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

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Published on: November 1, 2010

What drives 'first-time testers' to test for HIV at community-based HIV testing services?

S-A Meehan¹, H R Draper¹, R Burger²

¹Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Public Health Action

|March 28, 2018

Summary

Fear and accessibility issues were the main barriers for first-time human immuno-deficiency virus (HIV) testing. The desire to know status and immediate testing opportunities were key drivers for individuals seeking community-based HIV testing services.

Keywords:

barriers community-based HIV testing drivers first-time testers

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Last Updated: Jun 20, 2026

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

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Published on: November 1, 2010

An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings

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Published on: March 30, 2014

Rapid Screening of HIV Reverse Transcriptase and Integrase Inhibitors

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Published on: April 10, 2014

Area of Science:

Public Health
Epidemiology
Behavioral Science

Background:

Understanding motivations for first-time human immuno-deficiency virus (HIV) testing is crucial for increasing uptake.
Barriers and drivers for self-initiated community-based HIV testing (CB-HTS) among previously untested individuals remain underexplored.

Purpose of the Study:

To identify the primary drivers and barriers influencing first-time testers at a community-based HIV testing service.
To inform strategies for enhancing HIV testing accessibility and uptake.

Main Methods:

A descriptive study involving 229 first-time testers at a CB-HTS.
Data collected via an electronic questionnaire assessing reasons for testing and perceived barriers.

Main Results:

Fear of testing was the most cited barrier (40%).
(Non) accessibility of HIV testing services (HTS) was also a significant barrier (24%).
The primary drivers were the desire to know one's HIV status (41%) and the immediate availability of testing (35%).

Conclusions:

Addressing psychological barriers like fear is essential for encouraging HIV testing.
Improving the accessibility of community-based HIV testing services can increase uptake among previously untested populations.