@article{fdi:010087766,
  title = {"{I} take it and give it to my partners who will give it to their partners" : {S}econdary distribution of {HIV} self-tests by key populations 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 {M}aheu-{G}iroux, {M}. and {R}ouveau, {N}icolas and {V}autier, {A}. and {C}amara, {C}. {S}. and {K}ouadio, {B}. {A}. and {S}ow, {S}. and {D}oumenc-{A}idara, {C}. and {G}ueye, {P}. {A}. and {G}eoffroy, {O}. and {K}amemba, {O}. {K}. and {E}hui, {E}. and {N}dour, {C}. {T}. and {K}eita, {A}. and {L}armarange, {J}oseph},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction {HIV} epidemics in {W}estern and {C}entral {A}frica ({WCA}) remain concentrated among key populations, who are often unaware of their status. {HIV} self-testing ({HIVST}) and its secondary distribution among key populations, and their partners and relatives, could reduce gaps in diagnosis coverage.{W}e aimed to document and understand secondary {HIVST} distribution practices by men who have sex with men ({MSM}), female sex workers ({FSW}), people who use drugs ({PWUD}); and the use of {HIVST} by their networks in {C}ote d'{I}voire, {M}ali, and {S}enegal.{M}ethods {A} qualitative study was conducted in 2021 involving (a) face-to-face interviews with {MSM}, {FSW}, and {PWUD} who received {HIVST} kits from peer educators (primary users) and (b) telephone interviews with people who received kits from primary contacts (secondary users). {T}hese individual interviews were audio-recorded, transcribed, and coded using {D}edoose software. {T}hematic analysis was performed.{R}esults{A} total of 89 participants, including 65 primary users and 24 secondary users were interviewed. {R}esults showed that {HIVST} were effectively redistributed through peers and key populations networks. {T}he main reported motivations for {HIVST} distribution included allowing others to access testing and protecting oneself by verifying the status of partners/clients. {T}he main barrier to distribution was the fear of sexual partners' reactions. {F}indings suggest that members of key populations raised awareness of {HIVST} and referred those in need of {HIVST} to peer educators. {O}ne {FSW} reported physical abuse. {S}econdary users generally completed {HIVST} within two days of receiving the kit. {T}he test was used half the times in the physical presence of another person, partly for psychological support need. {U}sers who reported a reactive test sought confirmatory testing and were linked to care. {S}ome participants mentioned difficulties in collecting the biological sample (2 participants) and interpreting the result (4 participants).{C}onclusion {T}he redistribution of {HIVST} was common among key populations, with minor negative attitudes. {U}sers encountered few difficulties using the kits. {R}eactive test cases were generally confirmed. {T}hese secondary distribution practices support the deployment of {HIVST} to key populations, their partners, and other relatives. {I}n similar {WCA} countries, members of key populations can assist in the distribution of {HIVST}, contributing to closing {HIV} diagnosis gaps.},
  keywords = {{HIVST} ; {S}econdary distribution ; {K}ey population ; {ATLAS} ; {W}est and {C}entral {A}frica ; {COTE} {D}'{IVOIRE} ; {MALI} ; {SENEGAL} ; {AFRIQUE} {DE} {L}'{OUEST} ; {AFRIQUE} {CENTRALE}},
  booktitle = {},
  journal = {{BMC} {I}nfectious {D}iseases},
  volume = {22},
  numero = {{S}uppl. 1},
  pages = {970 [17 p.]},
  year = {2023},
  DOI = {10.1186/s12879-023-08319-4},
  URL = {https://www.documentation.ird.fr/hor/fdi:010087766},
}