-Organization of care

Service provision, health systems, interventions

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

-Epidemiology and HIV care cascade, -Organization of care, News, Rapid Responses /

-+*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 […]

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Pill bottles representing the seven classes of antiretroviral drugs

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

-Epidemiology and HIV care cascade, -Organization of care, News, Rapid Responses /

-+*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

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Person using syringe on yellow substance

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

-Organization of care, -People who use drugs, News, Rapid Responses /

-+*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

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Red vehicle in time lapse

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

-HIV testing, -Organization of care, News, Rapid Responses /

-+*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

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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

-HIV prevention, -HIV testing, -Men who have sex with men, -Organization of care, News, Rapid Responses /

-+*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

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Three men walking down the street

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

-African, Caribbean, and Black communities, -Coinfections and comorbidities, -HIV testing, -Men who have sex with men, -Organization of care, News, Rapid Responses /

-+*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,

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Picture of NARCAN box and spray

Effectiveness of take-home naloxone programs and availability of naloxone nasal spray in different jurisdictions

-Mental health or substance use, -Organization of care, -People who use drugs, News, Rapid Responses /

-+*Download pdf Questions What is the evidence of the effectiveness of take-home naloxone programs and administration of naloxone by laypeople? Which jurisdictions provide take-home naloxone programs? What is the current availability of naloxone nasal spray in different jurisdictions?  Key take-home messages There is wide support of take-home naloxone programs as they are associated with decreased

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Single green cacti in a pot with a pink flower on top

Free HIV self-testing: Best practices, positivity rates, and associated costs

-African, Caribbean, and Black communities, -HIV testing, -Men who have sex with men, -Organization of care, News, Rapid Responses /

-+*Download pdf Questions What are the different approaches to providing free HIV self-testing to reach different groups of population? What are the program costs associated with providing free HIV self-testing? What are the positivity rates for HIV self-testing?  Key take-home messages HIV self-testing is highly acceptable but could be cost prohibitive, especially for individuals at

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Silhouette of man standing alone face window

Interventions to reduce social isolation and loneliness among men who have sex with men

-Men who have sex with men, -Mental health or substance use, -Organization of care, News, Rapid Responses /

-+*Download pdf Questions  What interventions have been helpful to reduce social isolation and loneliness among men who have sex with men?  Key take-home messages Social isolation and loneliness are significantly associated with all-cause mortality in the general population (1). A recent study among gay and bisexual men who have sex with men in Vancouver found

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Small white tablets spilled on blue background

Possible benefits of providing safe supply of substances to people who use drugs during public health emergencies such as the COVID-19 pandemic

-Mental health or substance use, -Organization of care, -People who use drugs, News, Rapid Responses /

-+*Download pdf Questions What are possible benefits of providing a safe supply of substances to people who use drugs during public health emergencies such as the COVID-19 pandemic?  Key take-home messages Safe supply is an approach that focuses on saving lives by prescribing pharmaceutical grade substances such as opioids and stimulants to individuals at risk

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