P371 Combination HIV/HCV/HBV/STIs prevention among MSM and use of mobile applications/social networks at the COVID-19 conditions in Ukraine

Анотація

<h3>Background/Purpose</h3> Restrictions of COVID-19 pandemic have made it more difficult to provide HIV testing and PrEP services to MSM in large Ukrainian cities. The purpose of the intervention is to maintain the effectiveness of the provision of these services during COVID-19 and to implement new/innovative and more mobile interventions in this regard. <h3>Approach</h3> The methodology consists of conducting two national campaigns aimed at MSM recruiting in 3 largest cities of Ukraine, for conducting of HIV/STI/HCV testing, as well as to attract to the PrEP program, through targeted advertising on gay dating applications and social networks for directing to web-resources https://gettest.com.ua and https://prep.com.ua, for passing of testing and/or to receive equal counseling on PrEP, at Alliance.Global`s testing points. All confirmed HIV-positive MSM have been provided a social support to receive ART; for HIV-negative MSM, we proposed to become a member of the free PrEP program. <h3>Outcomes/Results</h3> Thanks to advertising on two web resources, during September-December 2020, 841 MSM registered for HIV/HCV/STI testing through the GetTest website and 80% of them were tested (the number of HIV-positive results was approximately 4%). 3244 MSM have learned about the PrEP program during this period, approximately 300 new MSM have been attracted to the PrEP program (the coverage of the PrEP intervention in 2020 amounted about 1,300 MSM). <h3>Innovations/<b>Conclusions</b></h3> Thanks to the introduction of two advertising campaigns on the Internet, at the COVID-19 conditions, as well as such innovative interventions as delivery of clients by taxi to receive PrEP in a medical institution, receiving the free premium accounts in the mobile gay application Hornet, compliance with sanitary norms (free masks, disinfectants, etc.) and mandatory pre-registration (to avoid queues), we were able to successfully saved services, and increase the intensity of testing and staging to PrEP for MSM compared to the first half of 2020.

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