Publications by authors named "A McFall"
Article Synopsis
- The study aimed to track how patients used medication for opioid use disorder (MOUD) over a year after starting treatment and to see if different usage patterns were linked to HIV testing among people who inject drugs in India.
- Involving 1,562 individuals from integrated care centers in seven cities, the research identified five groups based on MOUD usage: early dropout (41%), late dropout (18%), delayed dropout (10%), intermittent use (12%), and persistent use (19%).
- Results showed that those who maintained MOUD had significantly higher rates of HIV testing compared to those who dropped out early, indicating that consistent engagement with MOUD correlates with better health monitoring.
Efforts to eliminate hepatitis C virus (HCV) as a public health problem must include people who inject drugs (PWID). We describe the design and baseline characteristics of the Supporting Treatment Outcomes among PWID (STOP-C) trial which evaluates whether HCV treatment outcomes in PWID can be optimized by tailoring treatment support in 7 PWID-focused integrated HIV/HCV prevention/treatment centers. The design is a 3-arm, individual-level precision-randomized trial.
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- A study conducted in Imphal, India, examined rates of hepatitis C reinfection among people who inject drugs (PWID) after they successfully treated the virus with direct-acting antivirals (DAAs).
- Out of 1267 PWID who achieved sustained virologic response (SVR), 315 cases of reinfection were documented, resulting in an incidence rate of 13.2 per 100 person-years.
- The study found that young individuals aged 18-24 had the highest reinfection rates, emphasizing the need for improved HCV care and harm reduction strategies targeting this age group.
Introduction: Globally, there have been significant declines in HIV incidence over the past two decades, but this decline is slowing, and in some settings, declines have stalled or are growing-particularly where epidemics are concentrated in key populations (KPs). Understanding temporal changes in HIV incidence among KP is critical yet, due to logistical constraints, there are few sources of longitudinal incidence data, particularly among KP.
Methods: We present HIV incidence rates from June 2014 to December 2022 among cisgender men who have sex with men (MSM) and people who inject drugs (PWID) attending community-based integrated care centres (ICCs) in 15 Indian cities.
Background: Over the last decade, India has had an alarming rise in injection of opioids across several cities. Although scale-up of public sector services for people who inject drugs (PWID) in India has occurred over decades, accessibility has been diminished by fragmented services across physical locations. To circumvent this barrier, and in alignment with the World Health Organization's guidelines to provide comprehensive care to key populations, Integrated Care Centers (ICCs) were established across 8 Indian cities as a public-private service delivery model for providing free single-venue services to PWID.
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