SHIFT - HIV RAPID TESTING / HOME TESTING FOR HIV/STIBBs Discussion Group by Terence Lowe https://padlet.com/terencelowe/rapidhometesting "IF THERE WAS AN IDEAL TASK-SHIFTING INITIATIVE IN RAPID TESTING AND/OR HOME TESTING, WHAT WOULD IT BE?" en-us 2021-01-27 15:50:50 UTC 2021-01-29 01:48:05 UTC hello@padlet.com https://padlet.net/icons/png/1f4a1.png More mixed responses regarding drawing blood and genital/🤬 swabs. terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244081 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244081 “Now, for clinicians, I think they would be important to provide the more scientific or medical support, but that’s not needed in every case. People need a lot of time to sit down and really address some of the anxiety we have around HIV and a frontline person, not a clinician, would be more suitable for that position, because they have more experience working with a certain population.” (CW 5) terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244087 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244087 “[…] if we have community workers doing that, it’s actually I think a huge asset because then we have people who can knock off some of the anxiety and talk about what that means because I think that’s due to fear, shame, and misinformation. ” (Clinician 7) terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244092 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244092 How do we synergize clinicians’ and CWs’ existing skillsets and responsibilities? terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244094 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244094 How can we ensure not to place undue burden on CWs, given their existing workloads? terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244099 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244099 What resources or supports might be needed to perform task-shifting effectively? terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244103 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244103 In what setting or context should task-shifting occur? terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244110 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244110 How can we ensure ongoing training and supervision is available? terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244115 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244115 How do we foster trust and collaboration between clinicians and community workers? terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244119 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244119 STEP THREE: terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244168 TAKE A BLUE SQUARE AND ANSWER THE QUESTION "HOW WOULD TASK SHIFTING CHANGE SUPPORT?"]]> 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244168 IDEA: INFORM POLICY WITH RESEARCH terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132244301 2021-01-27 15:50:50 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132244301 CONCERN : EXTRA WORK NOT SEEN AS A BURDEN / ENTHUSIASM terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132322068 2021-01-27 16:04:32 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132322068 IDEA: REVIEW JOB POSTING FOR HIV COUNSELLORS / WHAT ARE COMMUNITY WORKERS DOING THAT CLINICIANS DO? terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132325843 2021-01-27 16:05:08 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132325843 IDEA : HOW TO RECOGNIZE THE WORK ALREADY BEING DONE terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132666569 2021-01-27 17:02:32 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132666569 IDEA: HIRING NEW PPL TO DO THESE SHIFTS in TASK terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132667256 2021-01-27 17:02:39 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132667256 IDEA: ASOs are sites for self tests / CWs doing pre-post on site terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132667720 2021-01-27 17:02:43 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132667720 IDEA: RAPID TESTING DONE BY CWs at PICK-UP SITES terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132668160 2021-01-27 17:02:48 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132668160 CONCERN : EXTRA WORK A BURDEN terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132683156 2021-01-27 17:05:14 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132683156 CONCERN: DELEGATING TO SOMEONE NOT WORKING WITH CLINICIAN terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132684808 2021-01-27 17:05:30 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132684808 REVIEW REGULATIONS / WHAT ISN'T REGULATED terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132690118 2021-01-27 17:06:25 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132690118 SOLUTION terencelowe https://padlet.com/terencelowe/rapidhometesting/wish/1132690721 2021-01-27 17:06:31 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1132690721 davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1133841841 2021-01-27 21:05:15 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1133841841 BENEFITS : RAPPORT WITH CLIENT - COMMUNITY MEMBERS / BETTER ADDRESSES THEIR ANXIETY davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1134286044 2021-01-28 00:45:12 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1134286044 CONCERN: DRAWING BLOOD / DOING SWABS davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1134297985 2021-01-28 00:52:01 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1134297985 INSTRUCTIONS davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1134334587 1. BRAINSTORM TASK-SHIFTING IDEAS. EACH "IDEA" GETS ONE CARD.

