Description of modelled HIVST distribution modalities
| Status quo distribution | HIVST | ||||||
| Fixed point | Taxi ranks | Secondary PHC (ANC) | Secondary PHC (ART patients) | Workplace | Primary PHC | ||
| % of kit recipients screened positive | 5.7% | 5.2% | 3.9% | 19.9% | 6.4% | 4.0% | |
| % of screened positive initiating ART | 27% | 27% | 27% | 27% | 27% | 40% | |
| Cost per test kit distributed (2019 US$) | – | 5.70 | 4.74 | 13.04 | 12.31 | 5.44 | 8.24 |
| Distribution of HIVST into different modalities | |||||||
| Fixed point | 5% | 100% | – | – | – | – | – |
| Taxi ranks | 5% | – | 100% | – | – | – | – |
| Secondary PHC (ANC) | 7% | – | – | 100% | – | – | – |
| Secondary PHC (ART patients) | 3% | – | – | – | 100% | – | – |
| Workplace | 20% | – | – | – | – | 100% | – |
| Primary PHC | 60% | – | – | – | – | – | 100% |
| Scenario A: Distributing 1 million HIVST per year | |||||||
| Total HIV tests performed per year (millions) | 15.4 | 15.5 | 15.5 | 15.6 | 15.4 | 15.5 | 15.3 |
| HTS | 14.5 | 14.6 | 14.7 | 14.8 | 14.9 | 14.6 | 14.3 |
| HIVST | 0.9 | 0.9 | 0.9 | 0.8 | 0.5 | 0.9 | 1.0 |
| % of tests that are HIVST | 6% | 6% | 5% | 5% | 4% | 6% | 7% |
| Scenario B: Distributing up to 6.7 million HIVST per year (to replace 40% of conventional HTS) | |||||||
| Total HIV tests performed per year (millions) | 15.4 | 15.9 | 15.7 | 15.6 | 15.9 | 15.8 | 15.3 |
| HTS | 14.5 | 9.6 | 12.4 | 14.4 | 10.5 | 9.5 | 9.0 |
| HIVST | 0.9 | 6.3 | 3.3 | 1.2 | 5.4 | 6.3 | 6.3 |
| % of tests that are HIVST | 6% | 40% | 21% | 8% | 34% | 40% | 41% |
ANC, antenatal care; ART, antiretroviral therapy; HIVST, HIV self-testing; HTS, HIV testing services; PHC, primary healthcare.