-Organization of care

Service provision, health systems, interventions

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

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

-+*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

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

-+*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

-African, Caribbean, and Black communities, -HIV testing, -Indigenous peoples, -Men who have sex with men, -Organization of care, -Women at risk, Rapid Responses / By

-+*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

-HIV prevention, -Men who have sex with men, -Organization of care, -Social determinants of health, News, Rapid Responses / By

-+*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

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

-+*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

-HIV prevention, -Men who have sex with men, -Organization of care, -People who use drugs, Rapid Responses / By

-+*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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Postpartum women living with HIV: Challenges related to retention in care, treatment adherence, and mental health

-Epidemiology and HIV care cascade, -Mental health or substance use, -Organization of care, -Women at risk, Rapid Responses / By

-+*Download pdf Questions What are the challenges related to retention in HIV care during the postpartum period? What are the challenges related to HIV treatment adherence during the postpartum period? What are the challenges related to postpartum depression among women living with HIV? What effective interventions or promising practices can be used to support women …

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Interventions to reduce stigma among health care providers working with substance users

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

-+*Download pdf Questions What are effective interventions for reducing stigma among health care providers who work with substance users?  Key take-home messages The attitudes and behaviours of practitioners have been linked to a variety of clinical outcomes in different patient groups (1, 2). The prevalence of stigma among health care providers towards people who use …

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Nutrition and HIV

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

-+*Download pdf Questions Do people living with symptomatic HIV infection or AIDS require a therapeutic diet?  Key take-home messages Nutrition is an important component of care for people living with HIV (1–5). Nutritional needs for people living with HIV can vary; therefore, dietary recommendations should be individualized to meet specific needs (1–3, 6). In general, …

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Online mental health counselling interventions

-Mental health or substance use, -Organization of care, Rapid Responses / By

-+*Download pdf Questions What are evidence-informed practices for providing online mental health counselling? What online platforms and modalities have been used for providing online counselling, and which have been shown to be effective? Which populations have been shown to benefit from online counselling? What ethical and privacy issues need to be considered when offering online …

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