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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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HIV Prevention Continuum Outcomes Following Implementation of a Municipal HIV Self-Testing Program.

Cedric H Bien-Gund1,2,3, Knashawn Morales4,5, Javontae Williams6

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Public health HIV self-testing (HIVST) programs reach priority populations. However, few individuals discussed or initiated HIV prevention medication after testing, highlighting a need for improved care linkage.

Keywords:
HIV self-testingPre-exposure prophylaxisPrevention continuumPublic health program

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Equity

Background:

  • HIV self-testing (HIVST) is crucial for maximizing benefits through engagement in the HIV continuum of care.
  • Understanding post-HIVST care engagement and PrEP discussion is vital for public health strategies.

Purpose of the Study:

  • To determine the reach of a municipal HIVST program.
  • To characterize the HIV prevention continuum after self-testing.
  • To identify factors associated with post-test care and PrEP discussion.

Main Methods:

  • Prospective recruitment of individuals obtaining HIVST in Philadelphia.
  • Analysis of factors associated with seeking post-test care and discussing PrEP.
  • Inclusion of 282 participants between October 2022 and March 2024.

Main Results:

  • HIVST reached diverse populations, including 22% who were previously untested.
  • 53% of HIV-negative/unknown status individuals saw a provider; less than 25% discussed PrEP.
  • Black individuals were more likely to access care; MSM and Latinx/e individuals were more likely to discuss PrEP.

Conclusions:

  • Municipal HIVST programs can improve health equity by reaching underserved groups.
  • Significant gaps exist in linking individuals to PrEP services post-HIVST.
  • Interventions are needed to enhance care linkage and PrEP uptake to maximize HIVST impact.