Record Details

Is it lawful to offer HIV self-testing to children in South Africa?

Southern African Journal of HIV Medicine


 
 
Field Value
 
Title Is it lawful to offer HIV self-testing to children in South Africa?
 
Creator Strode, Ann Elaine; School of Law, University of KwaZulu-Natal, Pietermaritzburg, South Africa; HIV/AIDS Vaccines Ethics Group, School of Applied Human Sciences, University of KwaZulu-Natal, Pietermaritzburg, South Africa Van Rooyen, H; Human Sciences Research Council, South Africa Makusha, T; Human Sciences Research Council, South Africa
 
Subject Medicine, Health Sciences, Infectious Diseases, Public Health, Human Rights, Law law; HIV testing; children; Children's Act; self-testing Law
Description Health-facility-based HIV counselling and testing does not capture all children and adolescents who are at risk of HIV infection. Self-testing involves conducting an HIV test at home or in any other convenient space without the involvement of a third party. It is increasingly being argued that it should be incorporated into national HIV-prevention programmes as one of a range of HIV counselling and testing approaches. Although this model of HIV testing is being seen as a new way of reaching under-tested populations, no studies have been conducted on offering it to children. HIV self-tests are now available in South Africa and are sold without the purchaser having to be a certain age. Nevertheless, all HIV testing in children must comply with the norms set out in the Children’s Act (2005). Here we explore whether offering self-testing to children would be lawful, by outlining the four legal norms that must be met and applying them to self-HIV testing. We conclude that, although children above the age of 12 years could consent to such a test, there would be two potential obstacles. Firstly, it would have to be shown that using the test is in their best interests. This may be difficult given the potential negative consequences that could flow from testing without support and the availability of other testing services. Secondly, there would need to be a way for children to access pre- and post-test counselling or they would have to be advised that they will have expressly to waive this right. The tests are more likely to be lawful for a small sub-set of older children if: (i) it assists them with HIV-prevention strategies; (ii) they will be able to access treatment, care and support, even though they have tested outside of a health facility; and (iii) psychosocial support services are made available to them via the internet or cell phones.
 
Publisher AOSIS Publishing
 
Date 2013-11-22
 
Type
Format application/pdf text/html
Identifier 10.4102/hivmed.v14i4.49
 
Source Southern African Journal of HIV Medicine; Vol 14, No 4 (2013); 151-154
 
Language en
 
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