@article{fdi:010084704, title = {{W}illingness to use and distribute {HIV} self-test kits to clients and partners : a qualitative analysis of female sex workers' collective opinion and attitude in {C}ote d'{I}voire, {M}ali, and {S}enegal}, author = {{K}y-{Z}erbo, {O}. and {D}esclaux, {A}lice and {B}oye, {S}okhna and {V}autier, {A}. and {R}ouveau, {N}icolas and {K}ouadio, {B}. {A}. and {F}otso, {A}. {S}. and {P}ourette, {D}olores and {M}aheu-{G}iroux, {M}. and {S}ow, {S}. and {C}amara, {C}. {S}. and {D}oumenc-{A}idara, {C}. and {K}eita, {A}. and {B}oily, {M}. {C}. and {S}ilhol, {R}. and {D}'{E}lbee, {M}. and {B}ekelynck, {A}. and {G}ueye, {P}. {A}. and {D}iop, {P}. {M}. and {G}eoffroy, {O}. and {K}amemba, {O}. {K}. and {D}iallo, {S}. and {E}hui, {E}. and {N}dour, {C}. {T}. and {L}armarange, {J}oseph and {ATLAS} {T}eam}, editor = {}, language = {{ENG}}, abstract = {{B}ackground: {I}n {W}est {A}frica, female sex workers are at increased risk of {HIV} acquisition and transmission. {HIV} self-testing could be an effective tool to improve access to and frequency of {HIV} testing to female sex workers, their clients and partners. {T}his article explores their perceptions regarding {HIV} self-testing use and the redistribution of {HIV} self-testing kits to their partners and clients. {M}ethods: {E}mbedded within {ATLAS}, a qualitative study was conducted in {C}ote-d'{I}voire, {M}ali, and {S}enegal in 2020. {N}ine focus group discussions were conducted. {A} thematic analysis was performed. {R}esults: {A} total of 87 participants expressed both positive attitudes toward {HIV} self-testing and their willingness to use or reuse {HIV} self-testing. {HIV} self-testing was perceived to be discreet, confidential, and convenient. {HIV} self-testing provides autonomy from testing by providers and reduces stigma. {S}ome perceived {HIV} self-testing as a valuable tool for testing their clients who are willing to offer a premium for condomless sex. {W}hile highlighting some potential issues, overall, female sex workers were optimistic about linkage to confirmatory testing following a reactive {HIV} self-testing. {F}emale sex workers expressed positive attitudes toward secondary distribution to their partners and clients, although it depended on relationship types. {T}hey seemed more enthusiastic about secondary distribution to their regular/emotional partners and regular clients with whom they had difficulty using condoms, and whom they knew enough to discuss {HIV} self-testing. {H}owever, they expressed that it could be more difficult with casual clients; the duration of the interaction being too short to discuss {HIV} self-testing, and they fear violence and/or losing them. {C}onclusion: {O}verall, female sex workers have positive attitudes toward {HIV} self-testing use and are willing to redistribute to their regular partners and clients. {H}owever, they are reluctant to promote such use with their casual clients. {HIV} self-testing can improve access to {HIV} testing for female sex workers and the members of their sexual and social network.}, keywords = {{ATLAS} ; female sex workers ; {HIV} self-testing ; partners ; perception ; secondary distribution ; {W}est {A}frica ; {COTE} {D}'{IVOIRE} ; {MALI} ; {SENEGAL}}, booktitle = {}, journal = {{W}omens {H}ealth}, volume = {18}, numero = {}, pages = {[11 ]}, ISSN = {1745-5057}, year = {2022}, DOI = {10.1177/17455057221092268}, URL = {https://www.documentation.ird.fr/hor/fdi:010084704}, }