1. UNITAID PSI HIV SELF-TESTING AFRICA
Getting to the First 90 – Views on HIV self-test kit distribution among female sex workers in Zimbabwe
Mary Tumushime, CeSHHAR Zimbabwe

2. Introduction & Methods
Sisters with a Voice – sex worker friendly services from 36 sites across Zimbabwe
HIV self-testing (HIVST) may increase HIV testing uptake and frequency among female sex workers (FSW)
Current model = offer of self-testing at static FSW clinics with option to test on/off site
Optimal ways of distributing self-test kits to FSW are unclear
Formative qualitative research to inform community-based distribution models

3. Results (1 of 2)
15 focus group discussions (FGD) held from Sept-2016 to Jan-2017
6 FGD each among FSW (n=54) and peer educators (PE) (n=55)
2 FGD among hairdressers (n=16)
1 FGD among Care Promoters (n=7)
FSW prefer collecting from dedicated clinics
Confidentiality concerns with PE and hairdressers
“We don’t want to get from hairdressers, their husbands are our clients”

4. Results (2 of 2) Mixed views among peer educators
Most would like to distribute
Some prefer clinic-based distribution like FSW
“Don’t trust us, we may not give the kits to the intended beneficiaries!”
Against hairdressers distributing kits
Hairdressers and Care Promoters were willing to distribute kits
Hairdressers expressed need to be paid - “At least if we can get something… I can get motivated”
Care Promoters also agree to voucher system

5. Acknowledgements Study participants
Zimbabwe Ministry of Health and Child Care
UNITAID for funding this research
Co-authors: N Ruhode, EL Sibanda, M Mutseta, C Watadzaushe, S Gudukeya, M Mapingure, K Hatzold, M Taegtmeyer, E Corbett, FM Cowan, S Napierala Mavedzenge
STAR colleagues
Contact: Mary Tumushime
Research Coordinator UNITAID/PSI HIV Self-Testing Africa (STAR) Project - Zimbabwe