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Should we impose a coercive testing regime that would reward and punish schools based on results?
The history of AIDS provides a clear case, in which the confidentiality of serostatus has outweighed public health benefits of coercive testing or legal instruments making individuals reveal their status.
Further work needs to be conducted to understand the extent and dynamic of coercive testing experiences within HIVST.
Applications of individualistic frameworks suggest that scaling up TasP programs will result in overly coercive testing and treatment regimes that disregard voluntary consent and participation.
The theory of libertarian paternalism has been advocated by some authors, to justify at times a more coercive testing approach like HIV in pregnancy [ 12, 13, 18, 27].
Public health concerns about HIVST include increased risk of unmanaged anxiety; potentially negative impacts from bypassing counseling; potential for coercive testing, lower test accuracy and lower linkage to care following a positive HIV-test-result [ 22, 23].
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As a result, questions related to an individual's autonomy and the potential for coercive seeking and testing strategies during implementation warrant examination [ 9].
While this has increased the rates of HIV testing and counselling, it has also led to missed opportunities for prevention messages and created a coercive atmosphere around testing in some settings [ 44, 46].
In Cuba, the state applied a policy of coercive HIV testing for all pregnant women and for people with sexual transmitted diseases (29, 30).
Others have raised concerns that RHT might be coercive and lead to testing without consent [ 5], might lead to people avoiding using health care facilities because of fear of testing [ 6], and might lead to increased partner violence against women [ 21, 22].
The saturation magnetization and coercive forces were tested using a vibrating sample magnetometer (VSM, 7304, USA) equipped with a 1.0 T magnet and the measurements were conducted at room temperature.
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