Getting to Zero Among HHI MSM in the American South

Getting to Zero Among Highest HIV Incidence (HHI) Men Who Have Sex With Men (MSM) in the American South: Testing an Integrated Strategy

This study will evaluate a status-neutral integrated strategy to improve access to and uptake of HIV prevention and treatment services for the highest HIV incidence (HHI) men who have sex with men (MSM) in participating communities. The ultimate goal is to establish a strategy to reduce HIV incidence among HHI MSM in the southern United States (US) by increasing the number of HHI MSM accessing prevention and treatment services, increasing uptake and use of pre-exposure prophylaxis (PrEP) among those living without HIV and increasing retention in care, and thus viral suppression, among those living with HIV.

Cross-Sectional HHI MSM Client Assessment Inclusion Criteria

• At least 18 years of age
• Man
• Self-reports a lifetime history of anal sex with another man (i.e., at any time in their life)
• Determined to be HHI within the study community per Centers for Disease Control and Prevention surveillance data
• Willing and able to provide consent to participate in the study
• Have a medical visit scheduled during the designated sampling period at a PHASE treatment or prevention healthcare facility

Cross-Sectional HHI MSM Client Assessment Exclusion Criteria

Individuals who have any condition that, in the opinion of the Investigator of Record (IoR) or designee, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives, will be excluded from the cross-sectional assessment.

There are no co-enrollment restrictions for participation in this assessment.

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HHI MSM Clients In-depth Interviews (IDIs) Inclusion Criteria

• Met inclusion criteria for the cross-sectional HHI MSM client assessment
• Completed the cross-sectional HHI MSM client assessment
• Willing and able to provide assent/consent

HHI MSM Clients IDIs Exclusion Criteria

Individuals who have any condition that, in the opinion of the Investigator of Record (IoR) or designee, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives, will be excluded from the qualitative interview.

There are no co-enrollment restrictions for these interviews.

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PHASE HCF Staff IDIs Inclusion Criteria

• Is a staff member at a participating PHASE facility
• Participated in at least one PHASE activity (e.g., attended a PHASE Foundation training, participated in Extension of Community Healthcare Outcomes training, member of PHASE quality improvement team)
• Willing and able to provide consent

PHASE HCF Staff IDIs Exclusion Criteria

Individuals who have any condition that, in the opinion of the Investigator of Record (IoR) or designee, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives, will be excluded from the qualitative interview.

There are no co-enrollment restrictions for these interviews

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