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IMPACT report - SANANIM Prague; February 21, 2012

IMPACT report - SANANIM Prague; February 21, 2012. 21.2.2012. Reporting until 8 February 2012. 1.468 clients requested to participate from that 426 females and 1032 males 178 refused ImpAcT project before 345 was not eligible for ImpAcT testing 1122 was eligible for ImpAcT testing

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IMPACT report - SANANIM Prague; February 21, 2012

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  1. IMPACT report - SANANIMPrague; February 21, 2012 21.2.2012

  2. Reporting until 8 February 2012 • 1.468 clients requested to participate • from that • 426 females and 1032 males • 178 refused ImpAcT projectbefore • 345 was not eligible for ImpAcT testing • 1122 was eligible for ImpAcT testing • from that • 607 clients were tested on HIV / TB • 64 clients were retested • In total - 671 HIV screening test and 671 clinical screening symptoms on TB

  3. Reporting until 8 February 2012 • 607 clients in IMPACT were tested on HIV and clinical screening symptoms on TB • 64 clients were retested • 671 HIV screening test and 671 clinical screening symptoms on TB • 0 HIV reactive rapid tests • 38 clients referred to the clinic testing because of positive TB symptoms • 11 clients underwent x-ray and other tests in the clinic centre – result nobody have TB

  4. Information about the clients tested  Socio-Demographics data • 64% of tested clients aremen (66% clients of contact centre are men) - men and women using testing and service equally • Average age is 30,7 years (almost same as average client of contact centre) • 93,2% tested clients were born in Czech Republic (same % in the group of all clients of contact centre) • Just 8 clients were from risky post Soviet region other „foreigners“ were Slovaks.

  5. Information about the clients • 44% live mostly in unstable accommodation in the last 12 months • 43% have primary level of education, nobody claimed - never went to school/ never completed primary school, 1,6% higher education, the rest have secondary level of education • 64% tested client are unemployed; just 13,9% of responses declare permanent employment • 39% tested clients were in the prison

  6. Drug anamnesis average age when the client started using drugs regularly is 17,9 average duration of regular drug use is 12.8 years Drug use: Combinations of drugs is very usual Outreach programme average age is27,5 average duration of regular drug use is 8 years Information about the clients 

  7. Information about the clients Drugs used in last four weeks • heroin – 16,9% • pervitin – 77,5% • subutex – 49,6% • benzodiazepins – 24,5% • cannabis – 52,4 % • alcohol – 25,6% • Metadon – 8,6%

  8. Information about the clients • Injected used drugs in last four weeks: • heroin – 15% • subutex - 45,7% • pervitin - 70,7% • 90 % of clients tested so far have injected drugs in the last four weeks

  9. Information about the clients Risky behaviour: • 60,1% ever injected witha used syringe or needle from someone else - it is not corresponding to reality • 45,1% ever shared spoon, filter and other items for application • 5,7% tested clients had sex for money or drugs in the last 12 months. 16,5% respondent refused to answer

  10. Information about the clients Testing: • 18% were tested on HIV for the first timein ImpAcT – 109 clients • average time since last HIV test is 3 years • 44,2 % have never been tested on TB; 20,3% don’t know

  11. Project implementation Project is run in 3 facilities. • Kontaktní centrum (Drop-in) • Terénní programy (Outreach) • CADAS (Substitution and Detox) • Project management and coordination • Every 14 days we have regular coordination meetings of whole project ImpAcT team • Central office responsible for overal management and • Project local manager responsible for implementation

  12. Project implementationIn every facility… • one responsible person for ImpAcT. implementation • Key workers responsible for data collection/entry • combining the two roles (researcher and nurse or social worker) • anamnestic data from the questionnaire used for pre and post test counselling • reward (meal ticket) increase motivation of clients for testing - especially in case of retesting • cooperation with two other low threshold drug services • prohibition from the city (District Prague 2) to place the ambulance to another drug sites • increase in the number of tests - from 50 to more than 100 per month

  13. Failures • low number of clients from risk regions (post Soviet, Vietnam) • closed hard reached groups • out of contact with services • it should be extra project oriented just for reaching these groups • 0 HIV and 0 TB positive clients – is it „failure“? • Low number of clients recommended for TB confirmation reach the specialised unit

  14. Successes • increasing HIV provided test (2010 just 123 tests per a year, in Impact we predicted 950 tests) • shortening periods between tests – before Impact average period between test was 3 years (more than 10% clients were retested, in the end of project will be higher percent) • 109 clients were tested on HIV for the first time • started cooperation with TB clinic and start to monitoring TB clinical symptoms • parallel with impact we test also on HCV and syphilis - we found 232 HCV and 16 syphilis. • we started to use user friendly on-line questionnaire – it makes data collection easier

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