2025
Do community-level factors play a role in HIV self-testing uptake, linkage to services and HIV-related outcomes? A mixed methods study of community-led HIV self-testing in rural Zimbabwe
Tumushime M, Ruhode N, Neuman M, Watadzaushe C, Mutseta M, Taegtmeyer M, Johnson C, Hatzold K, Corbett E, Cowan F, Sibanda E. Do community-level factors play a role in HIV self-testing uptake, linkage to services and HIV-related outcomes? A mixed methods study of community-led HIV self-testing in rural Zimbabwe. PLOS Global Public Health 2025, 5: e0003196. PMID: 40273217, PMCID: PMC12021296, DOI: 10.1371/journal.pgph.0003196.Peer-Reviewed Original ResearchHIV self-testing uptakeHIV self-testingHIV self-test kitsNew HIV diagnosesPublic health programmesHIV diagnosisHealth programmesHIVST implementationHIV self-test distributionCohesion scoresPost-test servicesMonths post-interventionHIV-related outcomesCommunity-led interventionsCommunity-level factorsMixed methods studyCommunity cohesionSelf-testingUndiagnosed HIVPost-interventionDoor-to-doorViral load testingIncreased community cohesionOdds ratioRural Zimbabwe
2024
Experience of social harms among female sex workers following HIV self-test distribution in Malawi: results of a cohort study
Mee P, Neuman M, Kumwenda M, Lora W, Sikwese S, Sambo M, Fielding K, Indravudh P, Hatzold K, Johnson C, Corbett E, Desmond N. Experience of social harms among female sex workers following HIV self-test distribution in Malawi: results of a cohort study. BMC Infectious Diseases 2024, 22: 978. PMID: 38468208, PMCID: PMC10926537, DOI: 10.1186/s12879-024-09178-3.Peer-Reviewed Original ResearchConceptsHIV self-test useHIV self-testingFemale sex workersHIV self-test distributionPeer distributorsFacility-based HIV testingSelf-test distributionEnd-line dataStandard testing servicesSex workersGeneralised estimating equationsRelationship problemsSocial harmService delivery approachesBackgroundIn MalawiHIV testingActivity diaryEnd-lineHIV incidenceBlantyre districtConclusionsLittle evidenceTesting servicesCohort studyProspective cohortVerbal abuseLessons learned from implementation of four HIV self-testing (HIVST) distribution models in Zambia: applying the Consolidated Framework for Implementation Research to understand impact of contextual factors on implementation
Simwinga M, Gwanu L, Hensen B, Sigande L, Mainga M, Phiri T, Mwanza E, Kabumbu M, Mulubwa C, Mwenge L, Bwalya C, Kumwenda M, Mubanga E, Mee P, Johnson C, Corbett E, Hatzold K, Neuman M, Ayles H, Taegtmeyer M. Lessons learned from implementation of four HIV self-testing (HIVST) distribution models in Zambia: applying the Consolidated Framework for Implementation Research to understand impact of contextual factors on implementation. BMC Infectious Diseases 2024, 22: 977. PMID: 38448832, PMCID: PMC10916003, DOI: 10.1186/s12879-024-09168-5.Peer-Reviewed Original ResearchConceptsConsolidated Framework for Implementation ResearchHIV self-testingHuman immunodeficiency virus self-testingImplementation researchHIV self-test distributionContextual factorsCombination of contextual factorsImpact of contextual factorsHuman immunodeficiency virusProvider experienceIncrease test coverageSelf-testingCommunity-led modelThematic approachProspective case studyExcessive workloadReal-world settingsGroup discussionsCommunity-ledWorld settingsParticipantsContextual experiencesInadequate compensationMonetary incentivesZambia
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