Improving HIV service delivery for people who inject drugs in Kazakhstan: study protocol for the Bridge stepped-wedge trial. Academic Article uri icon

Overview

abstract

  • BACKGROUND: People who inject drugs (PWID) in Kazakhstan face many barriers to HIV testing as well as to accessing HIV care, to retention in HIV care, and to initiating and adhering to anti-retroviral treatment (ART). Needle and syringe programs (NSPs) are an opportune setting for integrated interventions to link PWID to HIV care. METHODS: This Hybrid Type II study employs a stepped-wedge design to evaluate both effectiveness and implementation outcomes of Bridge, an intervention to identify, test, and link HIV-positive PWID to HIV care. The study is conducted at 24 NSPs in three different regions of Kazakhstan, to assess outcomes on the individual, organizational, and policy levels. DISCUSSION: This trial responds to an identified need for new models of HIV service delivery for PWID through harm reduction settings. TRIAL REGISTRATION: NCT02796027 on June 10, 2016.

publication date

  • June 14, 2019

Research

keywords

  • AIDS Serodiagnosis
  • Delivery of Health Care
  • HIV Infections
  • Quality Improvement
  • Substance Abuse, Intravenous

Identity

PubMed Central ID

  • PMC6570938

Scopus Document Identifier

  • 85067282397

Digital Object Identifier (DOI)

  • 10.1097/QAI.0000000000000277

PubMed ID

  • 31200757

Additional Document Info

volume

  • 14

issue

  • 1