HIV self-testing in adolescents living in Sub-Saharan Africa - 07/11/20

Doi : 10.1016/j.medmal.2020.07.007

S. Tonen-Wolyec ^a,^b,^⁎ , D. Koyalta ^c, R.-S. Mboumba Bouassa ^a,^d, M. Filali ^e, S. Batina-Agasa ^b, L. Bélec ^d
^a École Doctorale Régionale D’Afrique Centrale en Infectiologie Tropicale, Franceville, Gabon
^b Université de Kisangani, Faculté de Médecine et Pharmacie, Kisangani, République Démocratique du Congo
^c Onusida, et Université de N’Djamena, N’Djamena, Tchad
^d Laboratoire de virologie, Hôpital Européen Georges-Pompidou, et Université Paris Descartes, Paris Sorbonne Cité, Paris, France
^e G-lab, Casablanca, Maroc

^⁎Corresponding author at: Université de Kisangani, Faculté de Médecine et Pharmacie, Kisangani, République Démocratique du Congo.Université de Kisangani, Faculté de Médecine et PharmacieKisanganiRépublique Démocratique du Congo

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Highlights

•	AIDS is now the leading cause of death among adolescents (10–19 years of age) living in Sub-Saharan Africa.
•	HIV infection screening is not systematically performed and remains insufficient in adolescents in Sub-Saharan Africa.
•	HIV self-testing is an innovative strategy that could improve access to HIV infection screening among these adolescents.
•	Effective promotion of HIV self-testing in adolescents in Sub-Saharan Africa could contribute to foster the All in initiative of the UNAIDS common program on HIV/AIDS targeted at adolescents.

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Abstract

Less than 20% of African adolescents aged 10–19 years are aware of their HIV status, whereas HIV screening remains the gateway to care and while AIDS has become the leading cause of death among adolescents in Sub-Saharan Africa. According to the UNAIDS target, scalable HIV testing strategies specific to various age groups, populations, and geographical areas must be implemented to end the AIDS epidemic by 2030. Many African countries have implemented policies supporting HIV self-testing (HIVST). Evidence of practicability and efficiency of HIVST in Sub-Saharan Africa settings has been reported, including HIVST data among adolescents. Adapted strategies of HIVST are urgently needed to promote HIV testing among adolescents living in sub-Saharan Africa.

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Keywords : Adolescents, HIV self-testing, Sub-Saharan Africa