Uptake of the Ithaka mobile application in Johannesburg, South Africa, for human immunodeficiency virus self-testing result reporting

Southern African Journal of HIV Medicine

Field Value
Title Uptake of the Ithaka mobile application in Johannesburg, South Africa, for human immunodeficiency virus self-testing result reporting
Creator Fischer, Alex E. Phatsoane, Mothepane Majam, Mohammed Shankland, Luke Abrahams, Musaed Rhagnath, Naleni Lalla-Edward, Samanta T.
Subject Science; Technology; Medicine; Health HIV; HIV self-test; self-reporting; mobile app; mHealth; monitoring and evaluation
Description Background: Human immunodeficiency virus self-testing (HIVST) can reduce facility-based HIV testing barriers; however, no proven applications exist with widespread uptake for self-reporting or linkage to care. Mobile health (mHealth) applications (apps) have shown high usability and feasibility scores, so Ithaka was developed for South Africans to self-report HIVST results outside clinical settings.Objectives: This study investigated the use of Ithaka as a support tool for HIVST users, specifically the ability to self-report results.Method: This cross-sectional study was conducted from November 2018 to June 2019. At existing HIVST distribution sites, individuals were given HIVST kits and then invited to use Ithaka. Participants could test at home and report their results through the app anytime. Ithaka tracked when people logged-on, registered, received counselling and reported results. Post-study surveys on user experience were also conducted.Results: Of 751 participants, 531 (70.7%) logged onto the app, 412 (54.9%) registered, 295 (39.3%) received counselling and 168 (22.4%) self-reported results. Participants strongly agreed that Ithaka was useful and that it was easy to upload results. Forty-one participants completed a post-test survey, and 39/41 (95.1%) completed the app journey. Most participants (36/41;87.8%) had no challenges, although 2/41 (4.9%) cited perceived data costs, 2/41 (4.9%) difficulty uploading results and 1/41 (2.4%) language, as challenges.Conclusion: Despite the small sample size, this study has shown that HIVST participants under pragmatic conditions were willing and able to self-report results via the app, whilst also identifying areas of improvement for scaling up.
Publisher AOSIS
Date 2021-02-22
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-sectional study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v22i1.1197
Source Southern African Journal of HIV Medicine; Vol 22, No 1 (2021); 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/1197/2258 https://sajhivmed.org.za/index.php/hivmed/article/view/1197/2256 https://sajhivmed.org.za/index.php/hivmed/article/view/1197/2259 https://sajhivmed.org.za/index.php/hivmed/article/view/1197/2255
Coverage South Africa — Age; Gender; Education
Rights Copyright (c) 2021 Alex E. Fischer, Mothepane Phatsoane, Mohammed Majam, Luke Shankland, Musaed Abrahams, Naleni Rhagnath, Samanta T. Lalla-Edward https://creativecommons.org/licenses/by/4.0