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Description:Opt-Out HIV/HCV Screening is a structural intervention designed to provide access to HIV/HCV testing in an acceptable venue for PWID. The intervention involves a change from an opt-in testing policy to an opt-out testing policy where participants are informed that bundled HIV/HCV testing is part of routine care upon their enrollment at the SSP. Participants can decline testing. If clients accept the testing, both results of each test are recorded. Point-of-care tests for both HIV/HCV are offered using a blood sample collected via fingerstick. Results are reported to the participant immediately with appropriate posttest counseling and education. For those who tested reactive, active linkage to care is offered.
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