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ENHANCING DIAGNOSIS AND LINKAGE TO CARE<br />
No one left behind<br />
“We have to understand that people requiring treatments are not going to come to the tertiary<br />
hospitals, they're not going to come to us. We need to think about how we provide treatment and<br />
care in the places that are acceptable and accessible to those who are at most risk, to the people<br />
who are most affected,” Margaret Hellard<br />
Key review of #HBV #HCV interventions to enhance testing, care linkage and treatment<br />
Question: How do reach and link to care the estimated 63 000 undiagnosed Australians with HCV?<br />
Priority Population: PWID<br />
57% of PWID attending NSP have HCV<br />
Among PWID w prior exposure to HCV, 12% reported ever receiving HCV treatment and 2%<br />
had received treatment in the last 12 months.<br />
16% of PWID reported sharing needles and syringes in the last year.<br />
X% of new infections are attributed to injecting drug use.<br />
An estimated x% of PWID diagnosed with HCV are lost to follow up care (do we have this<br />
stat??)<br />
Key findings<br />
Discrimination from health workers lessens the likelihood of PWID engaging in future<br />
treatment.<br />
Many PWID have received highly stigmatised care. and remain alienated from health<br />
services.<br />
Peer support plays a valuable role in hepatitis C treatment access in OST settings.<br />
Peer services should be offered to all PWID with HCV.<br />
People with the “lived experience” should be involved in development of care.
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