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In this analysis, we evaluated self-reported HIV care experiences and therapeutic outcomes among people diagnosed with HIV prior to and after implementation of this provincial program. All participants consented to linking their survey data to the provincial HIV treatment registry. Individuals diagnosed with HIV from January 1 βDecember 31 were classified as pre-intervention and those diagnosed January 1 βDecember 31 as post-intervention cohorts.
Bivariate analyses were run using Chi-square and Wilcoxon Rank Sum tests. We found favourable treatment experiences and more timely ART initiation and virologic suppression after a targeted TasP provincial program. Our results illustrate the importance of accessible low-barrier HIV testing and treatment in tackling the HIV epidemic. Importantly, research has continued to demonstrate the larger impact of expanded treatment for HIV, including the virtual elimination of risk of onward HIV transmission among PLWH who immediately start and are sustained on ART [ 3 , 4 ].
In British Columbia BC , Canada, the concept of TasP was first championed in and a clear case was made for a pilot program in order to operationalize these principles and evaluate the impact on clinical and therapeutic outcomes [ 2 ].
This initiative, in partnership with regional health authorities, provided training for service providers, facilitated routine offers of HIV testing in all healthcare settings, and provided assistance for outreach nursing teams to support engagement and retention on ART.
