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Impact of HIV Self-Test Distribution to Male Partners of ANC Clients: Results of a Randomized Controlled Trial in Kenya

Journal Article
(Published August, 2018)
Gichangi, A. (Author),
Wambua, J. (Author),
Mutwiwa, S. (Author),
Njogu, R. (Author),
Bazant, E. (Author),
Warmicwe, J. (Author)
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Despite a policy promoting male partner testing in ANC, few male partners in Kenya accompany their partners for HIV testing. We evaluated the impact of using oral HIV selftesting on HIV testing among male partners of ANC clients in Kenya.  In a three-arm randomized control study in Eastern and Central Kenya, consenting women attending first ANC visit were randomized to receive: 1) standard-of-care and a standard information card; 2) an improved card stating the importance of male HIV testing; 3) two oral HIV self-test kits and HIV testing information. Women completed a baseline and endline questionnaire and consenting male partners were surveyed three months after enrolling female ANC clients. The primary outcome was male partner HIV testing as reported by their female partners.  1,410 women were randomized at their first ANC visit out of which 1,215 were successfully followed up. 1,133 male partners consented to the survey. In the self-testing study arm 3, 79.4% (335/422) of the women reported that their partner tested for HIV compared to 28% (114/406) and 37% (142/387) in study arm 1 and study arm 2, respectively. Over 90% of male partners who used the oral HIV self-test kits reported it was easy to take sample and read the test results. 
Conclusion: The study demonstrates that the ANC platform offers a unique opportunity to increase HIV testing among men using self-testing through distribution by their female partners.
Citation: 
Gichangi A, Wambua J, Mutwiwa S, Njogu R, Bazant E, Wamicwe J, et al. Impact of HIV Self-Test Distribution to Male Partners of ANC Clients: Results of a Randomized Controlled Trial in Kenya. J Acquir Immune Defic Syndr. 2018