South Africa’s wages DIY battle against HIV scourge

Gregory Walton –
Self-testing kits and vending machines distributing prescription drugs are two ways that HIV treatment is being automated to reduce stigma in South Africa, home of the world’s biggest HIV epidemic.
With 7.1 million people living with HIV in the country, removing human intervention is helping experts target hard-to-reach groups like young men who are often reluctant to queue in public clinics.
Students, porters and labourers have flocked to a new HIV self-testing stand outside a supermarket in Hillbrow, a gritty district of central Johannesburg.
The project was started in Malawi, Zambia and Zimbabwe in 2015 and expanded last year to include South Africa, which has an 18.9 per cent HIV rate among adults.
A small team of young and stylishly-dressed “peer educators” convince men aged between 18 and 30 to take the tests, which — in a breakthrough for South Africa — are self-administered.
“It’s targeted at young men and if we have a group of young men around, we pull more people in,” said Lynne Wilkinson, an expert at the University of the Witwatersrand’s Reproductive Health and HIV Institute, which oversees the project.
From May, the scheme will be extended to several of Johannesburg’s bustling minibus taxi ranks which carry hundreds of thousands of commuters every day.
After passers-by complete a simple form, they are handed a pack to take into one of a row of unassuming portable pop-up tents to ensure privacy.
They follow a short guide showing how to swab their gums with a wand before placing it into a holder.
“Instructions are in six languages and most of the time people do it right,” said Mokgadi Mabuela, a confident 25-year-old, who distributes and demonstrates the tests.
“They respond quite well when you explain it’s a self-test — although the men will often ask if you want to date,” she said.
After 20 minutes, the test results are delivered by lines that indicate negative or positive.
Those showing positive are offered immediate confirmation tests which, if conclusive, are followed-up with treatment referrals.
Those not wanting to wait for their results can take the packs home.
The kits, which are free to the users, contain advice on what to do if a home test is positive.
The project is an initiative of Unitaid, the Geneva-based organisation that says three out of every 10 people with HIV worldwide do not know they have the virus. — AFP