Feasibility and acceptability of point of care HIV testing in community outreach and GUM drop-in services in the North West of England: a programmatic evaluation.



MacPherson, Peter ORCID: 0000-0002-0329-9613, Chawla, Anu, Jones, Kathy, Coffey, Emer, Spaine, Vida, Harrison, Ian, Jelliman, Pauline, Phillips-Howard, Penelope ORCID: 0000-0003-1018-116X, Beynon, Caryl and Taegtmeyer, Miriam ORCID: 0000-0002-5377-2536
(2011) Feasibility and acceptability of point of care HIV testing in community outreach and GUM drop-in services in the North West of England: a programmatic evaluation. BMC public health, 11. 419 - ?.

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Abstract

<h4>Background</h4>In Liverpool, injecting drug users (IDUs), men-who-have-sex-with-men (MSM) and UK Africans experience a disproportionate burden of HIV, yet services do not reach out to these groups and late presentations continue. We set out to: increase testing uptake in targeted marginalized groups through a community and genitourinary medicine (GUM)-based point of care testing (POCT) programme; and conduct a process evaluation to examine service provider inputs and document service user perceptions of the programme.<h4>Methods</h4>Mixed quantitative, qualitative and process evaluation methods were used. Service providers were trained to use fourth generation rapid antibody/antigen HIV tests. Existing outreach services incorporated POCT into routine practice. Clients completed a semi-structured questionnaire and focus group discussions (FGDs) were held with service providers.<h4>Results</h4>Between September 2009 and June 2010, 953 individuals underwent POCT (GUM: 556 [59%]; community-based sites: 397 [42%]). Participants in the community were more likely to be male (p = 0.028), older (p < 0.001), of UK African origin (p < 0.001) and IDUs (p < 0.001) than participants from the GUM clinic. Seventeen new HIV diagnoses were confirmed (prevalence = 1.8%), 16 of whom were in risk exposure categories (prevalence: 16/517, 3.1%). Questionnaires and FGDs showed that clients and service providers were supportive of POCT, highlighting benefits of reaching out to marginalised communities and incorporating HIV prevention messages.<h4>Conclusions</h4>Community and GUM clinic-based POCT for HIV was feasible and acceptable to clients and service providers in a low prevalence setting. It successfully reached target groups, many of whom would not have otherwise tested. We recommend POCT be considered among strategies to increase the uptake of HIV testing among groups who are currently underserved.

Item Type: Article
Uncontrolled Keywords: Urogenital System, Humans, HIV Seropositivity, Focus Groups, Feasibility Studies, Program Evaluation, Adult, Ambulatory Care Facilities, Community Health Services, Point-of-Care Systems, Community-Institutional Relations, Patient Acceptance of Health Care, England, Female, Male, Young Adult, Surveys and Questionnaires
Depositing User: Symplectic Admin
Date Deposited: 08 Jun 2016 14:38
Last Modified: 18 Jan 2021 20:20
DOI: 10.1186/1471-2458-11-419
URI: https://livrepository.liverpool.ac.uk/id/eprint/3001618