Universal Test and Connect for HIV Service Delivery in South Africa
Recruiting · NCT06408142 · Observational (researchers observe without assigning treatment) · Lead sponsor: Johns Hopkins University
View the official record on ClinicalTrials.gov →Interventions studied
HIV testingIn-depth interview
What this trial is about
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.
Who can take part
Age range
12 Years and older
Sex
All (male and female)
Healthy volunteers
Yes - healthy volunteers may be accepted
Phase
Not specified
Study type
Observational (researchers observe without assigning treatment)
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.
Where it is running
1 location listed.
- Gugulethu Community Health Centre - Cape Town, Western Cape, South Africa