In Malawi, female sex workers (FSW) have high HIV incidence and regular testing is suggested. HIV self-testing (HIVST) is a safe and acceptable alternative to standard testing services. This study assessed; whether social harms were more likely to be reported after HIVST distribution to FSW by peer distributors than after facility-based HIV testing and whether FSW regretted HIVST use or experienced associated relationship problems.
This paper is part of a series of articles from BMC Infectious Diseases Volume 22 Supplement 1: Innovating with HIV self-testing for impact in Southern Africa: Lessons learned from the STAR (Self-Testing AfRica) Initiative. This supplement is a collaborative effort between Population Services International (PSI), the World Health Organization, the London School of Hygiene and Tropical Medicine, and other members of the STAR Consortium. It presents significant achievements and insights gained from the introduction, scale-up, and optimization of self-testing.