The vast majority of participants supported coercive testing policies for marginalized groups at high risk for HIV/AIDS (91% for MSM and 99% for FSW), while only a minority supported punitive measures such as allowing health care providers to refuse to treat PLHA (5%) and employers being able to fire PLHA (10%).
Although there are no data regarding coercion, coercive testing by partners is a potential concern, and rigorous monitoring for adverse events is critical if this approach is to be considered.
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].
There is need to further explore concerns relating to coercive testing and how gender roles and relations impact on the experiences of HIVST for both women and men within couples.
Should we impose a coercive testing regime that would reward and punish schools based on results?
Further work needs to be conducted to understand the extent and dynamic of coercive testing experiences within HIVST.
In Cuba, the state applied a policy of coercive HIV testing for all pregnant women and for people with sexual transmitted diseases (29, 30).
As reported by caregivers in our study, perceived 'coercive' testing for HIV not only alienates women from the health care system, but also creates social distances between the women and the local community especially due to fear of disclosure of sero-status and stigma, despite the fact that the community is an important social capital required by the women.
The vast majority of participants supported mandatory testing for marginalized groups and coercive family policies for PLHA, stating that they "deserved" their infections and "didn't care" about infecting others.
379 of 25 April 2007) Immigration test for family migrants is introduced Coercive instruments directed at family migrants Foreigners are to receive clear signals about what is expected of them in Denmark.
As a result, questions related to an individual's autonomy and the potential for coercive seeking and testing strategies during implementation warrant examination [ 9].
