{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:04:16Z","timestamp":1768446256354,"version":"3.49.0"},"reference-count":8,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>This service evaluation describes the co\u2010development of a peer\u2010led rapid hepatitis C virus (HCV) pathway to reach unhoused people. A trained and qualified peer worker visited homeless shelters in West Midlands, England, setting up test and treatment events and collaborating with local services and healthcare staff who also attended the sites. The peer worker offered point of care HCV antibody and ribonucleic acid (RNA) testing for individuals at risk of HCV, peer education and support before and during treatment. Viraemic individuals were offered immediate treatment prescribed by local HCV clinical specialist nurses who attended the homeless shelters with the peer worker. Among the 140 tested individuals, 72 people (51.4%) were HCV antibody positive and 42 (30.0%) were HCV RNA positive. All participants had a history of injecting drug use. The majority were male (75.0%), with a mean age of 39\u2009years and of white ethnicity (89.4%). Treatment uptake was 100.0%, and known treatment completion was 92.3%. Treatment uptake within 2\u2009weeks was 57.1%. Findings suggest that the co\u2010developed and peer\u2010led HCV test and treat pathway is promising in case finding, testing and treating marginalised, unhoused people.<\/jats:p>","DOI":"10.1111\/jvh.70085","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T14:04:01Z","timestamp":1757945041000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Peer\u2010Delivered Outreach With Rapid Treatment Pathways for Hepatitis C Testing and Treatment Among Unhoused People"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9135-0684","authenticated-orcid":false,"given":"Gabriele","family":"Vojt","sequence":"first","affiliation":[{"name":"National Institute for Health and Care Research (NIHR) Health Protection Research Unit in Evaluation and Behavioural Science University of Bristol  Bristol UK"},{"name":"Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Bonnet","sequence":"additional","affiliation":[{"name":"Hepatitis C Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Scott","sequence":"additional","affiliation":[{"name":"Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Hathorn","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Ellis","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Bufton","sequence":"additional","affiliation":[{"name":"NHS England Hepatitis C Operational Delivery Network  Birmingham West Midlands UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Mutimer","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"},{"name":"NHS England Hepatitis C Operational Delivery Network  Birmingham West Midlands UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0850-5575","authenticated-orcid":false,"given":"Ryan","family":"Buchanan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Southampton  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Reid","sequence":"additional","affiliation":[{"name":"Hepatitis C Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danny","family":"Morris","sequence":"additional","affiliation":[{"name":"Hepatitis C Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Elsharkawy","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"},{"name":"NHS England Hepatitis C Operational Delivery Network  Birmingham West Midlands UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organisation \u201cGlobal Health Sector Strategies on Respectively HIV Viral Hepatitis and Sexually Transmitted Infections for the Period 2022\u20132030. GHSS 2022\u20132030 \u201d accessed July 12 2023 https:\/\/www.who.int\/publications\/i\/item\/9789240053779."},{"key":"e_1_2_11_3_1","unstructured":"Hepatitis C Trust \u201cBecome a Peer Volunteer \u201d (2010) https:\/\/www.hepctrust.org.uk\/get\u2010involved\/volunteer\u2010with\u2010us\/become\u2010a\u2010peer\u2010volunteer\/."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2024.101176"},{"key":"e_1_2_11_5_1","unstructured":"Public Health England \u201cHepatitis C in England: 2019 Report \u201d (2019) https:\/\/www.globalhep.org\/programs\/nhs\u2010elimination\u2010program\u2010united\u2010kingdom\u2010national\u2010program."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12051255"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.15266"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2023.103982"},{"key":"e_1_2_11_9_1","unstructured":"J.O'Loan \u201cMobile Outreach for Hepatitis C: The Kombi Clinic. Poster Presented at the International Network on Health and Hepatitis in Substance Users \u201d (2022) https:\/\/www.inhsu.org."}],"container-title":["Journal of Viral Hepatitis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jvh.70085","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T11:14:55Z","timestamp":1758798895000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jvh.70085"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,15]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/jvh.70085"],"URL":"https:\/\/doi.org\/10.1111\/jvh.70085","archive":["Portico"],"relation":{},"ISSN":["1352-0504","1365-2893"],"issn-type":[{"value":"1352-0504","type":"print"},{"value":"1365-2893","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,15]]},"assertion":[{"value":"2024-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70085"}}