School of Public Health
South Africa - Implementing and evaluating emergency department based HIV testing strategies in South Africa
Emergency Departments (EDs) are episodic care centers that provide care to large volumes of patients (in SA 150-700 patients per day) for short periods of time. ED populations are typically younger, and have a higher prevalence of substance abuse and mental health disorders (1 in 8 ED visits) . In addition vulnerable patients (i.e., persons with substance abuse, homelessness, mental health problems and victims of violent crime) are 1.4-2 times more likely to seek care in the ED compared to primary care settings. The ED is a high-yield HIV testing venue, however in South Africa ED-based testing is really implmented.
The larger project seeks to explore the current HIV testing paradigm within an emergency department setting in South Africa and then develop and implement a locally informed ED-based HIV testing strategy that bridges the HIV care continum (i.e., optimizes testing, initiation of treatment and enagagement in care).
This research proposal was developed in collaboration with the International HIV/STD section at NIAID (NIH), the SAMRC, the faculty of Health Sciences at Walter Sisulu University (WSU) and the Albertina Sisulu Center for Global Health Research at WSU
Global Health PI/Mentor: Bhakti Hansoti