THE FIRST ‘90’: FEASIBILITY AND ACCEPTABILITY OF IMPLEMENTING TRAINING AND DEVELOPMENT TO SUPPORT SUCCESSFUL ADOPTION OF OPT OUT HIV TESTING IN THE EMERGENCY AND ACUTE MEDICAL SETTINGS IN A SUBURBAN CENTRE
This project follows a prospective, pre-post study evaluation adopting a mix of qualitative and quantitative outcome measures. The primary implementation strategy of this project is a comprehensive training package (theory and practical role play) and ongoing supportive infrastructure such as dedicated personnel, advertising resources, and patient information. The staff training provided in the comprehensive training package is for all A&E and AMU testing staff (nurses, phlebotomists, healthcare assistants, doctors). The study is expected to report in October 2022.
- Determine acceptability to staff and patients of implementing opt out testing.
- Determine feasibility and uptake of testing, barriers, facilitators and utility of training, reduction in the proportion of patients diagnosed ‘late’ (CD4 <350), number of new HIV diagnoses, and reduction of local undiagnosed fraction to below 10% (meeting first ‘90’)
This study is the first attempt to implement the distribution of HIV Home-based Self-Testing (HIVST) within an emergency medicine setting to increase the coverage of HIV screening and the subsequent linkage to care of PLHIV in Jamaica.
The RELAPP study is focused upon developing an algorithm for general practitioners in Italy to identify earlier those at risk of HIV.