Integrated HIV testing, prevention, and treatment intervention for key populations in India: a cluster-randomised trial

Solomon, Sunil S.; Solomon, Suniti; McFall, Allison M.; Srikrishnan, Aylur K.; Anand, Sam; Verma, V. K.; Vasudevan, Canjeevaram K.; Balakrishnan, Pachamuthu; Ogburn, Elizabeth L.; Moulton, Lawrence H.; Kumar, M. Suresh; Sachdeva, Kuldeep Singh; Laeyendecker, Oliver; Celentano, David D.; Lucas, Gregory M.; Mehta, Shruti H.

doi:10.1016/s2352-3018(19)30034-7

Cited by 63 publications

(78 citation statements)

References 24 publications

(51 reference statements)

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“…This figure falls significantly below the national HIV response target of 90% [37]. Integrating HIV services into the mainstream of health services is a strategy for improving the access of key populations to HIV prevention, treatment and care services [38,39]. Without correction of the stigmatising behaviour of health workers and other service-related barriers, utilisation of the services will continue to be sub-optimal, even if the services are made available.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction With Use of Public Health and Peer Led Facilities for Hiv Prevention Services by Key Populations in Nigeria

Ochonye

Foláyan

Fatusi

et al. 2019

Preprint

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Background: The aim of the study was to identify the proportion of female sex workers, men who have sex with men, and people who inject drugs who had accessed HIV prevention services at public health facilities and peer-led facilities, their level of satisfaction with these services, and perceived barriers and challenges to accessing HIV services from public and peer-led HIV prevention service providers. Methods: A mixed-method approach was used to collect data from key populations in the four states in Nigeria. Quantitative data collected included level of satisfaction with and barriers to use of public and peer-led facilities. In-depth interviews and focus-group discussions were conducted to explore reasons for satisfaction with and barriers to use of services. Descriptive and bivariate analyses were was conducted for quantitative data. Qualitative data were summaried, emerging themes identified, described and quotes reflecting the themes corresponding to interview questions highlighted Results : Nine hundred sixty-seven persons responded to questions on the use of public health or/and peer-led facilities. Two hundred thirty-eight (49.4%) respondents had received HIV and sexual and reproductive health services through public health facilities, and 236 (48.7%) had received the services through peer-led facilities. Significantly more respondents were satisfied with the quality of services provided by peer-led organisations than with public health facilities with respect to service providers listening to respondent’s problems and concerns (p=0.007),privacy and confidentiality (p=0.04) and respect of rights of service recipients (p=0.04). Significantly more respondents using peer-led organisations than those using public health facilities identified no barriers to service access (p=0.003). More respondents using public health facilities than peer-led facilities identified cost of services (p=0.01), confidentiality (p=0.002), waiting time (p<0.01) and staff attitude (p=0.001) as barriers to service access. Thee was no difference in the proportion of respondents willing to discontinue their use of either facilities (p=0.08). Qualitative data revealed that concerns with access of services at the public health facility were due mainly to stigma and the effects of the same-sex prohibition law. Conclusion: Key populations were more satisfied receiving HIV prevention services at peer-led organisations than at public health facilities.

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Section: Discussionmentioning

confidence: 99%

Satisfaction With Use of Public Health and Peer Led Facilities for Hiv Prevention Services by Key Populations in Nigeria

Ochonye

Foláyan

Fatusi

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…This figure falls significantly behind the national HIV response target of 90% [37]. Integrating HIV services into the mainstay of health services has being highlighted as a strategy of improving the access of key populations to HIV prevention, treatment and care services [38,39]. Without adequately addressing the stigmatisation behaviour of health workers and other service-related barriers, utilisation of the services will be sub-optimal even if the services were made available.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction With Use Of Public Health And Peer-Led Facilities For Hiv Prevention Services By Key Populations In Nigeria

Ochonye

Foláyan

Fatusi

et al. 2019

Preprint

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Objective: To identify the proportion of FSW, MSM and PWID who had accessed HIV prevention services at public health facilities and peer-led facilities, their level of satisfaction with these services and perceived barriers and challenges to accessing HIV services from public and peer-led HIV prevention service providers. Methods: A mixed method approach was used to collect data from key populations in four states in Nigeria. Data collected included level of satisfaction with and barriers to use of public and peer-led facilities. In-depth interviews and focus group discussions were conducted to explore reasons for satisfaction with and barriers to use of services. Descriptive and bivariate analysis was conducted for quantitative data. A ground theory approach was used to analyse the qualitative data. Results : There were 482 and 485 respondents to the questions on use of public health and peer-led facilities. Of these, 49.4% and 48.7% had received HIV and sexual and reproductive health services through the public health and peer-led facilities respectively. Significantly more respondents were satisfied with the quality of services provided by peer led organisations than public health facilities. Significantly more respondents using peer-led organisations than those using public health facilities identified no barriers to service access (p=0.003). More respondents using public health facilities than peer led facilities identified cost of services (p=0.01), confidentiality (p=0.002), waiting time (p<0.01) and staff attitude (p=0.001) as barriers to service access. There was no difference in the proportion of respondents willing to discontinue their use of either facilities (p=0.08). Qualitative data showed that concerns about access of services at the public health facility were related to healthcare worker discrimination and fear of being arrested due to the enacted same-sex prohibition law in Nigeria. Conclusion: Key populations had better satisfaction receiving HIV prevention services at peer led organisations than at public health facilities.

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“…Our integrated care center (ICC) model for people who inject drugs (PWID) in India was focused on integrating essential infectious disease and harm reduction services in venues tailored to the needs of PWID. 2 While the focus of the results described in the Journal of Hepatology 3 was on integration of HCV testing with existing HIV and harm reduction services, it is important to note that other services were offered at the ICCs including screening for tuberculosis and management of sexually transmitted infections.…”

Section: Referencesmentioning

confidence: 99%

“…1 In case of unexplained NAFLD, further investigations are required to determine the origin of the disease. 2 We have read with interest the research article published by Youssefian et al, (April 2019) in the Journal of Hepatology, reporting monoallelic ABHD5 mutations as a rare cause of autosomal dominant NAFLD. 3 Biallelic ABHD5 mutations are known to cause a rare autosomal recessive disease described as the Chanarin-Dorfman syndrome (CDS), a multisystemic neutral lipid storage disorder with ichthyosis, often presenting with associated liver disease, myopathy, hearing loss, eye abnormalities and or neurological problems.…”

Section: Two Cases Of Non-alcoholic Fatty Liver Disease Caused By Biamentioning

confidence: 99%

Reply to: ‘High prevalence of hepatitis C infection among multidrug-resistant tuberculosis patients’

Solomon

McFall

Lucas

et al. 2020

Journal of Hepatology

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Integrated HIV testing, prevention, and treatment intervention for key populations in India: a cluster-randomised trial

Cited by 63 publications

References 24 publications

Satisfaction With Use of Public Health and Peer Led Facilities for Hiv Prevention Services by Key Populations in Nigeria

Satisfaction With Use of Public Health and Peer Led Facilities for Hiv Prevention Services by Key Populations in Nigeria

Satisfaction With Use Of Public Health And Peer-Led Facilities For Hiv Prevention Services By Key Populations In Nigeria

Reply to: ‘High prevalence of hepatitis C infection among multidrug-resistant tuberculosis patients’

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