Where are the men in HIV testing and prevention in Namibia?

Aim Several reports indicate that 20- to 39-year-old men have the lowest coverage of antiretroviral therapy in Namibia. This study explored factors affecting barriers to and facilitators of HIV testing and prevention services among young men there. The study also provides future considerations for program implementers. Subject and methods We conducted focus group discussions in 13 locations across Namibia, using stratified, purposive sampling to recruit participants from male focused population subgroups. A short demographic survey collected selected data to link to participants' responses in the focus group discussions. Results Fear, absence of information or education, and a perceived lack of confidentiality were the primary barriers to HIV testing. Respondents mentioned increasing education, providing incentives, and involving more male health workers as possible facilitators. Home, mobile sites, and facilities with extended hours were the preferred types of testing sites. Conclusion Implementers should consider increasing positive HIV messaging and ensuring availability of a diversity of testing options including a "VIP" package of HIV services for young men in Namibia.