HIV Self-Testing In Central Africa: Stakes And Challenges

Jean de Dieu Longo, Henri Saint Calvaire Diemer, Serge Tonen-Wolyec, Ralph-Sydney Mboumba Bouassa, Gaspard Tépka, Gérard Grésenguet, Laurent Bélec

Abstract


RÉSUMÉ
Le dépistage de 90% de toutes les personnes vivant avec le VIH d’ici 2020 est le premier objectif de l’initiative « 90-90-90 » déclinée par l’ONUSIDA. L’autotest VIH constitue une stratégie complémentaire nouvelle pour le dépistage du VIH au sein de la population générale et des groupes à risque [professionnel(les) du sexe et leurs clients, hommes ayant des rapports sexuels avec des hommes, jeunes adolescents]. En Afrique, les premières études pilotes, principalement menées dans plusieurs pays anglophones, démontrent de bonnes acceptabilité, praticabilité et d’excellentes performances cliniques de l’autotest VIH. Des stratégies novatrices comme la traduction des notices d’utilisation de l’autotest VIH en langues vernaculaires associée à des pictogrammes pédagogiques devront être mises en œuvre et évaluées en Afrique subsaharienne pour le développement de l’autotest VIH.


ABSTRACT
HIV self-testing constitutes a new complementary strategy for HIV testing for general populations as well as "key" populations such as sex workers and their clients, men who have sex with men, and young people, which may be used to reach the 90-90-90 UNAIDS objectives by 2020. In Africa, many pilot studies have been conducted mainly in English-speaking countries demonstrating high acceptability, practicability and clinical performance of HIV self-testing. Innovative strategies including the translation of HIV self-test notice in vernacular languages in association with educational pictograms should be developed and evaluated in sub-Saharan Africa to implement HIV self-testing.


Keywords


Self-test; HIV; Practicability; WHO recommendations; Africa

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