Rao, Aditi

School of Public Health

MSPH

South Africa

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

People

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...

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Noreen Hynes, MD MPH

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

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