RECRUITINGOBSERVATIONAL

Universal Test and Connect for HIV Service Delivery in South Africa

Universal Test and Connect for HIV Service Delivery in South Africa and Baltimore

About This Trial

The goal of this study is to determine how many patients with HIV or at high risk of getting HIV attend the Emergency Department (ED) in South Africa (SA). The investigators will integrate HIV assessment in the ED and see how many people who would be a candidate for a drug that prevents HIV (PrEP). Universal test and connect (UTC) is a strategy that universally tests all patients and connects patients to long-term care, whether HIV positive or negative, including referrals for PrEP. The investigator's goal is to use UTC across two busy 24-hr EDs in Cape Town, SA.

Who May Be Eligible (Plain English)

Inclusion Criteria for universal testing and connecting: - Patients attending the Emergency Department - Ages \> or = 12 years old in South Africa - For subset that participate in PrEP choice trial, inclusion criteria will be to ensure that they meet PrEP eligibility criteria and do not have any contraindications to PrEP (kidney disease, acute HIV signs or symptoms, already taking PrEP). Who Should NOT Join This Trial: - Patients unable to provide written willing to sign a consent form - i.e., have a depressed level of consciousness (head trauma or concurrent alcohol/substance abuse), determined as critically ill (triage score of "emergent"), or - do not speak a language spoken by the study team (English, Afrikaans, and Xhosa). In-depth interviews and surveys to providers: Who May Qualify: - Nurses, physicians, or advanced practice providers (APPs) who work regularly in the Emergency Department at one of the clinical sites. - Consent to a recorded in-depth interview and/or Normalizing Process Theory (NPT) survey Who Should NOT Join This Trial: - Providers who have already been interviewed (if working at both clinical sites) - Providers who do not consent to an interview or a survey. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria for universal testing and connecting: * Patients attending the Emergency Department * Ages \> or = 12 years old in South Africa * For subset that participate in PrEP choice trial, inclusion criteria will be to ensure that they meet PrEP eligibility criteria and do not have any contraindications to PrEP (kidney disease, acute HIV signs or symptoms, already taking PrEP). Exclusion Criteria: * Patients unable to provide written informed consent - i.e., have a depressed level of consciousness (head trauma or concurrent alcohol/substance abuse), determined as critically ill (triage score of "emergent"), or * do not speak a language spoken by the study team (English, Afrikaans, and Xhosa). In-depth interviews and surveys to providers: Inclusion Criteria: * Nurses, physicians, or advanced practice providers (APPs) who work regularly in the Emergency Department at one of the clinical sites. * Consent to a recorded in-depth interview and/or Normalizing Process Theory (NPT) survey Exclusion Criteria: * Providers who have already been interviewed (if working at both clinical sites) * Providers who do not consent to an interview or a survey.

Treatments Being Tested

DIAGNOSTIC_TEST

HIV testing

Point of Care HIV testing universally regardless of risk factors

OTHER

In-depth interview

In-depth interviews of providers using Normalization Process Theory semi-structured interview guide to assess provider perspectives of PrEP delivery in the ED

Locations (1)

Gugulethu Community Health Centre

Cape Town, Western Cape, South Africa