Universal Test and Connect for HIV Service Delivery in South Africa
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age12+
SponsorJohns Hopkins University
About this trial
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.
Eligibility criteria
Qualifiers
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).
Disqualifiers
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).
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
Trial design
Treatments tested in this trial
- HIV testing
- In-depth interview
Treatment groups
2,000 Participants
are divided into 2 treatment groupsSponsors and collaborators
Johns Hopkins University
Lead sponsor
Desmond Tutu HIV Foundation
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Source ClinicalTrials.gov