Ayaangwaamiziwin Initiative: Carefulness and Preparedness

The goal of this clinical trial is to implement a test, treat, and connect intervention approach using HIV and syphilis rapid point-of-care (POC) testing in 3 Canadian Prairie provinces (Alberta, Manitoba, and Saskatchewan), reaching 10,000 people in underserved communities.

The goal of this clinical trial is to implement a test, treat, and connect intervention approach using HIV and syphilis rapid point-of-care (POC) testing in 3 Canadian Prairie provinces (Alberta, Manitoba, and Saskatchewan), reaching 10,000 people in underserved communities. The study aims to recruit 10,000 people who are attending clinics for routine sexually transmitted and blood-borne testing in those provinces with opportunities for them to receive immediate treatment for syphilis, and culturally appropriate care and treatment for syphilis and HIV. The primary objective is develop, implement and evaluate community-based models for "testing, treatment and linkages to care" for HIV and syphilis for those who are undiagnosed and underserved in the Prairie provinces. The secondary objectives are: Evaluate diagnostic performance of the investigational syphilis standalone POC test to standard testing. Test the accuracy and usability of the investigational syphilis standalone POC test by intended users. Assess the impact of POC testing on time to diagnosis, treatment, and connect to a clinical provider. Investigate the feasibility and acceptability of the POC test among healthcare providers and at-risk populations. Examine the acceptability of syphilis and HIV POC tests among at-risk and underserved populations. Critical to the success of this, the study will engage and support people with lived experiences, peer navigators and leaders from community-based agencies to be involved in all aspects of this work.