EACS2023: 755 A prospective assessment from Kenya of the HIV Enhanced Access Testing in the Emergency Department (HEATED) program: a pragmatic evidence-based approach to increased service delivery among high-risk groups for HIV A. Aluisio , J. Smith-Sreen , J.W. Maina , S. Pirirei , J. Kinuthia , H. Waweru , R. Bosire , D. Ojuka , D. Katz , M. Mello , C. Farquhar Alpert Medical School of Brown University, Providence, United States, Kenyatta National Hospital, Nairobi, Kenya, Kenyatta National Hospital, Nairobi, United States, Kenya Medical Research Institute, Nairobi, Kenya, University of Nairobi, Nairobi, Kenya, University of Washington, Seattle, United States General data Abstract category: Access and delivery of care Abstract body Purpose: To assess impacts of the HIV Enhanced Access Testing in the Emergency Department (HEATED) program on HIV Testing Servicers (HTS) during ED care at Kenyatta National Hospital (KNH). Method: This prospective study assessed HEATED program HTS impacts at KNH in Nairobi, Kenya. The evidence-based program employees pragmatic behavioral change interventions to promote stakeholder engagement with ED-HTS utilizing existing resources, complimented by integrating services delivery and increasing understanding of HIV care focusing on high-risk persons. Pre-implementation phase (6 March-16 April 2023) and post-implementation phase (1 May-26 June 2023) data were collected, with an interspersed two-week program implementation period. Data were obtained from systems level HTS metrics and from a continuous sample of enrolled participants. Patient participants were adults, able and willing to consent and seeking injury care; selected given their high likelihood of being from key populations or priority groups at risk for HIV. Data were obtained on provider program perceptions. Results: There were 3,498 and 4,520 patient encounters during the pre-implementation and post-implementation phases, respectively. Among these 2,303 injury patients were screened, 604 met inclusion criteria and were enrolled. Systems level Inter-phase data found ED-based HTS completion increase from 16.7% to 22.5% (p<0.001) with a 62.9% relative increase in HIVST kit provision. For enrolled participants HTS completion was 5.7% pre-implementation and 62.3% post-implementation (p<0.001), with an absolute increase testing to key populations by 5.0% (p<0.001) and priority groups by 62.5% (p<0.001). Diagnosis of HIV was 3.6% during pre-implementation and 5.1% in the post-implementation phase (p=0.172). Provider program perceptions found it to be beneficial in health care delivery. Conclusions: The HEATED program increased overall HTS delivery and augmented services for key populations and priority groups, suggesting that broader program implementation could support services enhancement for high-risk persons, already in contact with health systems, and who are integral to achieving global HIV control targets. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 1 2 2 3 2 4 5 6 1 6 1 2 3 4 5 6 45
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