-Organization of care

Service provision, health systems, interventions

HIV self-testing in high-income settings: Acceptability, potential benefits and harms, issues related to linkage to care, interventions to increase HIV self-testing

-+*Download pdf Questions What is the current evidence in high-income settings on HIV self-testing related to acceptability, potential benefits and harms, issues related to the linkage to care after a positive test, and interventions to increase HIV self-testing?  Key take-home messages HIV self-testing has the potential to increase rates of HIV testing and is acceptable […]

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Burnout among service providers addressing substance use disorders

-+*Download pdf Questions What are the sources and consequences of burnout among service providers addressing substance use disorders? What interventions have been implemented to manage the impact of burnout among service providers addressing substance use disorders?  Key take-home messages Main burnout components experienced among service providers addressing substance use disorders include emotional exhaustion (feeling drained

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Unmet needs of Indigenous peoples living with HIV

-+*Download pdf Questions What are the unmet needs of Indigenous peoples living with HIV? What interventions, strategies, and programs have been used to address these needs?  Key take-home messages In 2016, First Nations, Métis, and Inuit peoples accounted for 4.9% of the Canadian population but represented 11.3% of all new HIV infections (1). When considering

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The risk of coercion in the context of HIV self-testing

-+*Download pdf Questions What evidence is available on risk of coercion in the context of HIV self-testing?  Key take-home messages While studies to date indicate that there are many benefits of HIV self-testing (also known as home-testing) and the risk of harm through coerced self-testing is minimal, the risk of coercion still exists (1). HIV

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Sexualized drug use (chemsex and methamphetamine) and men who have sex with men

-+*Download pdf Questions What is the impact of sexualized drug use (specifically of chemsex and methamphetamine) on the health of men who have sex with men? What are effective interventions and/or services that address chemsex and methamphetamine use among men who have sex with men (including prevention, harm reduction, engagement in care and treatment)?  Key

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Out-of-pocket costs associated with HIV in publicly funded high-income health care settings

-+*Download pdf Question What out-of-pocket costs are associated with aging among people living with HIV?  Key take-home messages The aging of the people living with HIV in care is leading to increased HIV care costs (1). There is considerable inter-jurisdictional heterogeneity in the cost-sharing policies for antiretrovirals across Canada’s public drug programs (2). Out-of-pocket costs

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A cross-jurisdictional review of HIV testing intervals for population groups at high risk of HIV infection

-+*Download pdf Question At what intervals do high-income jurisdictions encourage population groups at high risk of HIV infection to come forward for routine testing?  Key take-home messages Most guidelines recommend at least annual HIV testing of population groups at high risk of HIV infection. These include: men who have sex with men, transgender women and

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The impact of location on implementation of HIV/STI prevention interventions among LGBTQ communities

-+*Download pdf Questions What is the impact of geographical location on implementation of HIV/STI prevention programs or interventions among LGBTQ communities?  Key take-home messages The characteristics of a location, including segregation, community-level stigma, and infrastructural resources, may influence HIV service utilization and the HIV continuum of care among men who have sex with men (1).

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The efficacy of post-exposure prophylaxis (PEP) for HIV

-+*Download pdf Questions What is the efficacy of PEP when used for non-occupational exposure? What is the efficacy of PEP when used for occupational exposure? Are specific PEP regimens more efficacious than others? What are key factors implicated in the efficacy or inefficacy of PEP?  Key take-home messages PEP initiated soon after exposure can reduce

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Economic evaluations of pre- and post-exposure prophylaxis for HIV

-+*Download pdf Questions What is the cost-effectiveness of HIV post-exposure prophylaxis? What is the cost-effectiveness of HIV pre-exposure prophylaxis? What are the gaps in literature?  Key take-home messages Economic evaluations of health care interventions can inform resource allocation and policy development. However, interpreting and generalizing results can be challenging (1). PrEP can be cost-effective or

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