A successful model for rapid triage of symptomatic patients at an HIV testing site in Haiti: Table 1.

Esperance, Morgan; Koenig, Serena P.; Guiteau, Colette; Homeus, Fabienne; Dévieux, Jessy G.; Edouard, Jenny; Bertrand, Rachel; Joseph, Patrice; Bellot, Clovy; Decome, Diessy; Pape, Jean William; Sévère, Patrice

doi:10.1093/inthealth/ihv042

Cited by 2 publications

(3 citation statements)

References 19 publications

(27 reference statements)

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“… 22 The shortage of doctors has prompted a search for more efficient and streamlined models of healthcare; nurse practitioners play a key role in this model, fast-tracking uncomplicated HIV patients through the clinic within 30 min, including dispensing of prepacked medication, leaving physicians free to deal with more complex cases. 23 A same-day rapid pathway for HIV testing and initiation of ART has yielded further clinical improvements in terms of linkage to care, viral load suppression, and survival. 24 The GHESKIO model is therefore a prime example of “reverse innovation”, 4 wherein a best practice from a resource limited setting—impelled by those very limitations—can inform best practice everywhere.…”

Section: Treatment Advancesmentioning

confidence: 99%

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017

Landis

Abayomi

Bain

et al. 2018

AIDS Research and Human Retroviruses

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The CCAS EXPERT SUMMIT convened an array of international experts in Barbados on August 27–31, 2017 under the theme “From Care to Cure–Shifting the HIV Paradigm.” The Caribbean Cytometry & Analytical Society (CCAS) partnered with the Joint United Nations Programme on HIV/AIDS (UNAIDS) to deliver a program that reviewed the advances in antiretroviral therapy and the public health benefits accruing from treatment as prevention. Particular emphasis was placed on reexamining stigma and discrimination through a critical appraisal of whether public health messaging and advocacy had kept pace with the advances in medicine. Persistent fear of HIV driving discriminatory behavior was widely reported in different regions and sectors, including the healthcare profession itself; continued fear of the disease was starkly misaligned with the successes of new medical treatments and progress toward the UNAIDS 90-90-90 targets. The summit therefore adopted the mantra “Test-Treat-Defeat” to help engage with the public in a spirit of optimism aimed at creating a more conducive environment for persons to be tested and treated and, thereby, help reduce HIV disease and stigma at the individual and community levels.

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Section: Treatment Advancesmentioning

confidence: 99%

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017

Landis

Abayomi

Bain

et al. 2018

AIDS Research and Human Retroviruses

Self Cite

View full text Add to dashboard Cite

show abstract

“…A training of trainers’ voluntary counselling and testing (VCT) programme trained 3489 individuals in order for them to provide counselling and testing in several Caribbean countries; 80% of the trainers were certified in VCT and were successful in the scaling up of services for VCT 41. One study engaged social workers to complete a symptoms checklist in order to identify symptomatic patients during HIV testing and link them to care, and in a 6-month period 11 578 adult patients were tested in 2009 and 1398 patients tested positive for HIV 42…”

Section: Resultsmentioning

confidence: 99%

“…A number of strategies were implemented and evaluated in different Caribbean countries in an attempt to address the low HIV testing rate. These intervention strategies included but are not limited to RT, same-visit HIV testing programme and provider-initiated testing 40–44…”

Section: Discussionmentioning

confidence: 99%

HIV testing barriers and intervention strategies among men, transgender women, female sex workers and incarcerated persons in the Caribbean: a systematic review

et al. 2019

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BackgroundThis systematic review summarises evidence on the HIV testing barriers and intervention strategies among Caribbean populations and provides pertinent implications for future research endeavours designed to increase rates of HIV testing in the region.MethodsWe used a systematic approach to survey all literature published between January 2008 and November 2018 using four electronic databases (MEDLINE/PubMed, Embase, Web of Science and Global Health). Only peer-reviewed articles published in English that examined HIV testing uptake and interventions in the Caribbean with men, men who have sex with men, female sex workers, transgender women and incarcerated individuals were included.ResultsTwenty-one studies met the inclusion criteria. Lack of confidentiality, access to testing sites, stigma, discrimination, poverty and low HIV risk perception were identified as key barriers to HIV testing. These barriers often contributed to late HIV testing and were associated with delayed treatment initiation and decreased survival rate. Intervention strategies to address these barriers included offering rapid HIV testing at clinics and HIV testing outreach by trained providers and peers.ConclusionHIV testing rates remain unacceptably low across the Caribbean for several reasons, including stigma and discrimination. Future HIV testing interventions should target places where at-risk populations congregate, train laypersons to conduct rapid tests and consider using oral fluid HIV self-testing, which allows individuals to test at home.

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A successful model for rapid triage of symptomatic patients at an HIV testing site in Haiti: Table 1.

Abstract: Social workers can identify symptomatic patients at HIV testing and refer them for fast-tracked services. This strategy may increase the rate of ART initiation among eligible patients.

Cited by 2 publications

References 19 publications

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017

HIV testing barriers and intervention strategies among men, transgender women, female sex workers and incarcerated persons in the Caribbean: a systematic review

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