Overcoming barriers in HIV testing: Impact and challenges of HIV self-testing in Brazil's high-risk populations

克服艾滋病毒检测障碍:艾滋病毒自检在巴西高危人群中的影响和挑战

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Abstract

OBJECTIVE: To explore implementation issues and user experiences while evaluating the effect of HIV self-testing (HIVST) on diagnosis rates among vulnerable populations in Belo Horizonte, Brazil. STUDY DESIGN & METHODS: The adoption of HIVST and its perceived effectiveness were investigated by a cross-sectional analysis. The study assessed HIVST-related procedural errors and knowledge gaps while concentrating on key populations, such as sex workers, non-heterosexual people, and those who are jailed. RESULTS: According to the study, there were notable user errors and knowledge gaps about the HIV window period, even though HIVST was generally thought to be acceptable and simple to use. Persistent discrimination and stigma also served as significant obstacles, impeding successful utilization and uptake. CONCLUSION: According to the results, HIVST has a lot of potential to increase diagnoses, but it also calls for coordinated interventions. To get beyond implementation obstacles and eventually lower HIV transmission, these programs must incorporate HIVST distribution with focused education, counseling, and a strong linkage-to-care. For comparable public health situations, like those in the Philippines, this strategy is quite pertinent.

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