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

TitleImproving HIV service delivery for people who inject drugs in Kazakhstan: study protocol for the Bridge stepped-wedge trial.
Publication TypeJournal Article
Year of Publication2019
AuthorsMcCrimmon T, Gilbert L, Hunt T, Terlikbayeva A, Wu E, Darisheva M, Primbetova S, Kuskulov A, Davis A, Dasgupta A, Schackman BR, Metsch LR, Feaster DJ, Baiserkin B, El-Bassel N
JournalImplement Sci
Volume14
Issue1
Pagination62
Date Published2019 06 14
ISSN1748-5908
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.

DOI10.1186/s13012-019-0909-z
Alternate JournalImplement Sci
PubMed ID31200757
PubMed Central IDPMC6570938
Grant ListR01 DA041063 / DA / NIDA NIH HHS / United States
Division: 
Comparative Effectiveness & Outcomes Research
Category: 
Faculty Publication