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Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand

INTRODUCTION: In Thailand, where the HIV epidemic is concentrated among key populations (KPs), particularly men who have sex with men (MSM) and transgender women (TGW), an HIV service delivery model tailored to KPs was piloted. This study evaluated the acceptability and retention of clients who acce...

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Autores principales: Lujintanon, Sita, Amatavete, Sorawit, Leenasirimakul, Prattana, Meechure, Jantana, Noopetch, Preudtipong, Sangtong, Supakarn, Sittikarn, Satayu, Phoopisutthisak, Poonnanat, Seekaew, Pich, Mills, Stephen, Phanuphak, Praphan, Ramautarsing, Reshmie A., Phanuphak, Nittaya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910427/
https://www.ncbi.nlm.nih.gov/pubmed/36757793
http://dx.doi.org/10.1002/jia2.26062
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author Lujintanon, Sita
Amatavete, Sorawit
Leenasirimakul, Prattana
Meechure, Jantana
Noopetch, Preudtipong
Sangtong, Supakarn
Sittikarn, Satayu
Phoopisutthisak, Poonnanat
Seekaew, Pich
Mills, Stephen
Phanuphak, Praphan
Ramautarsing, Reshmie A.
Phanuphak, Nittaya
author_facet Lujintanon, Sita
Amatavete, Sorawit
Leenasirimakul, Prattana
Meechure, Jantana
Noopetch, Preudtipong
Sangtong, Supakarn
Sittikarn, Satayu
Phoopisutthisak, Poonnanat
Seekaew, Pich
Mills, Stephen
Phanuphak, Praphan
Ramautarsing, Reshmie A.
Phanuphak, Nittaya
author_sort Lujintanon, Sita
collection PubMed
description INTRODUCTION: In Thailand, where the HIV epidemic is concentrated among key populations (KPs), particularly men who have sex with men (MSM) and transgender women (TGW), an HIV service delivery model tailored to KPs was piloted. This study evaluated the acceptability and retention of clients who accepted and declined the KP‐led HIV treatment service. METHODS: A retrospective cohort study was conducted using secondary data from three community‐based organizations (CBOs) and three hospitals in Thailand. KP lay providers were trained to lead HIV treatment service in which MSM and TGW living with HIV received counselling and a 3‐month antiretroviral therapy (ART) supply at CBOs. Thai MSM and TGW who were at least 18 years, on ART for at least 6–12 months, without co‐morbidities/co‐infections, and virally suppressed were eligible and offered the service. Those who declined received ART via other service models offered by the hospitals and served as a comparison group. RESULTS: Of 220 clients screened between February 2019 and February 2020, 72% (159/220) were eligible of which 146 were MSM and 13 were TGW. Overall, 45% (72/159) accepted the KP‐led service. Of those who declined, 98% (85/87) preferred to see the physician at the hospital. After 12 months of follow‐up, among those accepted, 57% were in care at the CBO, 32% were referred back to and in care in other service models offered by the hospital, 10% were successfully transferred out to other hospital and 1% were lost to follow‐up (LTFU); among those declined, 92% were in care in any service models offered by the hospital, 5% were successfully transferred out to other hospital, 2% were LTFU and 1% died (p‐value<0.001). CONCLUSIONS: Despite moderate acceptability and retention in care at the CBO among the clients accepting the KP‐led service, almost all clients were engaged in care overall. Multiple service models that meet the preferences and needs of KPs living with HIV should be available to optimize engagement in care.
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spelling pubmed-99104272023-02-13 Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand Lujintanon, Sita Amatavete, Sorawit Leenasirimakul, Prattana Meechure, Jantana Noopetch, Preudtipong Sangtong, Supakarn Sittikarn, Satayu Phoopisutthisak, Poonnanat Seekaew, Pich Mills, Stephen Phanuphak, Praphan Ramautarsing, Reshmie A. Phanuphak, Nittaya J Int AIDS Soc Research Articles INTRODUCTION: In Thailand, where the HIV epidemic is concentrated among key populations (KPs), particularly men who have sex with men (MSM) and transgender women (TGW), an HIV service delivery model tailored to KPs was piloted. This study evaluated the acceptability and retention of clients who accepted and declined the KP‐led HIV treatment service. METHODS: A retrospective cohort study was conducted using secondary data from three community‐based organizations (CBOs) and three hospitals in Thailand. KP lay providers were trained to lead HIV treatment service in which MSM and TGW living with HIV received counselling and a 3‐month antiretroviral therapy (ART) supply at CBOs. Thai MSM and TGW who were at least 18 years, on ART for at least 6–12 months, without co‐morbidities/co‐infections, and virally suppressed were eligible and offered the service. Those who declined received ART via other service models offered by the hospitals and served as a comparison group. RESULTS: Of 220 clients screened between February 2019 and February 2020, 72% (159/220) were eligible of which 146 were MSM and 13 were TGW. Overall, 45% (72/159) accepted the KP‐led service. Of those who declined, 98% (85/87) preferred to see the physician at the hospital. After 12 months of follow‐up, among those accepted, 57% were in care at the CBO, 32% were referred back to and in care in other service models offered by the hospital, 10% were successfully transferred out to other hospital and 1% were lost to follow‐up (LTFU); among those declined, 92% were in care in any service models offered by the hospital, 5% were successfully transferred out to other hospital, 2% were LTFU and 1% died (p‐value<0.001). CONCLUSIONS: Despite moderate acceptability and retention in care at the CBO among the clients accepting the KP‐led service, almost all clients were engaged in care overall. Multiple service models that meet the preferences and needs of KPs living with HIV should be available to optimize engagement in care. John Wiley and Sons Inc. 2023-02-09 /pmc/articles/PMC9910427/ /pubmed/36757793 http://dx.doi.org/10.1002/jia2.26062 Text en © 2023 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Lujintanon, Sita
Amatavete, Sorawit
Leenasirimakul, Prattana
Meechure, Jantana
Noopetch, Preudtipong
Sangtong, Supakarn
Sittikarn, Satayu
Phoopisutthisak, Poonnanat
Seekaew, Pich
Mills, Stephen
Phanuphak, Praphan
Ramautarsing, Reshmie A.
Phanuphak, Nittaya
Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand
title Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand
title_full Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand
title_fullStr Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand
title_full_unstemmed Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand
title_short Acceptability and retention of the key population‐led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand
title_sort acceptability and retention of the key population‐led hiv treatment service for men who have sex with men and transgender women living with hiv in thailand
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910427/
https://www.ncbi.nlm.nih.gov/pubmed/36757793
http://dx.doi.org/10.1002/jia2.26062
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