Hahn, Elizabeth

School of Public Health

MSPH

South Africa

South Africa-Implementing and evaluating emergency department based HIV testing strategies in South Africa

Background: South Africa has the largest HIV epidemic in the world, with 19% of the global number of people living with HIV, 15% of new infections and 11% of AIDS related deaths. Even though HIV testing is mandated in all hospital-based facilities in SA, it is rarely implemented in the emergency department (ED). The ED is a unique healthcare setting which provides episodic care to large volumes of undifferentiated patients for short periods of time who present with unplanned injury or illness, and thus may have the opportunity to capture undiagnosed HIV-infected patients missed by routine clinic-based screening programs.

Methods: In this prospective exploratory study, we will implement the National South African HIV testing guidelines, including 24-hours a day counselor initiated HIV Counseling and Testing (HCT), at Port Elizabeth Hospital in the Eastern Cape over a three month period. The purpose of this study is to quantify the burden of undiagnosed HIV infection in a South African ED setting. Furthermore, we seek to evaluate the effectiveness of the nationally recommended testing model in the ED to capture patients for testing. All patients who presented for care in the ED during the study period, and who were clinically stable and fully conscious, are eligible to be approached by HCT staff to receive a rapid point-of-care HIV test. 

PI Mentor: Bhakti Hansoti

People

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases
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November 2018

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