@article{fdi:010067746, title = {{C}ommunity perceptions of repeat {HIV}-testing : experiences of the {ANRS} 12249 {T}reatment as {P}revention trial in rural {S}outh {A}frica}, author = {{O}rne-{G}liemann, {J}. and {Z}uma, {T}. and {C}hikovore, {J}. and {G}illespie, {N}. and {G}rant, {M}. and {I}wuji, {C}. and {L}armarange, {J}oseph and {M}c{G}rath, {N}. and {L}ert, {F}. and {I}mrie, {J}.}, editor = {}, language = {{ENG}}, abstract = {{I}n the context of the {ANRS} 12249 {T}reatment as {P}revention ({T}as{P}) trial, we investigated perceptions of regular and repeat {HIV}-testing in rural {K}wa{Z}ulu-{N}atal ({S}outh {A}frica), an area of very high {HIV} prevalence and incidence. {W}e conducted two qualitative studies, before (2010) and during the early implementation stages of the trial (2013-2014), to appreciate the evolution in community perceptions of repeat {HIV}-testing over this period of rapid changes in {HIV}-testing and treatment approaches. {R}epeated focus group discussions were organized with young adults, older adults and mixed groups. {R}epeat and regular {HIV}-testing was overall well perceived before, and well received during, trial implementation. {Y}et community members were not able to articulate reasons why people might want to test regularly or repeatedly, apart from individual sexual risk-taking. {R}epeat home-based {HIV}-testing was considered as feasible and convenient, and described as more acceptable than clinic-based {HIV}-testing, mostly because of privacy and confidentiality. {H}owever, socially regulated discourses around appropriate sexual behaviour and perceptions of stigma and prejudice regarding {HIV} and sexual risk-taking were consistently reported. {T}his study suggests several avenues to improve {HIV}-testing acceptability, including implementing diverse and personalised approaches to {HIV}-testing and care, and providing opportunities for antiretroviral therapy initiation and care at home.}, keywords = {{S}outh {A}frica ; {HIV} ; testing ; community ; {UTT} ; treatment as prevention ; {AFRIQUE} {DU} {SUD}}, booktitle = {}, journal = {{A}ids {C}are : {P}sychological and {S}ocio-{M}edical {A}spects of {A}ids/{H}iv}, volume = {28}, numero = {3}, pages = {14--23}, ISSN = {0954-0121}, year = {2016}, DOI = {10.1080/09540121.2016.1164805}, URL = {https://www.documentation.ird.fr/hor/fdi:010067746}, }