PMID- 32070722 OWN - NLM STAT- MEDLINE DCOM- 20200728 LR - 20200728 IS - 1878-3511 (Electronic) IS - 1201-9712 (Linking) VI - 95 DP - 2020 Jun TI - HIV self-testing: The key to unlock the first 90 in West and Central Africa. PG - 162-166 LID - S1201-9712(20)30074-6 [pii] LID - 10.1016/j.ijid.2020.02.016 [doi] AB - The West and Central African region (WCAR) still registers some of the highest rates of new HIV infections worldwide (16%) despite a low prevalence of HIV (1.9%). In this region, only 48% of people living with HIV are aware of their HIV status. To fill this gap, HIV Self testing (HIVST) could potentially be an additional approach to overcome the barriers to diagnose HIV infected patients, therefore being one of the keys to unlock the first 90 as recommended by the World Health Organization (WHO) since 2016. However, many challenges remain for the adoption of HIVST in routine clinical practice in low prevalence settings and need to be contextualized to WCAR settings. We report in this paper some of the challenges and discuss opportunities for a successful implementation of HIVST in the WCAR. CI - Copyright (c) 2020 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Ekouevi, Didier K AU - Ekouevi DK AD - Universite de Lome, Faculte des Sciences de la Sante, Lome, Togo; Centre Africain de Recherche en Epidemiologie et en Sante Publique, Lome, Togo; ISPED, Universite de Bordeaux & Centre INSERM U1219 - Bordeaux Population Health, Bordeaux, France. Electronic address: didier.ekouevi@gmail.com. FAU - Bitty-Anderson, Alexandra M AU - Bitty-Anderson AM AD - ISPED, Universite de Bordeaux & Centre INSERM U1219 - Bordeaux Population Health, Bordeaux, France; Programme PACCI, site ANRS, Abidjan, Cote d'Ivoire. FAU - Gbeasor-Komlanvi, Fifonsi A AU - Gbeasor-Komlanvi FA AD - Universite de Lome, Faculte des Sciences de la Sante, Lome, Togo; Centre Africain de Recherche en Epidemiologie et en Sante Publique, Lome, Togo. FAU - Coffie, Ahuatchi P AU - Coffie AP AD - Programme PACCI, site ANRS, Abidjan, Cote d'Ivoire; Unite pedagogique de Dermatologie et Infectiologie, Unite de Formation et de Recherche en Sciences Medicales, Universite Felix Houphouet-Boigny, Abidjan, Cote d'Ivoire; Centre de Recherche sur les Maladies Infectieuses et les Pathologies Infectieuses, Universite Felix Houphouet-Boigny, Abidjan, Cote d'Ivoire. FAU - Eholie, Serge Paul AU - Eholie SP AD - Programme PACCI, site ANRS, Abidjan, Cote d'Ivoire; Unite pedagogique de Dermatologie et Infectiologie, Unite de Formation et de Recherche en Sciences Medicales, Universite Felix Houphouet-Boigny, Abidjan, Cote d'Ivoire; Centre de Recherche sur les Maladies Infectieuses et les Pathologies Infectieuses, Universite Felix Houphouet-Boigny, Abidjan, Cote d'Ivoire. LA - eng PT - Journal Article DEP - 20200215 PL - Canada TA - Int J Infect Dis JT - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JID - 9610933 SB - IM MH - Adolescent MH - Adult MH - Africa, Central MH - Africa, Western MH - Female MH - HIV Infections/*diagnosis MH - Humans MH - Male MH - Self Care MH - Young Adult OTO - NOTNLM OT - Challenges OT - HIV Self-testing OT - Implementation OT - West and Central Africa EDAT- 2020/02/20 06:00 MHDA- 2020/07/29 06:00 CRDT- 2020/02/20 06:00 PHST- 2019/11/13 00:00 [received] PHST- 2020/02/07 00:00 [revised] PHST- 2020/02/11 00:00 [accepted] PHST- 2020/02/20 06:00 [pubmed] PHST- 2020/07/29 06:00 [medline] PHST- 2020/02/20 06:00 [entrez] AID - S1201-9712(20)30074-6 [pii] AID - 10.1016/j.ijid.2020.02.016 [doi] PST - ppublish SO - Int J Infect Dis. 2020 Jun;95:162-166. doi: 10.1016/j.ijid.2020.02.016. Epub 2020 Feb 15.