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Combined interventions to increase HIV diagnosis and linkage to HIV treatment among men who have sex with men in Curitiba, Brazil


Author
Cruz et al.

Publication year
2016

Country

Type of approach
Dual

Type of assistance
Unassisted

Specimen
Oral-fluid

Study population
Key population: Men who have sex with men

Study design
Feasibility/acceptability

Sample size
400

UNAIDS HIV prevalence (2017)
0.6 [0.4 - 0.8]

Methodology
This study evaluates the acceptability, uptake and cost- effectiveness of multiple HIV testing services (HTS) combined with linkage to services to improve HIV cascade outcomes for men who have sex with men. The study used a web-based HIVST platform.

Summary of findings
Web-based HIV self-testing: >3000 self-test kits delivered to users, with >2000 kits requested by self-reported men who have sex with men (MSM), >400 MSM self-reported test results (returned to the web platform), 19/400 results were HIV-positive, and >90% of those with HIV-positive results accepted linkage to services. The target of testing 1750 MSM who have never accessed HIV testing services is likely to be exceeded. In year 2, improved follow-up of MSM testing via the web platform, analysis of the communications strategy as well as cost-effectiveness, feasibility, and service quality evaluations will inform program improvements for Curitiba and will facilitate expansion to additional Brazilian cities.

Acceptability
n/a

Acceptability details
n/a

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
n/a

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
>90% of clients who tested HIV-positive accepted linkage service (confirmatory testing, access to treatment and care)


Study status
Completed