Project Grant R34MH138250

Award Date 9/10/24
Completion Date 9/9/27
Dollars Obligated $583K
Federal Grant Program
93.855
Assistance Type
Project Grant
Place of Performance
Maryland, USA
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This federal Project Grant award from the National Institute of Allergy and Infectious Diseases (CFDA 93.855 - Allergy and Infectious Diseases Research) totaling $582,959 will fund a pilot study to integrate a "Universal Test and Connect" (UTC) HIV service delivery strategy in emergency care settings in South Africa. The goal is to expand access to both preventative (pre- and post-exposure prophylaxis) and therapeutic (ART initiation) HIV services through the emergency department, which sees high volumes of adults who may not otherwise interact with the healthcare system.

The key products and services to be delivered include:

  1. Integrating HIV assessment into routine emergency care over 1 year to define the prevalence and characteristics of eligible patients (Aim 1).
  2. Piloting the delivery of oral and long-acting pre-exposure prophylaxis (PrEP) to 100 emergency department patients (Aim 2).
  3. Assessing the operational feasibility of the UTC approach through patient journey mapping and healthcare worker acceptability surveys and interviews (Aim 3).

This project is a new collaboration between Johns Hopkins University and the Desmond Tutu HIV Foundation to leverage their expertise in emergency department-based HIV service delivery and action research.

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