Men who have sex with men (MSM) are disproportionately affected by HIV in Nigeria. A key strategy in reducing transmission is to increase HIV testing uptake and linkage to treatment for those who test positive. HIV self-testing (HIVST) is an innovative strategy with the potential to increase uptake of HIV testing among key populations at higher risk for HIV. We conducted 23 in-depth-interviews with MSM and two focus group discussions with key opinion leaders to explore perceptions about the feasibility and acceptability of oral HIVST among MSM in Lagos, Nigeria. HIVST was highly acceptable because it was considered convenient to use, painless, private and addressed concerns about stigma. Concerns cited by participants included comprehensibility of instructions to perform and interpret results correctly, as well as lack of support mechanisms to facilitate post-test follow-up and linkage to care. Provision of adequate pre-test information was considered vital as part of the kit distribution process to ensure seamless use of HIVST kits. One-on-one peer-to-peer distribution strategies and retail outlets that facilitate anonymous pick-up are potential distribution channels identified in this study. Overall, our findings suggest that an HIVST program that incorporates these considerations would improve access to HIV testing among MSM in Nigeria.

中文翻译：

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“我将 101% 地欢迎这个，我将如此拥抱它”：对尼日利亚拉各斯男男性行为者 (MSM) 进行 HIV 自我检测的可行性和可接受性的定性探索。

在尼日利亚，男男性行为者 (MSM) 受到艾滋病毒的影响尤为严重。减少传播的一个关键策略是增加 HIV 检测的接受度以及对检测呈阳性的人进行治疗的联系。HIV 自我检测 (HIVST) 是一项创新策略，有可能提高 HIV 感染风险较高的关键人群对 HIV 检测的接受程度。我们与 MSM 进行了 23 次深入访谈，并与主要意见领袖进行了两次焦点小组讨论，以探讨尼日利亚拉各斯 MSM 对口服 HIVST 的可行性和可接受性的看法。HIVST 被高度接受，因为它被认为使用方便、无痛、私密并解决了对耻辱的担忧。参与者提到的问题包括正确执行和解释结果的说明的可理解性，以及缺乏支持机制来促进测试后的跟进和与护理的联系。提供足够的预测试信息被认为是试剂盒分发过程的一部分，以确保无缝使用 HIVST 试剂盒。一对一的点对点分销策略和促进匿名取货的零售店是本研究中确定的潜在分销渠道。总体而言，我们的研究结果表明，纳入这些考虑因素的 HIVST 计划将改善尼日利亚 MSM 中 HIV 检测的可及性。一对一的点对点分销策略和促进匿名取货的零售店是本研究中确定的潜在分销渠道。总体而言，我们的研究结果表明，纳入这些考虑因素的 HIVST 计划将改善尼日利亚 MSM 中 HIV 检测的可及性。一对一的点对点分销策略和促进匿名取货的零售店是本研究中确定的潜在分销渠道。总体而言，我们的研究结果表明，纳入这些考虑因素的 HIVST 计划将改善尼日利亚 MSM 中 HIV 检测的可及性。