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Remaking the Technosubject: Kenyan Men Contextualizing HIV Self-Testing Technologies.

Matthew Thomann1, Bernadette Kombo2, Helgar Musyoki3

  • 1University of Maryland, College Park, Maryland, USA.

Medical Anthropology
|February 7, 2022
PubMed
Summary
This summary is machine-generated.

Kenyan men who have sex with men view HIV self-testing kits as social objects, not just autonomous technology. Understanding these community perspectives is crucial for effective public health program planning.

Keywords:
HIV self-testingKenyacommunity-based researchmen who have sex with menscience and technology studiessex work

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Area of Science:

  • Public Health
  • Sociology of Technology
  • Medical Anthropology

Background:

  • The Kenyan government provides free HIV self-testing kits to men who have sex with men.
  • The concept of the "technosubject" assumes individuals are autonomous and empowered by technology to overcome barriers to healthcare access.

Purpose of the Study:

  • To explore community perspectives on HIV self-testing technology among men who have sex with men in Kenya.
  • To understand how social factors and the material nature of the testing kit influence user experiences.

Main Methods:

  • A community-centered collaborative approach was employed.
  • Community researchers conducted interviews with peers about their experiences with HIV self-testing kits.

Main Results:

  • Participants perceived the HIV self-testing kit as an object with agency and affective potential, not merely a tool for autonomous self-management.
  • The "technosubject" was reframed as intrinsically connected to social contexts and relationships.
  • User experiences highlighted the interplay between the technology and social realities.

Conclusions:

  • Rethinking HIV self-testing programs to incorporate socio-material relationalities is essential.
  • Community-centered approaches reveal nuanced understandings of technology adoption in public health.
  • Effective program planning requires acknowledging the social and affective dimensions of health technologies.