Paul Zantkuijl, beleidsmedewerker MSM Soa Aids Nederland
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1 Paul Zantkuijl, beleidsmedewerker MSM Soa Aids Nederland
2 Eliminating HCV among MSM in Amsterdam using an innovative multilevel approach Face-to-face strategies & promotion Community involvement
3 DISCLOSURE BELANGEN - Paul Zantkuijl MCFree is sponsored by non-restricted grants from Gilead Sciences, AbbVie, Janssen-Cilag, Merck Sharpe & Dohme, Roche Diagnostics Netherlands
4 Face-to-face strategies MSM Main principle: developed in close cooperation with community
5 Target group MSM HIV pos HIV neg amongst them PrEPusers who have condomless sex in a HCV-network HCV networks: Condomless seks Fetish scenes Chemsex Sex parties/ group sex Specific sex techniques (e.g. fisting, ass play)
6 Target group Roughly two groups 1. Have had HCV (more than once) but most of them are clueless about risk and risk reduction; and see infection as an inevitable consequence of having condomless sex 2. At risk for HCV, and some of them don t know the difference between HAV, HBV and HCV
7 Community Advisory Board Fetish shops Gay clubs Saunas Gay chat and dating sites Poz and Proud PrEPnu COC, Dutch Organization for LGBTQI+
8 Awareness, knowledge, risk reduction behaviour MSM NoMoreC Toolbox (450 boxes) Get a free box o order online o Fetish shops o Condomerie o Hiv-treatment centres o STI clinic Amsterdam o 4 GP practices o Mainline
9 NoMoreC.nl and through video instructions Practical advice about disinfection dildos/toys Through comic strips Through comic strips. hands/arms play area
10 Distribution of Toolboxes March November 2018 Distributed by Nr. of Toolboxes STI clinic Amsterdam 35 HIV treatment centers 25 NoMoreC theme events 50 Fetish shops & Condomerie shop 16 Mainline chemsex support group 2 Online orders on NoMoreC.nl 27 Total 155
11 Preliminary results of Toolbox evaluation Online Opinions evaluation the safe sent drug 3 months use box after receiving Toolbox 58/155 men received questionnaire 15/58 returned questionnaire response rate 26% Topic Rating Clarity of instructions for the use of Toolbox products 93 % Very clear or clear 7% not clear/ not unclear Completeness of disinfection instructions 87% very complete or complete 6% not complete/ not incomplete 6% did not read the instructions Agreement with the statement: I think it s good there is a safe drug-use box and needle container in the Toolbox 87% Completely agree or agree 13% Don t agree/ don t disagree Reasons for wanting a Toolbox? 80% I want to reduce the chance of getting hepc 33% I want to reduce the chance of transmitting hepc to others 67% I was curious about the contents 53% To use at a sex party Did you use the products from the Toobox? 87% Yes 13% No
12 Sex On the Premises Venues Enabling environment for risk reduction in SOPV s New Hygiene Guidelines Revised with the expertise of NoMoreC more MSM specific role of lube as carrier of virusses gets more attention clients should be able to clean and disinfect themselfves all products to prevent STI s (including cleaners and desinfectants) as much as possible in cabins too 8 SOPV s in Amsterdam will get advice
13 Promotion C WhatYouCanDo! Co-creation process with the community Do s and don ts Promotion strategy Online Offline Do s Sex positive Take away fatalism Communicate concrete actions Targeted Don ts Avoid stigmatising messages No fear campaign
14 NoMoreC Boy Scouts C WhatYouCanDo!-gatherings
15 Key figures from the community as poster boys
16 With strong calls to action
17 Powerful testimonials
18 Straightforward messaging I wash and disinfect hands and forearms before fisting someone else. Even if I always wear gloves Sticker for lube bottles/jars
19 Reminders to test after being naughty at a gay event
20 Website visits Campaigns Website visits, online campaigns July-November 2018 Maspalomas London fetish Barcelona circuit Berlin Folsom NoMoreC website C-test
21 Face to face strategies Professionals Awareness, knowlegde and skills Hiv-nurses STI-nurses GP s and assistants Face-to-face training ( for Amsterdam professionals) E-learning (Digitale Leerweg) Soa Aids Nederland Improve partner notification Together with H-team
22 Face-to-Face strategies: results Professionals trained (workshops) Hiv-nurses 10 STI nurses 7 General Practitioners 5 Note: about 30 more STI nurses of the Public Health Service Amsterdam will be trained in nov-december. Conversations about HCV with the target group (approximately) By professionals distributing Toolboxes 60 Theme events 55 By Boy Scouts 95 Other occasions *Focus group discussions *Community Advisory Board *Packing Toolboxes 50 Professionals trained (E-learning; 3 modules) About NoMoreC 16 Risk reduction 16 Partner management 14 Note: currently about 30 more STI nurses about of the Public Health Service are currently doing these modules Results: By the end of this year about 52 professionals have been trained NoMoreC is gaining foothold within the target group
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24 Acknowledgements Many thanks to the funders/supporters of the MC Free Project Gilead Sciences Europe The MSM community Gilead Sciences Netherlands Community advisory board AbbVie Scientific advisory board Janssen-Cilag Merck Sharpe & Dohme Roche Diagnostics Netherlands
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