Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
Interventions internationally which have reduced access gaps
Dr Klausner discussed using various innovative ways to increase HIV and STI testing, treatment, adherence, and prevention via the use of technology-based and online methods. The aim was to reach the hard to reach, in a way that was accessible and individuals not feel judged.
Testing occurred in various ways including in community based settings at places accessible to our frequented by hard to engage individuals such as sex workers, injecting drug users, homeless. A walk-in self testing service was set up where12,500 people per month accessed this service. The self- testing facility would allow people to go in and fill in an electronic risk assessment, print identification labels, then dispense the appropriate swabs for the self collected samples. A result would then be given in 2 hours.
Online ordering of in-home HIV and STI testing kits, and Outreach voucher programs were other ways to make testing more accessible.
To increase adherance to PrEP or ART individuals can go to online program and customise how and when they get reminders to take there medication and reminders for testing through patient engagement software. Also was noted that PLWHIV could check their CD4 counts and VL and found that there was increased medication compliance in this experience.
With regards to prevention of HIV and STI's condom vending machines were widely distributed to areas to increased accessibility to condoms. Online ordering and initiation of PrEP is an option too where individuals can go online and answer questions regarding their history and risk factors. Appropriate pathology testing would be ordersd including HIV and Hepatitis B serology. Once results are available if person is eligible to commence PrEP they are prescibed medication and it is sent to them. All done without having a face to face consult with a doctor.