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P179 Community based local rapid HIV testing campaigns to expand HIV diagnostic coverage
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  1. Ana Amélia Bones1,
  2. Mcarthur Barrow2,
  3. Carlos Andres Casas3,
  4. Marina Dias4,
  5. Gabriela Storck4,
  6. Silvio Cazella1,
  7. Airton Stein5
  1. 1Health Federal University from Porto Alegre, Health Informatics Post Graduation Program, Porto Alegre, Brazil
  2. 2Municipal Secretary of Health of Porto Alegre, Primary Health Care Trainee Program, St.Philip, Barbados
  3. 3Health Federal University from Porto Alegre, Medicine Academic, Bogota, Colombia
  4. 4Municipal Secretary of Health of Porto Alegre, Departamento of Sexually Transmitted Infections, Porto Alegre, Brazil
  5. 5Health Federal University from Porto Alegre, Health Science Post Graduation Program, Porto Alegre, Brazil

Abstract

Background The UNAIDS 90–90–90 programme aims to increase healthcare access for asymptomatic HIV patients, ensuring their well-being and disrupting the transmission network of the virus. The city of Porto Alegre, is one of the cities with the worst HIV indicators in Latin America. One of the strategies currently being implemented to address this is to develop a public Rapid Testing (RT) campaign, with immediate management of HIV, Syphilis and Hepatitis C. The objective of this research is to evaluate the initial results of the strategy in 2018.

Methods Cross-sectional study using the time series approach for all RTs conducted in public testing events in 2018, through data mining, with WEKA software.

Results Among the 4157 RTs carried out, reactive test results were observed as follows: 97(2.3%) HIV, 626(15%) syphilis and 156(3.7%) for Hepatitis C. The characteristics of this population are: 2004(48%) women, 375(9%) homo/bisexual, 710(17%) under 25 years and 1001(24%) elderly. In the HIV reactive subgroup, 29(30%) women, 29(30%) homo/bisexual, 11(11%) under 25 years, 17(17%) elderly, 54(56%) syphilis co-infection and 14(14%) for Hepatitis C reactive test, it should be noted that these results differ in proportion to published municipal/national data.

Conclusion The availability of RTs in public spaces facilitated early diagnosis in young and homosexual/bisexual populations. However, the campaign also observed participation from other populations such as the elderly and homeless, who are guaranteed by law priority access to health services. The amplification of healthcare access through RTs made early diagnosis possible in asymptomatic individuals. According to data mining, this strategy reached population groups which differ from those observed in Epidemiological Bulletins of previous years. The recommendation to also encourage the provision of ART to the elderly and homeless can be an effective strategy that should be evaluated in future research.

Disclosure No significant relationships.

  • HIV
  • diagnosis
  • prevention
  • intervention and treatment

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