HIV self-testing in India: implementation and qualitative evaluation of a web-based programme with virtual counsellor...

Area of Science:

• Public Health
• Infectious Disease Control
• Digital Health

Background:

• Accessible diagnostics are crucial for infectious disease epidemic control.
• HIV self-testing (HIVST) offers a promising solution for engaging high-burden populations.

Purpose of the Study:

• To evaluate an online HIVST program for key populations in India.
• To assess the program's effectiveness in service access and linkage to care.

Main Methods:

• Implementation of a web-based HIVST program with virtual counseling support.
• Kits delivered via courier or pick-up points.
• Programmatic data analysis and qualitative interviews with clients.

Main Results:

• 5324 clients ordered kits; 6% screened positive.
• 72% of those who screened positive completed confirmatory testing.
• Clients reported high satisfaction with convenience, privacy, and virtual counselor support.

Conclusions:

• Web-based HIVST with tailored support enhances access for hard-to-reach populations.
• Community-oriented counseling is vital for overcoming literacy and trust barriers.
• Learnings can inform global HIV diagnosis and epidemic control strategies.