### Summary box #### What are the new findings? #### How might it impact on healthcare in the future? The Joint United Nations Programme on HIV/AIDS (UNAIDS) recognises that in order to achieve its ambitious goal of ending the HIV epidemic by 2030,1 it is essential to engage youths as beneficiaries, partners and leaders.2 To date, inadequate youth engagement has resulted in poor health service utilisation. In Nigeria, for example, youths face a high burden of HIV, yet have very low testing uptake. With an overall HIV prevalence of 1.5% in Nigeria, adolescents and young adults account for up to 34% of new cases of HIV infection.3 In 2013, 16% of Nigerian young women and 9% of young men 15–24 years old had ever tested for HIV,4 with only modest progress in the ensuing years.3 5 6 Nigeria’s 2016–2020 National HIV Strategy for Adolescents and Young People recognises a broad range of facility-level barriers and negative provider attitudes that limit young people from testing in health facilities.7 Recognising and responding with innovative approaches that will address such barriers and enable more young people to receive HIV testing is needed.8 HIV self-testing (HIVST) is a strategy in which an individual administers his/her own HIV test and interprets his/her test results.9 In its 2019 guidelines, the WHO strongly recommends HIVST as being acceptable and feasible in …

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提高尼日利亚青年接受艾滋病毒自我检测的策略：对 4YouthByYouth 众包竞赛的描述性分析

### 摘要框#### 有哪些新发现？#### 它将如何影响未来的医疗保健？联合国艾滋病毒/艾滋病联合规划署 (UNAIDS) 认识到，为了实现其到 2030 年结束艾滋病毒流行的雄心勃勃的目标，1 必须让青年成为受益者、合作伙伴和领导者。2 迄今为止，青年参与不足导致医疗服务利用率低下。例如，在尼日利亚，年轻人面临着沉重的艾滋病毒负担，但检测率却很低。尼日利亚的艾滋病毒总流行率为 1.5%，青少年和青年人在新的艾滋病毒感染病例中占高达 34%。 2013 年，16% 的尼日利亚青年女性和 9% 的 15-24 岁青年男性感染了艾滋病毒。曾经进行过 HIV 检测，4 在随后的几年中只取得了适度的进展。