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Universal Test and Connect for HIV Service Delivery in South Africa

Recruitingn/aAges 12 Years - anyAllJohns Hopkins University
NCT06408142 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The goal of this study is to determine how many patients with HIV or at high risk of getting HIV attend the Emergency Department (ED) in South Africa (SA). The investigators will integrate HIV assessment in the ED and see how many people who would be a candidate for a drug that prevents HIV (PrEP). Universal test and connect (UTC) is a strategy that universally tests all patients and connects patients to long-term care, whether HIV positive or negative, including referrals for PrEP. The investigator's goal is to use UTC across two busy 24-hr EDs in Cape Town, SA.

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📋 Eligibility rules (as published)
Inclusion Criteria for universal testing and connecting: * Patients attending the Emergency Department * Ages \> or = 12 years old in South Africa * For subset that participate in PrEP choice trial, inclusion criteria will be to ensure that they meet PrEP eligibility criteria and do not have any contraindications to PrEP (kidney disease, acute HIV signs or symptoms, already taking PrEP). Exclusion Criteria: * Patients unable to provide written informed consent - i.e., have a depressed level of consciousness (head trauma or concurrent alcohol/substance abuse), determined as critically ill (triage score of "emergent"), or * do not speak a language spoken by the study team (English, Afrikaans, and Xhosa). In-depth interviews and surveys to providers: Inclusion Criteria: * Nurses, physicians, or advanced practice providers (APPs) who work regularly in the Emergency Department at one of the clinical sites. * Consent to a recorded in-depth interview and/or Normalizing Process Theory (NPT) survey Exclusion Criteria: * Providers who have already been interviewed (if working at both clinical sites) * Providers who do not consent to an interview or a survey.
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What it tests

  • HIV testing
  • In-depth interview
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Where

1 site
Gugulethu Community Health Centre
Cape Town, South Africa
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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