Three infections, one fight: an implementation study in Regina, Saskatchewan
Introduction
Saskatchewan is currently facing a public health crisis marked by high rates of HIV, syphilis, and hepatitis C virus (HCV) infections, mostly affecting people who use injection drugs. These overlapping epidemics are worsened by structural challenges such as stigma, poverty, and a lack of culturally safe healthcare. There is an urgent need for innovative, community-driven strategies to enhance prevention, testing, and linkage to care.
Methods and Analysis
This study introduces a rapid assessment and response system in Regina, integrating geospatial mapping of needle distribution with community pop-up interventions. Maps highlighting needle hotspots will guide the placement of pop-up events offering on-site testing for HIV, syphilis, and HCV, as well as education on pre-exposure prophylaxis (PrEP) and postexposure prophylaxis (PEP).
A convergent participatory mixed-methods approach will evaluate the program’s feasibility, acceptability, and effectiveness, using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.
Quantitative Assessment
- Measures knowledge changes regarding PrEP and PEP
- Assesses participant satisfaction with the intervention
- Reports new diagnoses and participant demographics descriptively
Qualitative Substudy
Includes 30 participants to explore their experiences with the intervention, identify barriers to care, and understand perceptions of service delivery.
Saskatchewan is facing a public health crisis driven by high rates of HIV, syphilis, and hepatitis C virus (HCV) infections, particularly among people who use drugs.
Needle hotspot maps will guide deployment of community-based pop-up events offering point-of-care testing and education on PrEP and PEP.
Summary: This study tackles interconnected infections through targeted, community-led interventions in high-risk areas, aiming to improve prevention and care among vulnerable populations in Regina.