Croatian Institute of Public Health, Zagreb, Croatia.
Dr. Fran Mihaljevic University Hospital for Infectious Diseases, Zagreb, Croatia.
Cent Eur J Public Health. 2022 Jun;30(2):107-110. doi: 10.21101/cejph.a7237.
The aim of this paper is to introduce the digitalization process and its effects on better reach of the target population. Progress in the digitalization and e-health tools worldwide enables new opportunities in prevention, diagnostics and treatment for people living with HIV (PLHIV) and people in the risk of HIV infection, hepatitis C (HCV) and other sexually transmitted infections (STIs), especially in the context of the COVID-19 pandemic. The system already used for voluntary counselling and testing (VCT) at the CheckPoint Centre Zagreb run by the non-governmental organization (NGO) Croatian Association for HIV and Viral Hepatitis (CAHIV) was upgraded and adapted (due to the COVID-19 prevention epidemiological measures) and developed for implementation of the pilot project of feasibility and acceptability of home HIV self-testing (HIVST) among men who have sex with men (MSM) in Zagreb. A special feature of the HIVST mobile application enables an innovative approach in collecting clients' test result feedback. This paper presents the method of use digitalization of the VCT and HIVST activities to support and increase availability of screening testing. Described procedures of new technologies application in VCT services and preliminary results of the HIVST pilot project indicate that technology-delivered interventions can contribute and improve access and utilisation of HIV/STI prevention and care services.
本文旨在介绍数字化进程及其对更好地覆盖目标人群的影响。全球数字化和电子健康工具的进步为 HIV 感染者(PLHIV)、HIV 感染风险人群、丙型肝炎(HCV)和其他性传播感染(STIs)人群的预防、诊断和治疗提供了新的机会,尤其是在 COVID-19 大流行背景下。非政府组织克罗地亚艾滋病毒和病毒性肝炎协会(CAHIV)运营的萨格勒布检查站(CheckPoint Centre Zagreb)的自愿咨询和检测(VCT)系统已经过升级和调整(由于 COVID-19 预防流行病学措施),并开发用于实施在萨格勒布男男性行为者(MSM)中进行家庭 HIV 自我检测(HIVST)可行性和可接受性试点项目。HIVST 移动应用程序的一个特点是能够以创新的方式收集客户的测试结果反馈。本文介绍了将 VCT 和 HIVST 活动数字化以支持和增加筛查检测的方法。所描述的新技术在 VCT 服务中的应用程序和 HIVST 试点项目的初步结果表明,技术驱动的干预措施可以促进和改善 HIV/性传播感染预防和护理服务的可及性和利用。