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Sexually Transmitted Infections01:26

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Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...

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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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Is the Philippines ready for HIV self-testing?

Jesal Gohil1, Emmanuel S Baja2,3, Tyrone Reden Sy2

  • 1Department of Medicine, The Royal London Hospital, London, UK.

BMC Public Health
|January 11, 2020
PubMed
Summary
This summary is machine-generated.

HIV self-testing (HIVST) is acceptable to men who have sex with men and transgender women in the Philippines. Strategic alliances are needed to implement patient-centered HIVST programs and increase testing coverage.

Keywords:
HIV self-testingMen who have sex with men (MSM)PhilippinesPolicyRegulationTGWTransgender women

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Area of Science:

  • Public Health
  • Epidemiology
  • Social Science

Background:

  • The Philippines is experiencing a significant rise in HIV cases, particularly among young men who have sex with men (MSM).
  • Low HIV testing rates in young populations present a critical challenge.
  • HIV self-testing (HIVST) emerges as a potential solution to bridge this testing gap.

Purpose of the Study:

  • To investigate the acceptability and feasibility of HIV self-testing (HIVST).
  • To identify programmatic challenges associated with implementing HIVST.
  • To gather insights from key informants and target user groups in the Philippines.

Main Methods:

  • A qualitative research design was employed, utilizing semi-structured interviews and focus group discussions (FGD).
  • Data were collected from 15 key informants and 42 target users (including high socio-economic MSM, urban poor MSM, and transgender women) in Metro Manila.
  • Thematic framework analysis was used to interpret the collected data.

Main Results:

  • MSM and transgender women expressed positive reception towards HIVST, valuing its convenience and privacy.
  • A preference for affordable, accurate, blood-based HIVST kits obtained from reliable sources was noted.
  • Key informants recognized HIVST's potential but highlighted policy and regulatory hurdles.
  • Both target users and key informants identified significant challenges in linking individuals who test reactive via HIVST to further care and treatment due to pervasive HIV-related stigma.

Conclusions:

  • HIV self-testing (HIVST) demonstrates high acceptability among target users and is viewed favorably as a supplementary testing method nationally.
  • The development of strategic partnerships among stakeholders is crucial.
  • A patient-centered HIVST program is essential to effectively and safely increase HIV testing coverage in the escalating epidemic context.