Evaluation of a mobile application to support HIV self-testing in Johannesburg, South Africa

Southern African Journal of HIV Medicine

Field Value
Title Evaluation of a mobile application to support HIV self-testing in Johannesburg, South Africa
Creator Gous, Natasha Fischer, Alex E. Rhagnath, Naleni Phatsoane, Mothepane Majam, Mohammed Lalla-Edward, Samanta T.
Subject Healthcare; Medical Research; Health Technology HIV self-test; digitisation; mobile app; monitoring and evaluation; digital health
Description Background: Human immunodeficiency virus self-testing (HIVST) reduces barriers associated with facility-based testing; however, no formal mechanism exists for users to self-report results or link to care. The AspectTM HIVST mobile application (app) was developed for use in South Africa.Objectives: This study evaluated the acceptability and feasibility of the AspectTM HIVST app for individuals from the inner city of Johannesburg.Method: This cross-sectional pilot, with a convenience sample of 300 adults, was conducted in July 2018. Participants were provided an OraQuick HIVST kit and a smartphone preloaded with the app, then asked to follow the in-app instructions for use (IFU) to complete the HIVST and upload results. Trained healthcare workers (HCWs) observed and recorded any deviations from the IFU, and conducted a post-test survey to assess acceptability. Feasibility was evaluated by the number of participants who agreed to participate, completed the self-test, and uploaded all information onto the app correctly.Results: Most participants (98.7%) found the app easy to use. To reduce difficulties related to the IFU (26; 8.7%), participants suggested multimedia supplements (4; 1.3%), additional languages (4; 1.3%) and simplified instructions (5; 1.7%). All individuals approached, agreed to participate, 267 (89.0%) correctly completed all steps and 210 (78.7%) successfully captured all information on the app. Most errors (26; 8.7%) were testing errors and 1 (0.3%) was from the app sequence. Twelve (4.5%) errors were with test strip imaging and 72 (27.0%) discordances were with demographic information.Conclusion: Despite some challenges with IFU interpretation and data capture via the app, this pilot showed that the AspectTM HIVST app is an acceptable way to upload mobile HIVST results and demographic information to a central database.
Publisher AOSIS
Contributor SystemOne Ezintsha, a sub-division of Wits Reproductive Health and HIV Institute, University of Witwatersrand Bill and Melinda Gates Foundation
Date 2020-06-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-sectional pilot study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v21i1.1088
Source Southern African Journal of HIV Medicine; Vol 21, No 1 (2020); 7 pages 2078-6751 1608-9693
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajhivmed.org.za/index.php/hivmed/article/view/1088/1886 https://sajhivmed.org.za/index.php/hivmed/article/view/1088/1888 https://sajhivmed.org.za/index.php/hivmed/article/view/1088/1887 https://sajhivmed.org.za/index.php/hivmed/article/view/1088/1889
Coverage South Africa — general population; Johannesburg
Rights Copyright (c) 2020 Natasha Gous, Alex E. Fischer, Naleni Rhagnath, Mothepane Phatsoane, Mohammed Majam, Samanta T. Lalla-Edward https://creativecommons.org/licenses/by/4.0