What do Key Stakeholders Think About HIV Self-Testing in Canada? Results from a Cross-Sectional Survey

Area of Science:

• Public Health
• Infectious Disease Prevention
• Health Policy

Background:

• Human immunodeficiency virus (HIV) self-testing is an empowering alternative to facility-based testing.
• It is not currently available in Canada, limiting access for undiagnosed individuals.
• Stakeholder input is crucial for successful implementation of new health initiatives.

Purpose of the Study:

• To identify stakeholder concerns, opportunities, and challenges regarding HIV self-testing implementation in Canada.
• To gather insights from clinical providers, public health professionals, and researchers nationwide.
• To inform policy and practice for introducing HIV self-testing in Canada.

Main Methods:

• An online cross-sectional survey was distributed to stakeholders involved in HIV testing initiatives across Canada.
• A target sample size of 200 was set, with 183 responses received.
• Mixed-methods analysis, combining quantitative and qualitative data, was employed.

Main Results:

• A majority of stakeholders (70.7%) viewed HIV self-testing as a necessary investment.
• Most respondents (64.6%) believed self-tests should be available to clients, and 71.5% desired improved instructions.
• Concerns included affordability, linkage to counseling, coping with positive results, accuracy for acute HIV detection, and non-disclosure liability.

Conclusions:

• Stakeholders broadly support offering HIV self-testing to reach undiagnosed populations in Canada.
• Addressing concerns about cost, accuracy, counseling linkages, and integration into existing models is essential for widespread adoption.
• Timely action is urged for the availability of HIV self-tests to combat the epidemic.