{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T23:21:59Z","timestamp":1785367319975,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"S6","license":[{"start":{"date-parts":[[2021,10,28]],"date-time":"2021-10-28T00:00:00Z","timestamp":1635379200000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Same\u2010day antiretroviral therapy (SDART) initiation has been implemented at the Thai Red Cross Anonymous Clinic (TRCAC) in Bangkok, Thailand, since 2017. HIV\u2010positive, antiretroviral therapy (ART)\u2010na\u00efve clients who are willing and clinically eligible start ART on the day of HIV diagnosis. In response to the first wave of the coronavirus disease 2019 (COVID\u201019) outbreak in March 2020, telehealth follow\u2010up was established to comply with COVID\u201019 preventive measures and allow service continuation. Here, we evaluate its implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pre\u2010COVID\u201019 (until February 2020) clients who initiated SDART received a 2\u2010week ART supply and returned to the clinic for evaluation before being referred to long\u2010term ART maintenance facilities. If no adverse events (AEs) occurred, another 8\u2010week ART supply was provided while referral was arranged. During the first wave of COVID\u201019 (March\u2013May 2020), clients received a 4\u2010week ART supply and the option of conducting follow\u2010up consultation and physical examination via video call. Clients with severe AEs were required to return to TRCAC; those without received another 6\u2010week ART supply by courier to bridge transition to long\u2010term facilities. This adaptation continued post\u2010first wave (May\u2013August 2020). Routine service data were analysed using data from March to August 2019 for the pre\u2010COVID\u201019 period. Interviews and thematic analysis were conducted to understand experiences of clients and providers, and gain feedback for service improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 922, 183 and 321 eligible clients from the three periods, SDART reach [89.9%, 96.2% and 92.2% (<jats:italic>p<\/jats:italic> = 0.018)] and ART initiation rates [88.1%, 90.9% and 94.9% (<jats:italic>p<\/jats:italic>&lt;0.001)] were high. ART uptake, time to ART initiation and rates of follow\u2010up completion improved over time. After the integration, 35.3% received the telehealth follow\u2010up. The rates of successful referral to a long\u2010term facility (91.8% vs. 95.3%, <jats:italic>p<\/jats:italic> = 0.535) and retention in care at months 3 (97.5% vs. 98.0%, <jats:italic>p<\/jats:italic> = 0.963) and 6 (94.1% vs. 98.4%, <jats:italic>p<\/jats:italic> = 0.148) were comparable for those receiving in\u2010person and telehealth follow\u2010up. Six clients and nine providers were interviewed; six themes on service experience and feedback were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Telehealth follow\u2010up with ART delivery for SDART clients is a feasible option to differentiate ART initiation services at TRCAC, which led to its incorporation into routine service.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.25816","type":"journal-article","created":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T05:35:58Z","timestamp":1635485758000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Evaluation of the integration of telehealth into the same\u2010day antiretroviral therapy initiation service in Bangkok, Thailand in response to COVID\u201019: a mixed\u2010method analysis of real\u2010world 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