Eliminate Hepatitis C/EC Partnership Evaluation Protocol

Summary

The Eliminate Hepatitis C (EC) Partnership project is a multi-site, multi-year project aiming to enhance and extend hepatitis C virus (HCV) care and treatment among people who inject drugs (PWID) through nurse-led models of care in the community and the prison system. The project will implement and evaluate a health service intervention to enhance HCV response by improving health promotion, offering training and education to service providers, streamlining clinical pathways, utilising data systems and surveillance and implementing the results of ongoing research and evaluation.

Health services data will be used to assess the impact of the EC nurse-led support, to enhance the clinical pathway and increase HCV testing, linkage to care and treatment uptake in community and prison settings. This will include provider and client interviews and a sentinel surveillance system (ACCESS) that will track and monitor impact indicators including HCV testing, linkage to care and treatment uptake at the service and population level.

Overall, evaluation data will be used to monitor the uptake of HCV treatment in PWID, monitor the effectiveness of community- and prison-based treatment program and assess the cost and feasibility of treating \>1160 PWID in community-/prison-based program and assess changes in HCV prevalence in Victoria and modelling the impact of treating PWID to inform HCV elimination models in Australia and globally.

Conditions

• Hepatitis C
• Chronic Hepatitis c
• Hepatitis C, Chronic

Interventions

OTHER

EC clinic support - whole of practice interventions delivery through nurse-led model

The primary interventions will be delivered through a team of nurses, an evaluation team and practice support team that will be working with each of the services to improved Hepatitis C service delivery. The EC project team will predominantly be involved in working with providers and staff at EC sites to implement key interventions that have been collated into a Primary Care Practice Toolkit, which cover three domains; patient support, provider support and practice Support. The toolkit is designed to be an educational and implementation resource that the nursing team will support services to deliver. * Patient support to reduce the impact of hepatitis C and other blood borne viruses * Provider support to reduce the impact of hepatitis C and other blood borne viruses * Practice support to reduce the impact of hepatitis C and other blood borne viruses

Sponsors & Collaborators

• Burnet Institute

  collaborator OTHER

• The Alfred

  collaborator OTHER

• St Vincent's Hospital Melbourne

  collaborator OTHER

• HepatitisVictoria

  collaborator UNKNOWN

• Harm Reduction Australia

  collaborator UNKNOWN

• Victoria State Government

  collaborator UNKNOWN

• Gilead Sciences

  collaborator INDUSTRY

• National Health and Medical Research Council, Australia

  collaborator OTHER

• Macfarlane Burnet Institute for Medical Research and Public Health Ltd

  lead OTHER

Principal Investigators

• Margaret E Hellard, MD PhD · Burnet Institute and Alfred Health

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-12-31

Primary Completion

2021-12-31

Completion

2021-12-31

Countries

• Australia

Study Locations