hiv testing in the community - eventsforce · 2019-09-01 · • 172 patients identified attending...

HIV Testing in the Community:HIV Testing in the Community:Responding to the Glasgow Outbreak

Dr Lee MiddletonGlasgow Alcohol and Drug Recovery ServiceGlasgow Alcohol and Drug Recovery Service

Background

• ORT clinics in GovanORT clinics in Govan• Average caseload of 150‐200Q l di l i• Quarterly medical reviews

• BBV testing offered at routine reviews

Background

60HIV cases in PWID

40

50

30

40

10

20

02006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Problem

• Frequently decline testingFrequently decline testing• 15% tested for HIV in preceding 12 monthsH i ?• How to increase awareness?

• How to increase testing numbers?

Methods

Awareness campaignAwareness campaign• Briefing to multidisciplinary staff team

i i li i• Poster campaign in clinic • Start open conversations around HIV and testing

Methods

Dry blood spot testingDry blood spot testing• Testing period identified

d h b ff i• Targeted approach by staff to promote testing• Identified medic available throughout to facilitate• Instant access to testing for all accepting

Results

• 148 patients identified attending Govan ORT clinics• All 148 offered HIV test

• 146 (98.6%) accepted tests • Marked impact on figures across South Glasgow

HIV tests

Acceptedp

Declined

Discussion

• Unexpectedly high uptake rateUnexpectedly high uptake rate• Change in approach led to significant increaseLik l l if i l• Likely multifactorial

Could it be repeated?Could it be repeated?

Year 2

60

HIV cases in PWID

50

60

30

40

10

20

0

10

2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Year 2 Results

• 172 patients identified attending Govan ORT clinics during172 patients identified attending Govan ORT clinics during target 4 week period

• All 172 offered HIV tests at clinic appointment• All 172 offered HIV tests at clinic appointment• 172 (100%) accepted• Increase in acceptance rate of 1.4%• Of original 2015 cohort, 86 (59%) still attending and accepted g , ( ) g prepeat testing

Year 2 Discussion

Increased awarenessIncreased awareness

IntegratedIntegratedNo stigmaNo stigma Integrated team

Integrated team

I dI dNo waitNo wait ConsistentConsistentIncreased HIV testsIncreased HIV tests

No‐wait tests

No‐wait tests

Consistent staff

Consistent staff

Conclusion

• Simple but highly effectiveSimple, but highly effective• Easy to replicateC ld b li d diff h l h i i i i• Could be applied to different health promotion activities

Thank you

Questions?

lee middleton@ggc scot nhs uklee.middleton@ggc.scot.nhs.uk