@article{fdi:010090214,
  title = {{C}an {HIV} self-testing reach first-time testers ? : a telephone survey among self-test end users in {C}{\^o}te d'{I}voire, {M}ali, and {S}enegal [+ {C}orrection, vol. 23 (681), 2023, 1 p.]},
  author = {{K}ra, {A}. {K}. and {F}osto, {A}. {S}. and {N}'{G}uessan, {K}. {N}. and {G}eoffroy, {O}. and {Y}ounoussa, {S}. and {K}abemba, {O}. {K}. and {G}ueye, {P}. {A}. and {N}deye, {P}. {D}. and {R}ouveau, {N}icolas and {B}oily, {M}. {C}. and {S}ilhol, {R}. and d'{E}lbee, {M}. and {M}aheu-{G}iroux, {M}. and {V}autier, {A}. and {L}armarange, {J}oseph},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {C}overage of {HIV} testing remains sub-optimal in {W}est {A}frica. {B}etween 2019 and 2022, the {ATLAS} program distributed similar to 400 000 oral {HIV} self-tests ({HIVST}) in {C}ote d'{I}voire, {M}ali, and {S}enegal, prioritising female sex workers ({FSW}) and men having sex with men ({MSM}), and relying on secondary redistribution of {HIVST} to partners, peers and clients to reach individuals not tested through conventional testing. {T}his study assesses the proportion of first-time testers among {HIVST} users and the associated factors. {M}ethods {A} phone-based survey was implemented among {HIVST} users recruited using dedicated leaflets inviting them to anonymously call a free phone number. {W}e collected socio-demographics, sexual behaviours, {HIV} testing history, {HIVST} use, and satisfaction with {HIVST}. {W}e reported the proportion of first-time testers and computed associated factors using logistic regression. {R}esults {B}etween {M}arch and {J}une 2021, 2 615 participants were recruited for 50 940 distributed {HIVST} (participation rate: 5.1%). {A}mong participants, 30% received their {HIVST} kit through secondary distribution (from a friend, sexual partner, family member, or colleague).{T}he proportion who had never tested for {HIV} before {HIVST} (first-time testers) was 41%. {T}he main factors associated with being a first-time tester were sex, age group, education level, condom use, and secondary distribution. {A} higher proportion was observed among those aged 24 years or less (55% vs 32% for 25-34, a{OR}: 0.37 [95%{CI}: 0.30-0.44], and 26% for 35 years or more, a{OR}: 0.28 [0.21-0.37]); those less educated (48% for none/primary education vs 45% for secondary education, a{OR}: 0.60 [0.47-0.77], and 29% for higher education, a{OR}: 0.33 [0.25-0.44]). {A} lower proportion was observed among women (37% vs 43%, a{OR}: 0.49 [0.40-0.60]); those reporting always using a condom over the last year (36% vs 51% for those reporting never using them, a{OR}: 2.02 [1.59-2.56]); and those who received their {HISVST} kit through primary distribution (39% vs 46% for secondary distribution, a{OR}: 1.32 [1.08-1.60]). {C}onclusion {ATLAS} {HIVST} strategy, including secondary distribution, successfully reached a significant proportion of first-time testers. {HIVST} has the potential to reach underserved populations and contribute to the expansion of {HIV} testing services in {W}est {A}frica.},
  keywords = {{HIV} self-testing ; {P}hone-based survey ; {K}ey populations ; {W}est {A}frica ; {C}ote d'{I}voire ; {M}ali ; {S}enegal ; {COTE} {D}'{IVOIRE} ; {MALI} ; {SENEGAL}},
  booktitle = {},
  journal = {{BMC} {I}nfectious {D}iseases},
  volume = {22},
  numero = {{S}uppl.1},
  pages = {972 [15 ] [+ {C}orrection, vol. 23 (681), 2023, 1 p.]},
  ISSN = {1471-2334},
  year = {2023},
  DOI = {10.1186/s12879-023-08626-w},
  URL = {https://www.documentation.ird.fr/hor/fdi:010090214},
}