Enhancing HIV Testing and Treatment among Men Who Have Sex with Men in China: A Pilot Model with Two-Rapid Tests, Single Blood Draw Session, and Intensified Case Management in Six Cities in 2013

• DOI: 10.1371/journal.pone.0166812
• Publication Date: 2016-12-01T13:49:57Z
• Authors: Dapeng Zhang; Hongyan Lu; Minghua Zhuang; Guohui Wu; Hongjing Yan; Jun Xu; Xiaoli Wei; Chengmei Li; Sining Meng; Xiaojing Fu; Jinlei Qi; Peng Wang; Mei Luo; Min Dai; Ray Yip; Jiangping Sun; Zunyou Wu
• Keywords: HIV screening; Pre-exposure prophylaxis; Attrition

To explore models to improve HIV testing, linkage care and treatment among men who have sex with (MSM) in cooperation community-based organizations (CBOs) China.We introduced a new model for testing services targeting MSM six cities 2013.These provision of rapid by CBO staff streamlined processes screening, confirmation initial reactive screening results, diagnosed people. We monitored attrition along each step the continuum from compared program performance between 2012 2013. According providers two tests (HIV screening), four different delivery were examined 2013: Model A = first screen at CDC, second CDC (Model CDC+CDC), B screens CBOs CBO+CBO), C CBO, Hospital CBO+Hosp), D CBO+CDC). Logistic regressions performed assess advantages case finding management.Compared 2012, number increased 35.8% 2013 (72,577 vs. 53,455 2012). observed 5.6% increase proportion cases screened receiving confirmatory (93.9% 89.2% χ2 48.52, p<0.001) 65% reduction loss CD4 cell count (15% 43% 628.85, p<0.001). Regarding treatment, pilot showed that had highest rate test models, 18.1% fewer further 5.9% those tests. The lower losses (0.8% 1.3%) newly positives tests, higher rates referred designated ART hospitals (88.0% 93.3%) than (4.6% 5.7% test, 68.9% 64.4% referring hospitals). where was commenced on C; 52.8% 38.9%, 34.2% 21.1% Models A, respectively. Using as reference group, multivariate logistic regression results also B, D, which referral initiation ART, when controlling city other factors.This study has demonstrated involvement provision, streamlining procedures early hospital management can to, retention China.