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Description:The HIV Prevention Trials Network (HPTN 074): Systems Navigation and Psychosocial Counseling (SNaP) intervention is designed to reduce HIV transmission from PWID with HIV to their non-infected injection partners in Kyiv, Ukraine, Thai Nguyen, Vietnam, and Jakarta, Indonesia. The intervention integrates 1) systems navigation services that includes negotiating logistics and costs of any required laboratory testing and transportation; 2) psychosocial counseling including motivational interviewing, problem solving, skills building, and goal setting to facilitate initiation and adherence of ART and MAT; and 3) ART initiation, regardless of CD4 cell count. Participants also received the standard harm reduction services that were provided to participants in the comparison group (note: see details of these services under the “Comparison” section). Index participants who are PWID with HIV can select up to 5 concurrent non-HIV infected injection partners for participation in the study. Index participants can also bring a social support person (e.g., family member, sexual partner, friend) to counseling and systems navigation sessions to help with ART initiation and MAT use.
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