Universal Test and Connect for HIV Service Delivery in South Africa
Recruiting now
Conditions studied: Human Immunodeficiency Virus, Pre-Exposure Prophylaxis, Emergency Department, South Africa
In brief
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.
Key facts
- Study ID
- NCT06408142
- Run by
- Johns Hopkins University
- People needed
- 2000
- Starts
- 2026-01-19
- Expected to finish
- 2027-12-01
- Last updated by the study team
- 2026-01-30
Who can join
Age: 12 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- 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.
You may not qualify if…
- 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.
Where it is running
- Gugulethu Community Health Centre — Cape Town, Western Cape, South Africa (enrolling)
Full record on ClinicalTrials.gov
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