Prevention, Testing &amp; Treatment

CORE

Documents

Recommendations.pdf

Description

Work Package 4 (WP4) focused on increasing the capacity of Community Health Workers (CHWs) in participating organizations to promote and conduct community-led and community-based interventions targeting individuals facing intersectional vulnerabilities. The objective was to enhance the effectiveness of prevention, testing, and linkage to care efforts for HIV/AIDS, TB, and STIs among these populations. WP4 aimed to identify areas where the HIV response is not effectively reaching its intended targets and understand the reasons behind these gaps. During the second part of the Results and Learning workshop (online), participants discussed recommendations for three different areas: Linkage to care, stakeholder engagement, and advocacy.

The following document provides short definitions of each topic that are used within the CORE project. Recommendations are listed subsequently.

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Unheard Voices - Understanding the challenges faced by Black people living with HIV in primary care

chris.spurgat@dah.aidshilfe.de — Thu, 09 Oct 2025 07:04:05 +0000

Unheard Voices - Understanding the challenges faced by Black people living with HIV in primary care chris.spurgat@… Thu, 10/09/2025 - 07:04

Topics

Intersectionality

Barriers

Unheard-Voices-Black-People-Primary-Care-Report.pdf

Key Population

Migrant Communities

Documents

Description

"This report outlines the key challenges faced by Black
people living with HIV in London when accessing
primary care and explores opportunities for improving
the quality of the care they receive. As HIV is a longterm
health condition, there needs to be a positive
relationship between people living with HIV and all
healthcare providers to support continued engagement
with care. Through analysing responses from our
survey completed by 142 Black-heritage respondents
living with HIV in London, we identify what must change
to ensure greater satisfaction with primary care and
improved engagement with GP surgeries.
The findings underline the need for culturally competent
care, increased patient-provider trust, and further
accessible resources to improve health literacy." (p. 3)

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A Guide to Do it Better in Our CBVCT Centres - Core practices in some European CBVCT Centres

chris.spurgat@dah.aidshilfe.de — Thu, 02 Oct 2025 08:14:43 +0000

A Guide to Do it Better in Our CBVCT Centres - Core practices in some European CBVCT Centres chris.spurgat@… Thu, 10/02/2025 - 08:14

Topics

Key Population

Community Health Workers

Sex Work

Trans and non-binary Communities

Migrant Communities

Women

LGBTIQ+

Documents

A Guide to Do it Better in Our CBVCT Centres.pdf

Description

"The implementation and improvement of community-based voluntary counselling and testing
(CBVCT) services is a means of offering these so-called hard-to-reach or more-at-risk populations an
opportunity to know their HIV status, receiving information and counselling, being linked to the
health system if necessary and being treated in a non-judgmental way. The community-based
approach will be the leitmotiv of this document, since CBVCT services target one or more
communities and include community members in at least one part of the implementation process
of the service.
The CBVCT approach can break down many barriers to HIV testing among most-at-risk populations
through the social proximity of the staff to the target community. Promotion of quality
implementation of CBVCT is necessary to guarantee and extend the valuable characteristics of the
community-based approach." (p. 4)

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CORE WP7 Policy Paper

chris.spurgat@dah.aidshilfe.de — Tue, 30 Sep 2025 11:49:37 +0000

CORE WP7 Policy Paper chris.spurgat@… Tue, 09/30/2025 - 11:49

Topics

CORE

Barriers

Policy & Advocacy

Key Population

Community Health Workers

Sex Work

Trans and non-binary Communities

Migrant Communities

Documents

01_Deliverable_WP7 Policy Paper_final.pdf

Description

Project CORE aims to reduce health inequalities in the EU by supporting inclusive, community-driven approaches. WP7 focused on identifying legal, regulatory, and structural barriers that hinder CL/CB service delivery for HIV, viral hepatitis, STIs, and TB.
This brief draws on data from 27 EU countries collected in 2022–2023 through a standardised questionnaire and desk research reflecting the state of affairs. It offers a concise overview of key challenges and proposes actionable policy reforms.

CORE Project: https://core-action.eu/core-home

Teaser

Screenshot policy paper.png

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HIV Testing and PrEP Use Among Trans and/or Non‑binary Participants in the TASG Study, a Participatory Study in Germany

chris.spurgat@dah.aidshilfe.de — Mon, 04 Aug 2025 12:05:18 +0000

HIV Testing and PrEP Use Among Trans and/or Non‑binary Participants in the TASG Study, a Participatory Study in Germany chris.spurgat@… Mon, 08/04/2025 - 12:05

Topics

Trans and non-binary Communities

Key Population

Documents

HIV Testing and PrEP Use Among Trans and or Non‑binary Participants.pdf

Description

Abstract
HIV testing and pre-exposure prophylaxis (PrEP) are recommended in Germany for individuals at increased HIV risk. How-
ever, data on HIV testing, PrEP use, and PrEP knowledge among trans and non-binary people are limited. We analysed data
from the ‘Sexuelle Gesundheit in trans und nicht-binären Communitys’ (TASG) study, a participatory study on HIV/STI
and sexual health among trans and non-binary people in Germany. The study was designed, promoted, and analysed with
active involvement of community members. Participants were invited to complete an anonymous online survey between 1
March and 1 July 2022. The outcomes included HIV testing within the last 5 years, PrEP use, and PrEP-specific knowledge.
Predictors for HIV testing were identified using a bootstrap stepwise selection procedure. Among 2468 HIV-negative par-
ticipants with information on potential HIV risks, 21.5% had potential needs for HIV testing and PrEP. Of these, only 44.3%
(208/470, missing: 60) reported testing for HIV within the last 5 years. Older participants, those living in larger cities, and
those with higher education levels were more likely to have tested for HIV. Additionally, only 8.3% (38/459, missing: 71)
reported ever using PrEP. Among 451 participants with potential PrEP needs (missing: 79), only 57.4% knew at least one of
three key PrEP-related facts at the time of the survey. Our findings highlight substantial gaps in HIV testing and prevention
among trans and non-binary individuals in Germany with potential needs for these services. Reducing barriers to testing
and prevention is essential to enable broader access to these critical services.

