HIV testing service utilization and linkage to care under UTT in North-West South Africa

The human immunodeficiency virus (HIV) testing services (HTS) are as important as any other healthcare service; hence clients should be encouraged to use them. The Universal Testing and Treatment (UTT) initiative is one of the ways for improving HIV outcomes by commencing rapid antiretroviral medication (ART). An explorative-descriptive qualitative study was followed to understand the motivation for accepting and utilization of HTS through the UTT strategy. The study was conducted in three selected PHC facilities around North-West province, Bojanala district, Kgetleng sub-district. Data was analysed using thematic content with the support of NVivo 12 software. Four main themes with supporting sub-themes emerged. The study findings showed that the majority of participants were not knowledgeable about or aware of the strategy until they tested positive in their clinics. HTS are still underused as participants presented to the facilities only when seriously ill, had symptoms or were pregnant. Some participants accepted their status and treatment because they were already sick and had no choice but to take treatment. Despite the different emotions, others were able to accept their treatment and status. Some disclosed and received support from family, partners and friends, while others had not. Fear of stigmatisation when seen frequently at the clinic was also noted. This article's findings can influence policymakers involved in HIV testing and UTT methods. Key Words:universal test and treat, human immunodeficiency virus, HIV testing services, PHC Facilities, South Africa