1. ACCELERATING PROGRESS TOWARDS THE FIRST 90 AMONG MEN: A TRIAL OF THE PEER-BASED DISTRIBUTION OF HIV SELF-TEST KITS IN BULISA, UGANDA
M. Nanfuka 1, A. Choko 2,3 , J. Birungi1, G. Taasi4 , P. Kisembo1, J. Akunguzibwe 1, S. Helleringer5
The AIDS Support Organization (TASO), Kampala, Uganda
Malawi-Liverpool Wellcome Trust clinical research programme, Blantyre, Malawi.
Department of Infectious Disease Epidemiology, London School of Hygiene& Tropical medicine, London, UK
Ministry of health, Kampala, Uganda
Bloomberg School of Public Health, John Hopkins University, Baltimore, USA

2. Background and Methodology
Too few men living with HIV are aware of their status, particularly in fishing communities around the great lakes of Africa
Woman-to-man HIVST distribution models may have limited impact due to safety concerns & power dynamics
We conducted a pilot trial of the distribution of HIVST kits through peer networks of fishermen on shores of Lake Albert (Bulisa) district in Western Uganda
20 Men identified (seeds)
Introduced to HIVST
Give 5 kits and instructions for distribution
Self- interviews with seed and recruits (ACASI)
Confirmatory testing by a trained health worker

3. Results and Conclusions
19 seeds recruited
10 positive; 9 negative
115 men were offered HIVST
95 (82.6%) accepted the offer
29 (25.8%) had never tested before
42 (44.2%) tested >more than a year ago
Safety
No recruit reported coercion
One seed experienced hostility from family members of a recruit
HIV prevalence: 4.3%
Yield: 1 new diagnosis per 6.3 seeds
Accuracy
Sensitivity 100%
Specificity 93.3% (6 false positives due faint grey line appearing in test location )
Pictorial of false positives
Conclusion
A novel network-based distribution model of HIVST had high uptake and yield among men in this pilot study. It could constitute a crucial tool in reaching the targets in under-served fishing communities in Uganda and elsewhere.