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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

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Using technology to support HIV self-testing among MSM.

Sara LeGrand¹, Kathryn E Muessig, Keith J Horvath

¹aCenter for Health Policy and Inequalities Research, Duke Global Health Institute, Duke University, Durham bDepartment of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina cDivision of Epidemiology and Community Health, School of Public Health, University of Minneapolis, Minneapolis, Minnesota dInstitute for Global Health and Infectious Diseases, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Current Opinion in HIV and AIDS

|June 16, 2017

Summary

Technology-based HIV self-testing (HST) interventions improve access for gay, bisexual, and other men who have sex with men (MSM). Comprehensive programs addressing barriers and providing support are more effective than simple kit distribution.

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Area of Science:

Public Health
Digital Health
HIV Prevention

Background:

Gay, bisexual, and other men who have sex with men (MSM) face unique challenges accessing HIV testing.
Technology-based HIV self-testing (HST) offers a promising avenue to improve testing uptake and address user concerns.
Effective linkage to follow-up services remains a critical component of successful HST interventions.

Purpose of the Study:

To review studies utilizing technology-based platforms to enhance HIV self-testing (HST) among MSM.
To evaluate the impact of these interventions on HST access, experience, and linkage to care.
To identify barriers and facilitators for successful HST implementation in this population.

Main Methods:

Systematic review of published and funded studies on technology-based HST interventions for MSM.
Analysis of intervention components, including kit distribution, technological platforms, and support services.
Assessment of reported outcomes related to HST uptake, correct usage, result interpretation, and linkage to care.

Main Results:

Seven published and eight funded studies were included in the review.
Comprehensive interventions offering free HST kits with support for the testing process addressed more barriers than those solely distributing kits via technology.
Interventions that addressed access, correct kit use, and result interpretation showed greater promise.

Conclusions:

Technology-based HST interventions, particularly comprehensive ones, are crucial for improving HIV testing rates among MSM.
Addressing specific HST concerns and testing barriers is key to increasing first-time and repeat testing.
Further research is needed to confirm the efficacy of newer HST interventions before large-scale implementation.