-Organization of care

Service provision, health systems, interventions

A requisition for an HIV test which resulted in negative and a bottle for 30 day of PrEP

Best practices of same-day HIV pre-exposure prophylaxis (PrEP) initiation

-+*Download pdf Questions What are the best practices (including successes and challenges) of same-day HIV pre-exposure prophylaxis (PrEP) initiation after a negative HIV test result? Key take-home messages Several clinics have implemented same-day PrEP programs and have reported that clinics offering this model of care, in general, have positive health outcomes (1–5). Studies also report …

Best practices of same-day HIV pre-exposure prophylaxis (PrEP) initiation Read More »

A calendar with the number 1 beside each day of the month

Immediate initiation of antiretroviral therapy (ART) after HIV diagnosis

-+*Download pdf Questions What are the best practices (including successes and challenges) of immediate initiation of ART after HIV testing and diagnosis? Key take-home messages The benefits of beginning antiretroviral therapy (ART) soon after HIV diagnosis include improved health outcomes across a wide variety of settings (1–5) as well as decreased long term  healthcare costs …

Immediate initiation of antiretroviral therapy (ART) after HIV diagnosis Read More »

Incentive Program is written on a sticky note beside an eraser and two pencils

Effectiveness of and best practices for using contingency management and incentives for health care issues related to HIV, sexually transmitted infections (STIs), and pre-exposure prophylaxis (PrEP)

-+*Download pdf Question What is the effectiveness of and what are the best practices for using contingency management and incentives for health care issues such as HIV, STIs, and PrEP?  Key take-home messages Using contingency management and incentives at the different steps of HIV care continuum (such as testing, treatment adherence, viral suppressions) is widely …

Effectiveness of and best practices for using contingency management and incentives for health care issues related to HIV, sexually transmitted infections (STIs), and pre-exposure prophylaxis (PrEP) Read More »

A syringe and pills beside a tag labelled 'Hepatitis C'

Effectiveness of and best practices for using contingency management and incentives in hepatitis C infection among people who use drugs

-+*Download pdf Questions What is the effectiveness of and what are the best practices for using contingency management and incentives to support linkage to care and treatment for hepatitis C infection among people who use drugs?  Key take-home messages Recent studies in Canada have indicated that hepatitis C virus (HCV) treatment uptake among individuals who …

Effectiveness of and best practices for using contingency management and incentives in hepatitis C infection among people who use drugs Read More »

Impact of universal coverage for antiretroviral therapy (ART) on health outcomes

-+*Download pdf Question What are the benefits of universal antiretroviral therapy (ART) coverage on individual and population level health outcomes?  Key take-home messages As of 2017, the annual cost of single-tablet antiretrovirals (ART) in Ontario was estimated to be CAD 15,552 according to the Ontario Drug Benefit Formulary (1, 2). Universal, no-cost ART for all …

Impact of universal coverage for antiretroviral therapy (ART) on health outcomes Read More »

Pill bottles representing the seven classes of antiretroviral drugs

Impact of nonadherence to antiretroviral therapy (ART) on population-level health outcomes

-+*Download pdf Questions What is the impact of nonadherence to antiretroviral therapy (ART) on population-level health outcomes?  Key take-home messages Several studies analyze overall healthcare costs, pharmacy costs, and cost savings among people living with HIV relative to level of ART adherence (1–5). Generally, adherence to ART appears to predict levels of healthcare utilization, with …

Impact of nonadherence to antiretroviral therapy (ART) on population-level health outcomes Read More »

Person using syringe on yellow substance

A review of structural, process, and outcome measures for supervised consumption services

-+*Download pdf Questions What structural, process, and outcome measures are used to monitor and evaluate the impact of supervised consumption services (SCS)?  Key take-home messages A 2019 systematic review identified several types of outcomes from scientific literature that guide assessment of SCS, including: usage by high-risk individuals, safe injection practice, overdose management, uptake of treatment …

A review of structural, process, and outcome measures for supervised consumption services Read More »

Red vehicle in time lapse

Laboratory (non-rapid) HIV testing in the emergency department: Methods, outcomes, and effectiveness

-+*Download pdf Questions What does the literature state regarding the methodology, outcome measures, and effectiveness of interventions that provide blood-based laboratory (non-rapid) HIV testing in emergency departments?  Key take-home messages There is a large body of evidence examining best practices, outcomes, impact, and other aspects of laboratory (non-rapid) HIV testing in emergency departments (EDs). Many …

Laboratory (non-rapid) HIV testing in the emergency department: Methods, outcomes, and effectiveness Read More »

Person holding smartphone

Best practices of using online and geosocial network applications to provide HIV and sexual health information to young newcomer men who have sex with men

-+*Download pdf Questions What are examples of online interventions providing HIV and sexual health information to young newcomer men who have sex with men originating from the top countries of citizenship among international students in Canada (such as China, India, Vietnam, South Korea, Mexico, Brazil and Nigeria)?  Key take-home messages There is a high HIV …

Best practices of using online and geosocial network applications to provide HIV and sexual health information to young newcomer men who have sex with men Read More »

Three men walking down the street

Testing interventions for HIV and sexually transmitted infections (STIs) among young men who have sex with men

-+*Download pdf Questions What are effective interventions to increase uptake of HIV and sexually transmitted infections (STIs) testing among young men who have sex with men?  Key take-home messages In Canada in 2018, 63% of all HIV diagnoses among youth were attributed to gay, bisexual, and other men who have sex with men (1); similarly, …

Testing interventions for HIV and sexually transmitted infections (STIs) among young men who have sex with men Read More »

WordPress Image Lightbox Plugin