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

被引:10
作者
Ashburn, Kim [1 ]
Antelman, Gretchen [2 ]
N'Goran, Marc Kouadio [3 ]
Jahanpour, Ola [2 ]
Yemaneberhan, Aida [1 ]
Kouakou, Bernard N'Guessan [3 ]
Kazemi, Erin [1 ]
Duffy, Malia [4 ]
Adama, Pongathie [5 ]
Kajoka, Deborah [6 ]
Coombs, Alexandra [4 ]
Tayag, Josef [7 ]
Sullivan, David [7 ]
Vrazo, Alex [7 ]
机构
[1] Elizabeth Glaser Pediat AIDS Fdn, Washington, DC USA
[2] Elizabeth Glaser Pediat AIDS Fdn, Dar Es Salaam, Tanzania
[3] Elizabeth Glaser Pediat AIDS Fdn, Adibjan, Cote Ivoire
[4] JSI Res & Training Inst Inc, Arlington, VA USA
[5] Minist Hlth, Abdijan, Cote Ivoire
[6] Minist Community Dev Gender Elderly & Children, Dar Es Salaam, Tanzania
[7] US Agcy Int Dev, Washington, DC 20523 USA
关键词
cross-sectional survey; HIV self-test kit; willingness to pay; acceptability; antenatal clients; Tanzania; Cote d'Ivoire; WOMEN; KENYA; CARE;
D O I
10.1111/tmi.13456
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:1155 / 1165
页数:11
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