HIV self-test strategies have been proposed by the World Health Organization (WHO) since 2016 to enable people to learn about the HIV status in their own circumstances. Home-based test kits have not been approved for sale in Canada yet. Nevertheless, a team of collaborators from McGill University Health Center Research Institute (RI-MUHC) and Clinique Médicale in Montreal, HIVSmart! He evaluated an unchecked HIV self-test program through a smartphone and tablet app. a population at risk (men having sex with men). The findings of his work – a Canadian first – this week were published online in the Journal of Medical Internet Studies.
Larda To reach the first 95 of 95-95-95 targets set by UNAIDS until 2030, we must help identify HIV in those who are unaware of HIV status. He is the lead author of this study and a researcher at RI-MUHC's Global Health Program Infectious Diseases and Immunity. Nitika Pant Pai is a screening strategy with the potential to reach undiagnosed disease. Associate Professor at McGill University School of Medicine. "Hıvsmart! obstruct all gaps in the self-test; It works with any approved HIV self-test, simplifies the test and proactively informs the user. "
Teşvik By promoting the demonstration, HIVSmart! Dr. Réjean Thomas, who is also the founder and CEO of Clinique Médicale L & # 39; Actuel, can also help reduce the number of people living with HIV, so they don't know their status and can start treatment earlier. stat S 'An application such as HIVSmart increases access to tests outside of major cities, especially where it is difficult to take an exam because of privacy issues. katkı
hıvsmart! Pant Pai and his team developed by RI-MUHC are available for smartphone, tablet or web-based (Android, iPhone and iPad) hidden software application. It informs, interprets and stores data confidentially, but most importantly, promptly directs users to consultancy or maintenance and encourages the user to remain in care. Originally from Grand Challenges Canada, funding from HIVSmart was provided! This study, funded by Canadian Health Research Institutes (CIHR), was evaluated in Montreal.
hıvsmart! Feasibility in Montreal
Between July 2016 and February 2017, researchers conducted a study of 451 men who sex with males aged 18 to 73 years (sometimes referred to as MSM), who introduced themselves to Clinique Médicale L & Act 39 for HIV testing. At home a saliva-based HIV Test and a tablet equipped with HIVSmart was presented! Application. The strategy simulated testing in an uncontrolled home environment. hıvsmart! Using & # 39; I, participants will learn how to perform and interpret the test by going through the self-testing process, storing results and taking care quickly.
Iyor Our study shows HIVSmart! The Pant strategy is acceptable and preferred by an educated, urban MSM population in Montreal, the App strategy says. Or As a strategy, it fits individuals who prefer to test themselves comfortably in the comfort of a private area, such as their homes, offices or buffets. It's booster! "
HIV self-test for populations at risk
In Canada, the HIV epidemic, MSM, injection drug users, Indigenous peoples and HIV are represented disproportionately in key populations, such as migrants from endemic countries. About 18 to 25 percent of Canadian MSM populations are unaware of their HIV-positive status, and this number may be proportionally higher for IDPs, Indigenous peoples and immigrants, who underline the need for HIV access to self-test services.
Iz At the moment, we have all the means to destroy HIV. hıvsmart! . It's a way of supporting patient autonomy. App Ediy Promoting screening reduces the number of people who don't know their HIV status, passes HIV positive people to treatment quickly, so that those responsible for the viruses become undetectable and ultimately destroy HIV. “
Researchers are planning to adapt HIVSmart! The self-testing strategy for many under-risk populations in Canada and around the world, thus maximizing the impact on public health. hıvsmart! South Africa is also trying strategy.
UNAIDS Fast-Track Strategy to terminate AIDS until 2030:
- By 2030, 95% of all people living with HIV will know their HIV status.
- Up to 2030, 95% of all people with diagnosed HIV infection will receive persistent antiretroviral therapy.
- Up to 2030, 95% of all people receiving antiretroviral therapy will have viral suppression.
Profile of Participants
- Outside the high school, 84.7% were trained;
- 79.5% were employed;
- 52.5% tested in the last 6 months.
- 99.3% of respondents who tested themselves and received counseling after testing;
- 0.7% of the participants who were self-tested and laboratory approved positive were connected to a physician on the same day;
- 98.8% of participants found the app handy;
- I was willing to recommend 94% of the participants to a friend or partner.
-MUHC Research Institute
SağlıkMcGill University Health Center