@article{fdi:010083335,
  title = {{E}nthusiasm for introducing and integrating {HIV} self-testing but doubts about users : a baseline qualitative analysis of key stakeholders' attitudes and perceptions in {C}ote d'{I}voire, {M}ali and {S}enegal},
  author = {{K}y-{Z}erbo, {O}. and {D}esclaux, {A}lice and {K}ouadio, {A}. {B}. and {R}ouveau, {N}icolas and {V}autier, {A}. and {S}ow, {S}. and {C}amara, {S}. {C}. and {B}oye, {S}okhna and {P}ourette, {D}olores and {S}idibe, {Y}. and {M}aheu-{G}iroux, {M}. and {L}armarange, {J}oseph and {ATLAS} {T}eam},
  editor = {},
  language = {{ENG}},
  abstract = {{S}ince 2019, the {ATLAS} project, coordinated by {S}olthis in collaboration with national {AIDS} programs, has introduced, promoted and delivered {HIV} self-testing ({HIVST}) in {C}ote d'{I}voire, {M}ali and {S}enegal. {S}everal delivery channels have been defined, including key populations: men who have sex with men, female sex workers and people who use injectable drugs. {A}t project initiation, a qualitative study analyzing the perceptions and attitudes of key stakeholders regarding the introduction of {HIVST} in their countries and its integration with other testing strategies for key populations was conducted. {T}he study was conducted from {S}eptember to {N}ovember 2019 within 3 months of the initiation of {HIVST} distribution. {I}ndividual interviews were conducted with 60 key informants involved in the project or in providing support and care to key populations: members of health ministries, national {AIDS} councils, international organizations, national and international non-governmental organizations, and peer educators. {S}emi structured interviews were recorded, translated when necessary, and transcribed. {D}ata were coded using {D}edoose (c) software for thematic analyses. {W}e found that stakeholders' perceptions and attitudes are favorable to the introduction and integration of {HIVST} for several reasons. {S}ome of these reasons are held in common, and some are specific to each key population and country. {O}verall, {HIVST} is considered able to reduce stigma; preserve anonymity and confidentiality; reach key populations that do not access testing via the usual strategies; remove spatial barriers; save time for users and providers; and empower users with autonomy and responsibility. {I}t is non-invasive and easy to use. {H}owever, participants also fear, question and doubt users' autonomy regarding their ability to use {HIVST} kits correctly; to ensure quality secondary distribution; to accept a reactive test result; and to use confirmation testing and care services. {F}or stakeholders, {HIVST} is considered an attractive strategy to improve access to {HIV} testing for key populations. {T}heir doubts about users' capacities could be a matter for reflective communication with stakeholders and local adaptation before the implementation of {HIVST} in new countries. {T}hose perceptions may reflect the {W}est {A}frican {HIV} situation through the emphasis they place on the roles of {HIV} stigma and disclosure in {HIVST} efficiency.},
  keywords = {{HIV} self-testing ; key population ; perceptions ; stakeholders ; {W}est {A}frica ; {ATLAS} ; {COTE} {D}'{IVOIRE} ; {MALI} ; {SENEGAL}},
  booktitle = {},
  journal = {{F}rontiers in {P}ublic {H}ealth},
  volume = {9},
  numero = {},
  pages = {653481 [14 ]},
  year = {2021},
  DOI = {10.3389/fpubh.2021.653481},
  URL = {https://www.documentation.ird.fr/hor/fdi:010083335},
}