Challenges in measurement of linkage following HIV self-testing: examples from the STAR Project

We draw upon experience from the Self-Testing in AfRica(STAR) Initiative in 2015 to 2017 to identify three lessons for measurement of linkage following HIVST. In STAR, two pragmatic cluster-randomized trials evaluated the effectiveness of continuous HIVST distribution over 12 months in increasing testing coverage and linkage to care in Malawi and Zambia. A third trial, in Zimbabwe, evaluated the effectiveness of an incentive to promote linkage following a short, campaign-style HIVST distribution programme, and included a non-randomized component assessing the association between HIVST distribution and antiretroviral therapy (ART) initiations in nearby clinics.
AUTHORS: Melissa Neuman, Miriam Taegtmeyer, Karin Hatzold, Cheryl C Johnson, Helen A Weiss and Katherine Fielding

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