2. WRITE COMMENTS IN THE COMMENT SECTION OF EACH IDEA.

3. EACH "CONCERN" GETS A CARD.

4. EACH "SOLUTION" GETS A CARD

5. ARRANGE THE CARDS TO CREATE A SUMMARY OF YOUR GROUP DISCUSSION.

6. DECIDE WHICH IDEA(S) ARE GOING TO BE PRESENTED ON FRIDAY TO THE REST OF THE GROUP. ]]> 2021-01-28 01:13:10 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1134334587 WHAT DO YOU SUGGEST IN TERMS OF TASK-SHIFTING FROM CLINICIANS TO COMMUNITY WORKERS? WHAT ARE CONCERNS & POTENTIAL SOLUTIONS? davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1136891448 2021-01-28 15:32:54 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1136891448 Ken davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137702548 he /him
Snr AIDs & Hep C /AID Bureau

- inform regulations / clinician working with CWs, formal delegation of authority/controlled acts
- some task shifting already happening:
- pre & post test counselling
testing through Delegation of authority]]> 2021-01-28 17:47:30 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137702548 Amanda davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137703100 she/her
CATIE
- delegating to healthcare professions (nurses) vs community workers (non-certified, different regulations, non-regulated)

]]> 2021-01-28 17:47:36 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137703100 Leo davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137704355 2021-01-28 17:47:49 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137704355 Praney davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137705005 2021-01-28 17:47:56 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137705005 Robin davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137705717 He/Him
Black Coalition for Aids Prevention

-capacity building for CWs in Pre and Post counselling and linkage to care
- increase knowledge exchange [clinicians and CWs]
- Sensitivity training through an anti-oppressive lens

]]> 2021-01-28 17:48:03 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137705717 Alex davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137706482 He/him
ACT

- regulations are high, too high?
- CWs hands already full
- overload / burnout
- already doing 2-3 jobs within job
- medical directive potential? what are the ways to do it

                                       ]]> 2021-01-28 17:48:12 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137706482 Gerardo davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137706954 he/him
- how we're going to approach home testing, whom & in what way
- immigrant serving agency, needs for translation, so they can trust the medical information
- COVID took all the focus at agency]]> 2021-01-28 17:48:18 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137706954 Terence davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137707464 he/him]]> 2021-01-28 17:48:23 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137707464 Welcome! davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137708756 Our topic today is "Rapid HIV Testing & Home HIV/STIBBI Testing"]]> 2021-01-28 17:48:37 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137708756 CLICK ON YOUR NAME TAG & ADD: davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137714589 1) your pronouns

