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Client and Provider Preferences for HIV care: Implications for Implementing Differentiated Service Delivery in Thailand

Tue 27 Feb 2018 Implementation Sciences
What is Client and Provider Preferences for HIV care: Implications for Implementing Differentiated Service Delivery (DSD) in Thailand study?

This study will investigate preferences for HIV care among participants enrolled in the ‘Study to evaluate the feasibility of Community-based Test and Treat strategies among men who have sex with men and transgender women to increase the uptake of HIV testing and treatment services in Thailand’. As well as accessing the knowledge and attitudes among health care workers at the community-based organization (CBOs) and hospitals.

Who will be participating?
The study will enroll 370 MSM or TGW who have been tested HIV-positive in the Community-Led Test and Treat Study and are receiving ART in at six different community drop-in-centers: RSAT Bangkok, SWING Bangkok, CAREMAT Chiang Mai, SWING Chonburi, Sisters Chonburi and RSAT Songkhla. A group of CBO staff and healthcare workers will also be asked to participate. The participants will be invited to complete a 5-10-minute-long questionnaires accessing to assess their satisfaction with current clinical services, preferences for location, frequency and provider of HIV services, as well as expectations and concerns.

Why is this DSD questionnaire study important?
Key populations face more barriers to HIV testing and treatment, as well as to retention in care and adherence to therapy. Such barriers include social exclusion, stigma and discrimination inflexibility and inconvenience of public sector health care facilities. Therefore, task shifting to community-based organizations as part of the DSD model can potentially increase the quality of care, adherence and retention for these key populations, while reducing the burden for the hospitals and health care workers. However, very little is currently known about client preferences and staff knowledge and attitude towards DSD. The information obtained from this study will help guide the development and implementation of a DSD model for HIV care relevant to our setting.

Implementation Sciences