title: Factors associated with acceptability of HIV self-testing among health care workers in Kenya.
abstract: Health care workers (HCWs) in sub-Saharan Africa are at a high risk of HIV infection from both sexual and occupational exposures. However, many do not seek HIV testing. This paper examines the acceptability of an unsupervised facility-based HIV self-testing (HIVST) intervention among HCWs and their partners and factors associated with uptake of HIVST among HCWs. HCWs in seven large Kenyan hospitals were invited to participate in pre-HIVST information sessions during which they were offered HIVST kits to take home for self-testing. A post-intervention survey was conducted among 765 HCWs. Forty-one percent attended the information session; of those, 89% took the HIVST kits and of those, 85% self-tested. Thirty-four percent of surveyed HCWs used the HIVST to test themselves. Of those who took the HIVST kit and had partners, 73% gave the kit to their partner and 86% of them indicated their partner self-tested. Factors positively associated with use of the HIVST on self were being female, being single, and being a HCW from Homa Bay Hospital (located in a high HIV prevalence area). HIVST is acceptable to HCWs and their partners. However, strategies are needed to increase HCWs attendance at pre-implementation information sessions.
authors: Population Council, HIV and AIDS Program, 4301 Connecticut Avenue, Suite 280, Washington, DC, 20008, USA, skalibala@popcouncil.org.
authors: Samuel
authors: S
authors: Kalibala
authors: Waimar
authors: W
authors: Tun
authors: Peter
authors: P
authors: Cherutich
authors: Anne
authors: A
authors: Nganga
authors: Erick
authors: E
authors: Oweya
authors: Patricia
authors: P
authors: Oluoch
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006779:Hospitals, Public; D006801:Humans; D007630:Kenya; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data; D008505:Medical Staff, Hospital / Q000523:psychology / Q000706:statistics & numerical data*; D008875:Middle Aged; D009042:Motivation; D015999:Multivariate Analysis; D016273:Occupational Exposure / Q000706:statistics & numerical data; D012648:Self Care / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires