Adaptation of a Self-Implemented HIV Test Among Adolescent Youth in Tanzania Public

http://ir.library.oregonstate.edu/concern/honors_college_theses/jw827d76g

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  • HIV testing among high risk adolescents in Dar es Salaam, Tanzania is challenging due to poor access to test sites and AIDS-related social stigma. We adapted the OraQuick HIV Test, a self-implemented test (SIT), for low literacy youth with no internet access. To compensate for poor literacy, a picture instruction book was developed to illustrate each SIT procedure without using written language. Participants (15-18 years; N = 25) performed all SIT procedures (e.g., use of sample collection swab) under simulated conditions. Results showed that, overall, 4 of 5 testing procedures were correctly understood and performed by a majority of participants (60-80% correct/procedure). Males were slightly more accurate than females. Based on semi-structured interviews, suggestions for improving the picture instructions were identified. The results suggest that the adapted instructional method, replacing written and technological-based SIT instructions, has merit and warrants a second stage of development with the goal of further increasing SIT competency rates. Visual instructions for SIT have wide application in countries with high levels of illiteracy, low Internet coverage, and poor access to HIV test sites.
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