BRIDGE: Improving HIV Service Delivery for People Who Inject Drugs
Completed · Not applicable
Conditions studied: Human Immunodeficiency Virus, Substance Abuse, Intravenous
In brief
Scaling up integrated, cost-efficient HIV services for people who inject drugs (PWID) in Needle Syringe Programs (NSPs) is urgently needed in Kazakhstan, where only one-third of the estimated 19,000 HIV-positive PWID are ever linked to HIV care and only 10% initiate ART with 4% achieving viral suppression. The study's aim is to evaluate the implementation, effectiveness, and sustainability of an integrated HIV service model in 24 NSPs located in 3 Kazakhstani city areas. This model will employ highly effective strategies that will include peer-driven recruitment of PWID in NSPs using social network strategies (SNS), integrating rapid HIV testing in NSPs with HIV Care Clinic nurses, and linking HIV positive PWID in NSPs to HIV care using the ARTAS (Anti-Retroviral Treatment and Access to Services) case management model. Findings will have important public health implications for improving HIV service delivery for PWID in the Central Asian region and other countries with injection driven epidemics.
Key facts
- Study ID
- NCT02796027
- Run by
- Columbia University
- People needed
- 616
- Starts
- 2017-02-01
- Expected to finish
- 2020-08-01
- Last updated by the study team
- 2022-05-31
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- positive confirmatory HIV test;
- aged 18 or older;
- report injecting any drug in the past 30 days; and
- have had one or more contacts with NSP staff at one of the 24 NSPs
You may not qualify if…
- show evidence of significant psychiatric or cognitive impairment that would limit effective participation as confirmed during informed consent;
- are not fluent in Russian or Kazakh as determined during informed consent; or
- have been previously screened for or enrolled in the study confirmed by fingerprint scan
Where it is running
- Columbia University School of Social Work — New York, New York, United States
- Global Health Research Center of Central Asia — Almaty, Kazakhstan
Full record on ClinicalTrials.gov
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