2) your agency

3) a thought you have about task-shifting, can be related to the presentation]]> 2021-01-28 17:49:37 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137714589 IDEA: PrEP VENDING MACHINE davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1137911466 2021-01-28 18:24:24 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1137911466 IDEA: PRE & POST TEST COUNSELLING, FORMALIZE PROCESS / "TRAINING & CERTIFICATE??" / MODULES CONSISTENT AND CURRENT INFORMATION davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138283797 TRAINING]]> 2021-01-28 19:35:49 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138283797 CONCERN: HOW TO MAKE CONSISTENT davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138290252 2021-01-28 19:37:04 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138290252 CONCERN: SO MANY LEVELS of Gov't systems, etc. davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138296054 2021-01-28 19:38:16 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138296054 IDEA: HOME TESTING INTERVENTION - ASSIGNMENT OF CW to HOME TESTER davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138304043 - Clinician not assigned]]> 2021-01-28 19:39:58 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138304043 ACCESS TEST FROM A PICK UP LOCATION davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138316333 2021-01-28 19:42:34 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138316333 ADMINSTER TEST AT PICK UP SIGHT davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138318677 2021-01-28 19:43:06 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138318677 "UNREGULATED" PROFESSIONAL CAN"T BE DELEGATED TO / WHAT TASKS? davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138324112 2021-01-28 19:44:14 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138324112 IDEA: STUDY TASK SHIFTING INVOLVED WITH MAIL OUT TESTS / NO CLINICIAN INVOLVED / POINT OF SERVICE / PRE-POST COUNSELLING NOT GUARANTEED WITH MAIL OUT / FEWER TASKS TO BE SHIFTED davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138332869 2021-01-28 19:46:09 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138332869 LANGUAGE BARRIER / "REQUIRES" A SHIFT IN TASK SO CLIENT CAN UNDERSTAND / NECCESARY TO EXTEND THE SCOPE OF ROLE davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138344324 2021-01-28 19:48:38 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138344324 KNOWLEDGE: TESTING FREQUENCY/ WHEN TO TEST / DETAILS AND MORE THAT COULD BE TASK-SHIFTED or ALREADY HAVE BEEN BUT UNDER RECOGNIZED, UNDOCUMENTED davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138351099 2021-01-28 19:50:12 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138351099 POST COUNSELLING CAN HAPPEN OVER LONGER PERIOD, NOT JUST ONE EVENT davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138358350 2021-01-28 19:51:49 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138358350 TRADITION of "INFORMAL"/Peer-to-peer COUNSELLING in ASOs / DON'T WANT TO LOSE THE RAPPORT davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138394833 2021-01-28 20:00:18 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138394833 CONCERN: ACCURACY OF INFO/CURRENT INFO - Also hard to get to get to clinicians davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138404076 2021-01-28 20:02:37 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138404076 HOW DOES THIS ADD WORKLOAD TO CLINICIANS AS WELL / TASKS THAT SHOULDNT BE SHIFTED davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138406646 2021-01-28 20:03:13 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138406646 CONCERN: BUILDING TRUST/ REASSURANCE THAT THE TASKS ARE BEING DONE WELL davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138411304 2021-01-28 20:04:20 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138411304 ALREADY HAPPENING EVERYDAY / BEING DONE WELL BY CWs davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138414727 2021-01-28 20:05:08 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138414727 WHAT ARE THE EXPECTATIONS COMING INTO THESE POSITIONS? davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138431619 2021-01-28 20:09:06 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138431619 POTENTIAL FOR ETHNOGRAPHY re: TASK SHIFTING davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138436243 2021-01-28 20:10:10 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138436243 EASY TO GATHER EVIDENCE FROM CWs and EXAMPLES of OTHER INITIATIVES davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138441614 2021-01-28 20:11:32 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138441614 WHAT'S THE IMPACT oF MOVING TOWARDS THE CLARIFICATION? WHAT'S THE IMPACT OF DEFINING THIS - CLIENTS, COMMUITY, ETC davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138460164 2021-01-28 20:16:10 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138460164 POTENTIAL OF TASK SHIFTING TO REACH UNDERSERVED POPULATIONS davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138472739 2021-01-28 20:19:23 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138472739 WHERE'S IT'S ALREADY BEING USED davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138476046 2021-01-28 20:20:08 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138476046 NURSES & CWs BEING TASK SHIFTED IN THE FIELD davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138478434 2021-01-28 20:20:42 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138478434 WHAT'S THE DEFINITION / SCOPE OF THE ROLE OF CW (Community Worker) - Nurses, outreach, social worker, midwives, etc...EACH HAS A DIFF TASK SHIFT DIMENSION davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138484096 2021-01-28 20:22:07 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138484096 ETHNOGRAPHY: WHERE TASK SHIFTING IS MOST COMMONPLACE / MOST NEEDED / MOST NECCESARY davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1138839021 2021-01-28 22:24:58 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1138839021 IDEA: MAIL IN TESTS WHERE NO CLINICIAN OR CW IS ASSIGNED davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1139040874 2021-01-29 00:32:04 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1139040874 IDEA: STUDY PICK UP SITE PRE/POST COUNSELLING davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1139049621 2021-01-29 00:36:58 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1139049621 IDEA: ETHNORACIALZIED, LANGUAGE SPECIFIC OCCURANCES OF TASK-SHIFTING davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1139051222 Reliance on cultural support (incl. language) puts more demands/pressure for CWs to translate and stay informed of clinical information]]> 2021-01-29 00:37:55 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1139051222 RAPID TESTING DONE BY CWs davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1139058200 - Legalities
- Need for consistent working relationship]]> 2021-01-29 00:41:53 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1139058200 IDEA: CREATE A TASK-SHIFT SPECIFC TESTING JOB / PILOT davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1139060922 2021-01-29 00:43:27 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1139060922 IDEA: REVIEW HIV COUNSELLOR JOB DESCRIPTIONS davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1139062295 - ]]> 2021-01-29 00:44:14 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1139062295 IDEA: PILOT A CW TO BE ASSIGNED TO PERSON BEING TESTED AT POINT OF PICK UP davidbrennan2 https://padlet.com/terencelowe/rapidhometesting/wish/1139074860 - Do Pre-Couselling at point of pick-up
- Keeping in mind that follow up is more than one event]]> 2021-01-29 00:51:30 UTC https://padlet.com/terencelowe/rapidhometesting/wish/1139074860