Development of an evidence-based model of rapid testing, counseling and referral patients with HIV, HVC and other STDs in Mexican addiction treatment centers

Rodrigo Marín-Navarrete, Carlos Magis-Rodríguez, Luis Villalobos-Gallegos, Adriana Villafuerte-García, Alejandro Pérez-López, Karen Ruiz-Herrera, Ricardo Sánchez-Domínguez, Marisol Ponce-Ramos, Anette Morales-Carcaño, Enrique Bravo-García, Patricia Uribe Zúñiga, María Elena Medina-Mora



Introduction. Efforts to identify new cases of HIV, HVC and other STIs, through the application of quick tests, focus on people who inject drugs, without taking into account the fact that the use of alcohol and other drugs of abuse inhibits decision making, increasing the transmission of STIs through risky sexual practices. Accordingly, it is necessary to have detection algorithms that consider people who use multiple drugs to improve the identification of new cases and their subsequent linkage with health services.

Objective. This paper describes the development process of the OPB-APR model for the detection, counseling and referral of people with HIV and other STIs at addiction treatment centers.

Method. The procedure is divided into three phases: 1. A literature review to identify the basic concepts of HIV and other STIs, substance use, risky sexual behaviors, quick tests, and specialized psychological counseling; 2. A feasibility study in which a health professional is trained to implement the OPB-APR model; 3. Drafting of the final version.

Results. The final version of the OPB-APR model was obtained, which describes standardized procedures for detection, counseling and referral to health services.

Discussion and conclusions. The OPB-APR model aims to strengthen the public health system by increasing the coverage of services for the detection of HIV, HCV and other STIs. The above through the implementation of standardized procedures among specialized and non-specialized health professionals of addiction care centers.


HIV; HCV; STIs; addictions; rapid tests; psychological counseling

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