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Increasing HIV/AIDS Case Finding in Mai Son District using Peer-Driven Intervention

This study evaluates the use of Peer-Driven Intervention (PDI) to increase HIV/AIDS case finding in Mai Son District, Son La Province. Results show that PDI is more likely to identify HIV positive clients and can bring more targeted clients to HIV testing and counseling services with higher positivity rates. Recommendations include close collaboration between PDI, VCT, OPC, and MMT services, and setting up monitoring and referral mechanisms between outreach and service providers.

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Increasing HIV/AIDS Case Finding in Mai Son District using Peer-Driven Intervention

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  1. Using peer driven intervention to increase HIV/AIDS case finding in Mai Son district, Son La province Hiep T. NGUYEN (1); Hong T. NGUYEN (1); Quan D. NGUYEN (1); Anh X. VU(2) ); Tien V. CHU(2) (1)U.S. Centers for Disease Control and Prevention (CDC), Hanoi, Vietnam (2)Ministry of Health/Vietnam Administration for AIDS Control (VAAC)-U.S. CDC HIV/AIDS Project Office, Hanoi, Vietnam

  2. Outline Background Objectives Methods Results & Discussions Conclusions Recommendations

  3. BackgroundHIV epidemic in Son La • 7.722 people living with HIV by Oct 15, 2015 • Concentrated among PWID (75% PLWH was PWID: HIV prevalence among PWID in 2014 was 6.3% (HSS+) • Four districts with highest newly diagnosed cases: Mường La, Thuận châu, Mai Sơn, Sông mã

  4. Background: Rationale of PDI initiation and implementation site Mountainous areas in North West Drug injection is common and mainly contributing in the epidemic One of the highest epidemic concentrated district, specifically among PWID Hard to reach PWID Few KPs referred to VCT by outreach workers Low HIV positivity among outreach referred KPs End of outreach activity supported by the World Bank

  5. Peer Driven Intervention (PDI) Approach Based on respondent-driven sampling methodology 2 Outreach Workers (OW): Recruit seeds (from community or HTC); train seeds in recruiting targeted clients and coupons distribution Coupons returned to OW at HTC; incentives provided (for HTC use and referrals made) upon clients risk verified by OW Seeds: Recruit targeted clients in community & distribute coupons to refer to HTC OW refer HIV+ clients to OPC Targeted clients: KP and sex partners of PWID and PLHIV

  6. Objective We performed cross-sectional analysis of VCT data in database at Mai Son district VCT site that was routinely collected during 2014 by VCT counselors to evaluate the use of PDI to increase HIV case-finding

  7. Method We analyzed records of VCT clients tested during 2014 including PDI clients and non-PDI clients in Mai Son VCT We compared risk behaviors, previous testing among the clients came from PDI and from other methods in association with HIV positivity. We compared results in terms of VCT referral and HIV positivity of PDI model in 2014 and outreach activity results in 2013

  8. ResultsBy gender

  9. ResultsBy risk groups

  10. ResultsPrevious Testing

  11. PDI cascade 10.3% 91%

  12. ConclusionsPDI is more likely to identify HIV positive clients

  13. Conclusions PDI can bring more targeted clients to HTC with higher positivity

  14. Recommendations Potential in provinces where KP hard to reach, low HTC uptake among KP and low positivity rate Good “seeds”: wide networks of KPs, well-coached Dedicated supervisor: closely attached to HTC and able to provide supportive supervision Frequent monitoring, support and supervision in the first three months of the implementation

  15. Recommendations (continued) Close collaboration between PDI and VCT, OPC and MMT services Set up monitoring, referral and feedback mechanism between outreach and VCT and OPC Evaluate the achievement after implementation of PDI to review coverage and saturation of KP clients supported by PDI

  16. Acknowledgement • CDC • Prevention Team • SI Team • VAAC • VAAC-CDC CoAg Outreach Team • PACs • HCMC Provincial AIDS Committee • Son La Provincial AIDS Center • Ba Ria- Vung Tau Provincial AIDS Center

  17. For further information/questions on PDI, please contact to: Hiep Nguyen Outreach and Prevention Innovation OfficerCDC Vietnam, U.S. Embassy HanoiTungShing Building, 2 Ngo Quyen, Hanoi, VietnamTel: (84-4) 3935-2091 ext.2591Fax: (84-4) 3935-1918Cell: 0934-476-266 Email: xbl2@cdc.gov Web Site: www.cdc.gov

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