Article Text


P038 HIV home/self-testing: a pilot project and service evaluation
  1. William Gibson,
  2. Rachel Challenor,
  3. Zoe Warwick
  1. Genitourinary Medicine Department, Derriford Hospital, Plymouth, UK


Background/introduction Early HIV diagnosis prevents morbidity, mortality and transmission. UK 2014 figures show 40% of new diagnoses were “late” and estimate an HIV positive population of 103,700, with 17% remaining undiagnosed. Innovative testing approaches may help. Home/self-testing kits became available for UK purchase in April 2015. We describe a free online HIV home/self-testing project.

Aim(s)/objectives To determine feasibility/acceptability of HIV home/self-testing

Methods OraQuick Advance HIV1/2 Rapid Antibody Tests (using oral fluid for immediate self-testing) were requested online by individuals who confirmed studying the testing information and demonstration video. Postal kits included a username/password to allow completion of a feedback form, plus an out-of-hours mobile number for immediate support. £282.28 was spent on targeted Facebook advertising. (OraQuick Advance is not a CE marked home/self-testing kit. The MHRA were consulted and due to particular specifics of our programme an additional CE mark/formal notification was not required.)

Results Between 21/05/2015–08/02/2016, 513 kits were posted [394 (77%) males, 119 (23%) females; 352 (72%) urban, 135 (28%) rural]. Two new HIV diagnoses were identified (2/513 = 3.9/1000, compared with 1.9/1000 overall UK HIV prevalence, 2014). Partner notification produced one further HIV diagnosis. Ninety-eight (19%) feedback forms were completed; 19 females/79 males. Of the 79 males, 58 (73%) were men who have sex with men (MSM). Forty-six (47%) had never tested previously; 25/58 (37%) MSM had never tested. When asked why they chose this test, 26 said fast result, five no blood required and 67 no appointment/consultation.

Discussion/conclusion HIV home/self-testing is highly acceptable to those choosing it and can reach previously untested individuals.

Statistics from

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.