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Going forward: results, reflections and recommendations from the MSM testing blitz Ken English AIDS Bureau, MOHLTC. What prompted this campaign?. MSM are disproportionately a ffected by HIV. Estimated 20% of MSM have HIV but are u ndiagnosed. Syphilis incidence is on the rise.

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Presentation Transcript
slide1

Going forward: results, reflections and recommendationsfrom the MSM testing blitz

  • Ken English
  • AIDS Bureau, MOHLTC
slide2

What prompted this campaign?

MSM are disproportionately affected by HIV

Estimated 20% of MSM have HIV but are undiagnosed

Syphilis incidence is on the rise

slide3

What was the intent of the campaign?

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Heighten Awareness

Improve Knowledge

slide4

What were the key messages?

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Unprotected anal intercourse with an HIV positive partner or a partner of unknown status is a high risk activity

Seroconversion symptoms such as fever, night sweats, or body rash may be a sign of a recent HIV infection

An accurate HIV test result may take up to three months, however early testing technologies are available

Syphilis infection has been on the rise among MSM so HIV testing should include syphilis testing

Having a STI facilitates HIV transmission

slide7

Campaign evaluation…

WE ASKED

Did the campaign attract high-risk MSM to get tested for HIV?

Did awareness of HIV and syphilis symptoms, and the advisability of testing, increase among MSM as a result of the campaign?

FIVE DATA SOURCES WERE EXAMINED

A large-scale online pre- and post-campaign survey

A short survey of men who tested

Information drawn from clinic charts

PHLtesting data

Campaign website traffic

slide8

Who we engaged…

72% of blitz testers recently engaged in unprotected sex

50% of survey participants who came from squirt.org or manhunt engaged in unprotected sex

slide9

Who we engaged…

  • HIGHER RISK MSM
  • 20% increase in testing in Toronto
  • 24% increase in testing in Ottawa
  • 2% positivity rates overall

Higher positivity rate in key groups:

First time testers

2.75%

45-54 age group

3.91%

Reported inconsistent condom use

2.72%

slide10

Campaign findings…

RESULTS:

The testing blitz campaign improved knowledge about:

✓ seroconversionsymptoms

✓ sexually transmitted inflections

✓ HIV transmission

✓the HIV window period

15,000unique visitors to the campaign site

54%

of all web traffic came from Toronto or Ottawa

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Who had higher knowledge levels?

aware of the campaign

had an HIV test within the last year

more education

ever had a syphilis test

younger

identified as gay

slide12

What else?

  • Those who attended a clinic were more likely to report that the campaign was attention grabbing than online survey participants
  • Over 50% living in Toronto or Ottawa thought the campaign would encourage men to test
slide13

What is most important to people getting tested?

  • Immediate Results - rapidity of the point-of-care (POC) test
  • Availability without an appointment
slide14

Lessons learned from the blitz…

ACCESS

Gay friendly clinics and anonymous testing.

ORGANIZATION

Project lead in the clinics.

COMMUNITY AND PARTNERSHIPS

Promotion through a network.

CLEAR CREATIVE MESSAGING

One clear concise message.

PHASED DELIVERY MODEL

Adjust things if they are not working.

slide15

Next Steps…

LET’S GET PEOPLE TESTING!

Outreach works. If we reach out to people at risk and make testing more accessible, more will test.

Testing helps get people into care.25% of people with HIV are undiagnosed or diagnosed too late.

The earlier HIV is diagnosed, the more likely people are to maintain their health.

Testing is effective prevention. The counselling people receive can reduce their risks.

The status quo is not enough. To prevent new infections and diagnose HIV early, we must actively engage people.

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Next Steps…

  • WE CAN HELP!
  • TESTING INTERVENTION STRATEGIES
  • Collaborate with other organizations
  • Find the appropriate channels
  • Find the appropriate messenger
  • Awareness increases testing
  • Don’t be afraid to fail
  • Make testing initiatives discretionary and discrete
  • Every community is different

GET RESOURCES AND SHARE YOURKNOWLEDGE

The OHTN has created a collaborative web space to provide resources and help youwith your testing campaign. Download terrific, customizable resources:

• posters • ads

• PSAs• follow-up cards

• fact sheets