{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T14:45:29Z","timestamp":1780065929265,"version":"3.54.0"},"reference-count":38,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,8,20]],"date-time":"2020-08-20T00:00:00Z","timestamp":1597881600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","award":["AID\u2010ID\u2010OAA\u2010A\u201015\u20100034"],"award-info":[{"award-number":["AID\u2010ID\u2010OAA\u2010A\u201015\u20100034"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Intern AIDS Soc"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>HIV testing is a required part of delivery of pre\u2010exposure prophylaxis (PrEP) for HIV prevention. However, repeat testing can be challenging in busy, under\u2010staffed clinical settings, which could negatively impact PrEP uptake and continuation. We prospectively evaluated optional facility\u2010based HIV self\u2010testing (HIVST) among young women using PrEP in an implementation programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between February and November 2019, we collected data from young women receiving PrEP at two family planning facilities in Kisumu, Kenya. At each PrEP follow\u2010up visit, women were given the option to choose between provider\u2010initiated testing and HIVST. We assessed factors associated with HIVST uptake and compared satisfaction with HIV testing and clinic experience between acceptors and decliners of HIVST.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 172 women were offered HIVST at 202 PrEP follow\u2010up visits. The median age was 21\u00a0years, 27% had multiple partners and 15% reported previously using HIVST. HIVST was accepted at 34.7% (70\/202) of visits. Age (adjusted relative risk (aRR) 1.09 per year, 95% CI (confidence interval) 1.01 to 1.18), never being married (aRR 1.81, 95% CI 1.11 to 2.95) and having more PrEP follow\u2010up visits (aRR 1.13 per visit, 95% CI 1.04 to 1.23) were associated with HIVST uptake. Compared to HIVST decliners, HIVST acceptors were more likely to be very happy with their overall testing experience (73% vs. 47% of visits, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.003) and were more likely to say they would use HIVST in the future (96% vs. 76%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Women who accepted HIVST had shorter visits than those choosing standard provider\u2010initiated HIV testing (median [IQR]: 33 [32, 38] vs. 54 [41.5, 81] minutes, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this pilot evaluation in Kenya, about one\u2010third of women using PrEP opted for HIVST over provider\u2010initiated testing, and those choosing HIVST spent less time in the clinic and were generally satisfied with their experience. HIVST in PrEP delivery is feasible and has the potential to simplify PrEP delivery and give clients testing autonomy. Additional studies are needed to explore optimal HIV retesting strategies in PrEP delivery, including the use of HIVST in PrEP at a larger scale and in different settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.25561","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T01:51:54Z","timestamp":1597974714000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Uptake and impact of facility\u2010based HIV self\u2010testing on PrEP delivery: a pilot study among young women in Kisumu, Kenya"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9104-0125","authenticated-orcid":false,"given":"Valentine","family":"Wanga","sequence":"first","affiliation":[{"name":"Department of Epidemiology University of Washington Seattle WA USA"},{"name":"Department of Global Health University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Omollo","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A","family":"Bukusi","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"},{"name":"Centre for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"},{"name":"Departments of Obstetrics and Gynecology University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine B","family":"Odoyo","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer F","family":"Morton","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Kidoguchi","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8813-3419","authenticated-orcid":false,"given":"Connie","family":"Celum","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8242-8438","authenticated-orcid":false,"given":"Jared M","family":"Baeten","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of Washington Seattle WA USA"},{"name":"Department of Global Health University of Washington Seattle WA USA"},{"name":"Department of Medicine University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2184-4"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00188"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002885"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304061"},{"key":"e_1_2_9_6_1","unstructured":"AgotK WangoG\u2010N OluochL OmoyaM OundaN BosireR et al.Perceptions of adolescent girls about their ability to offer HIV self\u2010test kits to their sexual partners: a pilot study in Siaya County western Kenya. 11th International Workshop on HIV Treatment Pathogenesis and Prevention Research in Resource Limited Settings: Reviews in Antiviral Therapy & Infectious Diseases 2017_02;2017. p.80."},{"key":"e_1_2_9_7_1","unstructured":"MoyoT MokgatleM MadibaS.Opinions about and acceptability of HIV self\u2010testing amongst students at the Institute of Health Sciences\u2010 Lobatse Botswana.2017;31: p.6\u201317."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0195391"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30534-0"},{"key":"e_1_2_9_10_1","unstructured":"MavedzengeSSE DirawoJ HatzoldK MugurungiO CowanF.Feasibility of HIV self\u2010test programming among female sex workers in Zimbabwe. 9th International AIDS Society Conference on HIV Science; 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