Open AccessEffect of Prices, Distribution Strategies, and Marketing on Demand for HIV Self-testing in Zimbabwe
Author(s) -
Wei Chang,
Primrose Matambanadzo,
Albert Takaruza,
Karin Hatzold,
Frances M. Cowan,
Euphemia Sibanda,
Harsha Thirumurthy
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.9818
Subject(s) - voucher , population , psychological intervention , medicine , test (biology) , pharmacy , distribution (mathematics) , environmental health , demography , gerontology , family medicine , business , nursing , paleontology , accounting , sociology , biology , mathematical analysis , mathematics
Key Points Question How is the demand for HIV self-testing influenced by pricing and distribution strategies? Findings In a randomized clinical trial of 4000 adults in Zimbabwe, demand for HIV self-testing declined substantially from 32.5% among those offered self-administered tests for free to 6.9% among those offered the tests for US $0.50 and below 3% at prices of US $1 or greater. Price sensitivity was higher among rural residents, men, and those who had never had an HIV test; in urban areas, demand was higher with pharmacy- than clinic-based distribution. Meaning This study suggests that demand for HIV self-testing is highly price sensitive in low-income settings; free distribution of self-tests may help promote their use in high-priority population segments.
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