Self testing?

A report back on Siroat Jittjang's session - HIV testing? The answer is YES stupid!

This session focused on the willingness to pay and acceptability of self-testing in Thailand.

Mr. Jittjang gave 2 presentations about his Thai study on self-testing. They looked at assisted and unassisted self-testing, depending on patient preference. The majority of participants chose to have assisted testing, where it was done in front of a tester using the oraquick oral HIV test kit by MSM and transgender women. It was very well accepted by both groups (>80%) and most preferred the assisted self testing. 34- 38% were first time testers. One of the negatives were the number of participants who did not link to follow up services with either a reactive or irregular test result. The acceptable pricing for these tests were between USD8-9.50.

Whilst there is much talk about home testing, this looks at assisted self-testing as an option - which was by far the most popular option. It is concerning that many of the participants who had reactive and indeterminate tests chose not to follow up on tests. The fact that almost a third were first time testers indicate that the target population was being reached.

It helped me understand some of the problems with self-testing and home testing and to anticipate some of the issues with this model of testing. There is clearly a need to look at how it is done and reduce the potential patients who then do not follow through with further testing and treating their HIV. Whilst this study was done in a different setting, their methodology and results follow up are things that Australia needs to follow up with to help manage home testing in Australia.

Author bio: Beng Eu is a s100 gp in Melbourne with over 20 years experience in this field. He has also been a co-director of Prahran Market Clinic in Melbourne over this time. His interests include HIV, HCV and AOD.