Journal of Reproductive Health, Gender, and HIV in Africa | 28 January 2009
An Ethnographic Study of Peer-Distributed HIV Self-Testing: Acceptability and Feasibility Among University Students in Yaoundé
P, a, u, l, i, n, e, K, n, o, w, l, e, s, ,, S, a, m, u, e, l, T, c, h, o, u, m, i, ,, B, e, t, h, a, n, y, C, l, a, r, k, e, -, E, v, a, n, s, ,, F, a, t, i, m, a, A, b, u, b, a, k, a, r
Abstract
HIV remains a significant public health challenge in sub-Saharan Africa, with university students being a key demographic for prevention. HIV self-testing (HIVST) is a strategy to increase testing coverage, but its distribution through peer networks in university settings is under-researched. This ethnographic study aimed to explore the acceptability and feasibility of peer-distributed HIV self-testing among university students in Yaoundé, Cameroon. An ethnographic study was conducted over several months. Data collection included participant observation in student social and residential settings, and in-depth interviews with 42 university students who had received an HIVST kit from a trained peer distributor. Field notes and interview transcripts were analysed thematically. Peer distribution was highly acceptable. Students valued the confidentiality, convenience, and non-judgemental approach of peers, with a prominent theme being the reduction of anticipated clinic-based stigma. Regarding feasibility, logistical challenges included discreet kit storage and the initial cost of kits. Approximately three-quarters of interviewed participants reported using the self-test kit. Peer distribution is an acceptable and largely feasible model for delivering HIV self-testing to university students in this setting, as it addresses critical barriers such as stigma and access. Programmes should integrate peer-distributed HIVST into campus health initiatives. Training for peer distributors should include counselling skills and logistical support for kit storage and referral pathways. HIV self-testing, peer distribution, university students, Cameroon, acceptability, feasibility, ethnography This study provides an in-depth, contextual understanding of the social and logistical dimensions of peer-led HIV self-testing distribution in a West African university, informing future implementation strategies.