HIV self-testing (HIVST) is a WHO-recommended strategy to increase testing, especially among key populations, men, and young adults. Between May and December 2019, a pilot was implemented in Zambézia province, Mozambique, allowing clients to purchase HIV self-tests in 14 public/private pharmacies. The study assessed the strategy's acceptability and uptake. Pharmacy-based exit surveys were conducted among a random sample of clients, during the first three months of the pilot, independent of HIVST purchase. Another random sample of clients who bought an HIVST completed a survey 1–12 weeks after purchase. Chi-square and Mann–Whitney tests were used for the analysis, comparing clients who purchased an HIVST versus not. A total of 1,139 adults purchased 1,344 tests. Buyers were predominantly male (70%) and younger (52% between 15 and 34 years of age). Surveys were completed by 280 exiting pharmacy clients and 82 clients who purchased an HIVST. Main advantages were confidentiality and lack of need of a health provider visit, with main disadvantages being absence of nearby counseling and fear of results. No differences were seen between buyers and non-buyers for these factors. Among all undergoing HIVST, 71 (92%) perceived the instructions to be clear, however, 29 (38%) stated they would have benefitted from additional pre-test information or counseling. Ten (13%) reported following up at a nearby health facility to confirm results and/or receive care. Offering HIVST at public/private pharmacies was acceptable among people who traditionally tend to have a lower HIV testing coverage, such as men and young adults. However, additional resources and/or enhanced educational materials to address the lack of counseling, and linkage-to-care systems need to be put into place before scaling up this strategy.

中文翻译：

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在基于药房的 HIV 自我检测策略中接触男性和年轻人：莫桑比克可接受性研究的结果

HIV 自我检测 (HIVST) 是 WHO 推荐的增加检测的策略，尤其是在关键人群、男性和年轻人中。2019 年 5 月至 12 月，在莫桑比克赞比西亚省实施了一项试点，允许客户在 14 家公共/私人药房购买 HIV 自我检测。该研究评估了该策略的可接受性和采用率。在试点的前三个月，独立于购买 HIVST 的客户在随机抽样的客户中进行了基于药房的退出调查。购买 HIVST 的另一随机样本客户在购买后 1-12 周完成了一项调查。卡方检验和 Mann–Whitney 检验用于分析，比较购买 HIVST 和未购买 HIVST 的客户。共有 1,139 名成年人购买了 1,344 份测试。买家主要是男性 (70%) 和年轻人（52% 在 15 至 34 岁之间）。调查由 280 名现有药房客户和 82 名购买 HIVST 的客户完成。主要优点是保密和不需要健康提供者访问，主要缺点是缺乏附近的咨询和担心结果。对于这些因素，买家和非买家之间没有差异。在所有接受 HIVST 的人中，71 人 (92%) 认为说明很清楚，但是，29 人 (38%) 表示他们会从额外的检测前信息或咨询中受益。十名 (13%) 报告在附近的医疗机构进行跟进以确认结果和/或接受护理。在传统上倾向于较低的 HIV 检测覆盖率的人群中，在公共/私人药房提供 HIVST 是可以接受的，比如男人和年轻人。然而，在扩大这一战略之前，需要提供额外的资源和/或增强的教育材料来解决缺乏咨询和与护理系统联系的问题。