Presentation on theme: "CLINICS AND COMMUNITY Dr Mags Portman. Day to day working Routine HIV testing in clinical setting Motivational Interviewing and Behavioural Intervention."— Presentation transcript:
CLINICS AND COMMUNITY Dr Mags Portman
Day to day working Routine HIV testing in clinical setting Motivational Interviewing and Behavioural Intervention Safer sex and Harm reduction Part of clinic strategy Finding those most at risk and tailoring services to them Educating other clinicians Promoting rapid & repeat test offer (AWARE RCT) Host organisation Promoting staff know their HIV status at health events etc Roadshows/screensavers to promote HIV testing in patients Local health pathway how to test pathways & materials Part of local Sexual Health and HIV strategy National HIV Testing Week Evaluating new technologies eg. Self-testing kits; dried blood spots Where does prevention sit in a clinical context?
Traditional settings (GUM, antenatal, TOP) Other hospital settings (Hepatology, Oncology, Colposcopy, TB clinics, general medical admissions, A&E) Pop Up clinics at events for MaRPs Supporting GPs in high prevalence areas to offer testing Within 3rd sector organisations Outreach – working together clinic & community ie) saunas, churches, street-based mobile health units Working with Public Health to understand areas of greatest need How, when & where can we implement routine HIV testing?
How can we bring clinicians and community together to support each other in our common aims? Our Story Leeds Centre for Sexual Health –Hosted coordination meetings, ideas, volunteers, training sessions Leeds Contraception and Sexual Health (CaSH) –volunteers, hosted sessions Leeds City Council –support, promotion Yorkshire MESMAC –outreach (incl online), engaged local clubs and bars, provided sessions BHA Skyline –engaged new African community venues, provided sessions, volunteers, outreach in City Centre
Leeds NHTW Results All sessions took place in community venues; African community/gay bars and clubs Collected more data - wanted to know if we were accessing people not testing via traditional sexual health clinics Word of mouth/outreach or the presence of testers in a venue proved the most effective way of recruiting. 31% of MSM learnt of testing via the internet
Leeds NHTW Results 126 people tested 90 (71%) from MARPS ( tested, 51% MARPs) 61(48%) MSM, with 5 reporting sex with men and women 27 (21%) Black African (16 male) There were no HIV positive results >95% of people tested were given advice on PEP, repeat testing, STI screening and offered condoms
Leeds NHTW Results MSM –40% had never tested for HIV –63% had never tested, or tested >12/12 ago –68% did not know about PEP –54% had never attended GUM –Of those who recalled being seen in GUM, none had been seen in the preceding year Black Africans –15% had never tested for HIV –63% had never tested or >12/12 ago –81% did not know about PEP –64% had never attended GUM
Leeds NHTW Media
Leeds NHTW 2013 – Learning Points Start organising earlier – NHTW is for life, not just a week in Nov! More advertising and media involvement earlier Collect data regarding venues and numbers attending to focus efforts next year Those with experience of outreach achieved higher testing numbers NHTW provides a platform for ongoing testing Much closer relationships between clinic and community organisations