Key gaps in the HIV cascade of care among men who have sex with men and migrants diagnosed with HIV: findings from a surveillance study in Shanghai

Hepatitis C virus (HCV) prevalence is high among people living with HIV co-infected with HCV, people who inject drugs, men who have sex with men and inmates in correctional settings. The barriers to eliminate HCV among these key populations include diagnosis challenges, lack of awareness, discrimination and stigmatization. In addition, scaling up of HCV treatment has been a challenge in Asia–Pacific with the lack of national policies, targets and unavailability of appropriate direct-acting antivirals regimens. In order to achieve HCV micro elimination within these high-risk populations, novel strategies to improve the cascade of care from diagnosis to treatment with direct-acting antivirals, complemented by behavioral change interventions, harm reduction services for people who inject drugs, civil society led advocacy and policies from the government, will be necessary.

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Correlates of Unprotected Anal Sex at Last Sexual Episode: Analysis from a Surveillance Study of Men who have Sex with Men in Montreal

AIDS and Behavior ◽

10.1007/s10461-009-9605-3 ◽

2009 ◽

Vol 15 (3) ◽

pp. 584-595 ◽

Cited By ~ 27

Author(s):

G. Lambert ◽

◽

J. Cox ◽

T. S. Hottes ◽

C. Tremblay ◽

...

Keyword(s):

Surveillance Study ◽

Anal Sex ◽

Sex With Men

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P12.09 Hiv cascade of care: improvements in linkage to care at the sti clinic of the public health service rotterdam-rijnmond, the netherlands

Sexually Transmitted Infections ◽

10.1136/sextrans-2015-052270.489 ◽

2015 ◽

Vol 91 (Suppl 2) ◽

pp. A189.1-A189

Author(s):

HM Götz ◽

MWH Mattijsen ◽

LM van Zonneveld ◽

JV Smit ◽

AA van der Eijk ◽

...

Keyword(s):

Public Health ◽

Health Service ◽

The Netherlands ◽

Public Health Service ◽

Linkage To Care ◽

The Public ◽

Hiv Cascade ◽

Cascade Of Care

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An improved HIV care cascade to assess HIV control programs among people who inject drugs.

10.21203/rs.2.18178/v1 ◽

2019 ◽

Author(s):

Jean-Pierre Molès ◽

Marianne Peries ◽

Duong Thi Huong ◽

Truong Thi Xuan Lien ◽

Roselyne Vallo ◽

...

Keyword(s):

Universal Access ◽

Primary Objective ◽

Hiv Treatment ◽

Added Value ◽

Hiv Care ◽

Fixed Dose ◽

Community Based ◽

Hiv Care Cascade ◽

Hiv Cascade ◽

Cascade Of Care

Abstract Background Achievement of HIV control among key populations through universal access to antiretroviral treatment (ART) requires a precise evaluation of the cascade of care. One of the main difficulties in obtaining an accurate community-based cascade of care is misreporting, which could represent one of the most important bias for people suffering from stigma. The primary objective was to estimate the added value of plasma antiretroviral concentration to improve the estimation of HIV cascade of careMethods We constructed the cascade of HIV care among persons who inject drugs (PWID) living in Hai Phong, Vietnam, using a community-based survey. First and second line HIV treatment contained fixed dose of lamivudine. Misreporting of HIV status and ART were identified by plasma lamivudine detection. We then compared the two methods for estimating the cascade of HIV careResults The proportion of misreporting was estimated at 30% among PWID. No specific PWID profile could be identified as associated with misreporting.Conclusions Adding plasma ARV detection to the routine data collection strongly improved the accuracy of the HIV cascade of care.

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