among men who have sex with men in China: an implementation perspective. Sex Transm Dis 2017; 44: 233-238.
20.
Gagnon M, French M, Hebert Y. The HIV self-testing debate: where do we stand? BMC Int Health Hum Rights 2018; 18: 5.
21.
Indravudh PP, Choko AT, Corbett EL. Scaling up HIV self-testing in sub-Saharan Africa: a review of technology, policy and evidence. Curr Opin Infect Dis 2018; 31: 14-24.
22.
Myers JE, El-Sadr WM, Zerbe A, Branson BM. Rapid HIV self-testing: long in coming but opportunities beckon. AIDS 2013; 27: 1687-1695.
23.
Choko AT, MacPherson P, Webb EL, et al. Uptake, accuracy, safety, and linkage into care over two years of promoting annual self-testing for HIV in Blantyre, Malawi: a community-based prospective study. PLoS Med 2015; 12: e1001873.
24.
Maheswaran H, Petrou S, MacPherson P, et al. Cost and quality of life analysis of HIV self-testing and facility-based HIV testing and counselling in Blantyre, Malawi. BMC Med 2016; 14: 34.
25.
Masters SH, Agot K, Obonyo B, Napierala Mavedzenge S, Maman S, Thirumurthy H. Promoting partner testing and couples testing through secondary distribution of HIV self-tests: a randomized clinical trial. PLoS Med 2016; 13: e1002166.
26.
Johnson CC, Kennedy C, Fonner V, et al. Examining the effects of HIV self-testing compared to standard HIV testing services: a systematic review and meta-analysis. J Int AIDS Soc 2017; 20: 21594.
27.
SeyedAlinaghi S, Karimi A, Barzegary A, et al. Prevalence and reasons of loss to follow-up in HIV clinics: a systematic review of current evidence. HIV AIDS Rev 2022; 21: 179-190.
28.
Mehraeen E, SeyedAlinaghi S, Pashaei Z, et al. Mobile applications in HIV self-management: a systematic review of scientific literature. AIDS Rev 2022; 24: 24-31.
29.
Farhoudi B, Ghalekhani N, Afsar Kazerooni P, et al. Cascade of care in people living with HIV in Iran in 2019; how far to reach UNAIDS/WHO targets. AIDS Care 2022; 34: 590-596.
30.
Mohraz M, SeyedAlinaghi S, Asadollahi-Amin A, et al. Sociodemographic characteristics, HIV-related risk behaviors and HIV prevalence of vulnerable men in Tehran, Iran. Curr HIV Res 2021; 19: 352-357.
31.
SeyedAlinaghi S, Taj L, Mazaheri-Tehrani E, et al. HIV in Iran: onset, responses, and future directions. AIDS 2021; 35: 529-542.
32.
Najafi Z, Taj L, Dadras O, Ghadimi F, Moradmand B, SeyedAlinaghi S. Epidemiology of HIV in Iran. Curr HIV Res 2020; 18: 228-236.
33.
Najafi Z, Shekarbeigi S, Koochak HE, Farhoudi B, SeyedAlinaghi S, Mirzazadeh A. HIV and risk behaviors among visitors of inmates at the Great Tehran Prison, Iran, 2018. Open AIDS J 2020; 14: 35-40.
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