Koppe et al. AIDS and Behavior (2025) 29:1608–1618
https://doi.org/10.1007/s10461-025-04631-z

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Access to HIV-and Co-Infection(s) Treatment, Care and Prevention Services for People who use Drugs

chris.spurgat@dah.aidshilfe.de — Fri, 01 Aug 2025 09:49:02 +0000

Access to HIV-and Co-Infection(s) Treatment, Care and Prevention Services for People who use Drugs chris.spurgat@… Fri, 08/01/2025 - 09:49

Topics

Key Population

https://www.aidsactioneurope.org/en/node/2027

Documents

EHLF Report.pdf

Description

"European HIV Legal Forum: Access to HIV-and co-infection(s) treatment, care and prevention services for people who use drugs. A comparative 10-country report

Addressing the needs of people who use drugs in the context of HIV and co-infection(s) is not just a health issue but also a matter of social justice and human rights. The pursuit of health equity, as enshrined in the SDGs, calls for a comprehensive approach that encompasses harm reduction, integrated care models, and supportive policies. This report aims to explore these dimensions in detail, offering insights into the challenges faced, the progress made, and the path forward in ensuring equitable access to health services for people who use drugs in Europe."

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RISE Project. Redefining Institutional Stigma Education

chris.spurgat@dah.aidshilfe.de — Fri, 01 Aug 2025 09:45:38 +0000

RISE Project. Redefining Institutional Stigma Education chris.spurgat@… Fri, 08/01/2025 - 09:45

Topics

Barriers

Key Population

Community Health Workers

Description

An innovative online learning module designed for medical students and healthcare workers. RISE aims to bridge the gap in stigma education and enhance service providers´ understanding of the barriers to testing, treatment and prevention.

https://riseproject.thinkific.com/courses/RISEproject

FOR FREE

Teaser

RISE.jpg

HCV Testing Starter Kit – HCV Testing in the Community by the Community

chris.spurgat@dah.aidshilfe.de — Fri, 01 Aug 2025 07:41:50 +0000

HCV Testing Starter Kit – HCV Testing in the Community by the Community chris.spurgat@… Fri, 08/01/2025 - 07:41

Topics

HCV

Key Population

HCV Testing in the Community by the Community.pdf

Documents

Description

"The following information provides guidance to establish peer-delivered viral hepatitis C (HCV) community testing services for people who use drugs. The information contained in this HCV Community Testing Starter Kit is based upon the experiences of drug user organisations currently providing HCV community testing in European countries." https://www.hcvcommunitytesting.info/hcvstarterkit/

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Implementing Comprehensive HIV and STI Programmes with Men Who Have Sex with Men. Practical Guidance for Collaborative Interventions.

chris.spurgat@dah.aidshilfe.de — Fri, 01 Aug 2025 07:30:10 +0000

Implementing Comprehensive HIV and STI Programmes with Men Who Have Sex with Men. Practical Guidance for Collaborative Interventions. chris.spurgat@… Fri, 08/01/2025 - 07:30

Topics

Implementing Comprehensive HIV and STI Programmes with Men Who Have Sex with Men.pdf

Key Population

MSM

Documents

MSMIT Training Manual.pdf

Description

"This tool is designed for use by public-health officials and managers of HIV and STI programs; NGOs, including community and civil-society organizations; and health workers. It may also be of interest to international funding agencies, health policy-makers and advocates. It is meant to cover implementation of interventions across the full HIV services continuum, including prevention, treatment, care and support interventions. Each chapter explicitly or implicitly addresses one or more of the 2011 Recommendations or 2014 Key Populations Consolidated Guidelines." (https://ecom.ngo/en/projects-map/msmit-1/)

"ECOM has prepared and offers a Training Manual to introduce the MSM Implementation Toolkit “Implementing Comprehensive HIV and STI Programmes with Men Who Have Sex with Men” (MSMIT).

MSMIT provides a detailed guidance on how to build programs to control the HIV epidemic among men who have sex with men (MSM). In is based on the WHO guidelines developed using scientific research data and best practices. Now MSMIT is the most up-to-date toolkit used by all international experts.

The Training Manual developed by ECOM helps to prepare and hold a meeting (workshop) to present MSMIT to community activists, experts and public officials from municipal and government healthcare agencies and other professionals involved in health-related activities with MSM.

The Manual allows presenting MSMIT in a consistent manner, part by part, or selecting the most relevant issues and discussing them in detail after presenting the general context of MSMIT." (https://ecom.ngo/en/projects-map/msmit-1/)

Eurasian Coalition on Health, Rights, Gender and Sexual Diversity (ECOM): https://ecom.ngo/en/

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Positive Health, Dignity, and Prevention for Women and their Babies. A Treatment Literacy Guide for Pregnant Women and Mothers living with HIV

chris.spurgat@dah.aidshilfe.de — Fri, 01 Aug 2025 07:19:20 +0000

Positive Health, Dignity, and Prevention for Women and their Babies. A Treatment Literacy Guide for Pregnant Women and Mothers living with HIV chris.spurgat@… Fri, 08/01/2025 - 07:19

Topics