{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T04:03:49Z","timestamp":1768449829968,"version":"3.49.0"},"reference-count":0,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    People who inject drugs (PWID) enrolled for methadone maintenance therapy (MMT) and never previously tested for human immunodeficiency virus (HIV) in Myitkyina Drug Dependency Treatment Hospital, Myitkyina, Kachin State, Myanmar.\n                    <jats:bold>Objectives:<\/jats:bold>\n                    To compare before (2016) and after (2018) adoption of \u2018Test and Treat\u2019 guidelines for antiretroviral therapy (ART): 1) the demographic profile of PWID, 2) HIV testing uptake and ART initiation in those diagnosed HIV-positive, and 3) time taken for events.\n                    <jats:bold>Design:<\/jats:bold>\n                    This was a cohort study using secondary programme data.\n                    <jats:bold>Results:<\/jats:bold>\n                    In 2016 and 2018, there were respectively 141 and 146 PWID: all were male except for one female and age distribution between the 2 years was similar. In 2018, significantly more PWID were HIV-tested than in 2016 (85% vs. 45%;\n                    <jats:italic>P<\/jats:italic>\n                    \u2264 0.001). Among those tested, the proportions who were HIV-positive were similar (37% in 2016 and 38% in 2018). In 2018, significantly fewer HIV-positive PWID were started on ART than in 2016 (19% vs. 48%;\n                    <jats:italic>P<\/jats:italic>\n                    = 0.01). Median times between enrolment on MMT and HIV testing (2 vs. 1 day) and between being diagnosed HIV-positive and started on ART (31 vs. 17 days) for 2016 and 2018 were not significantly different.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    ART uptake decreased in 2018 compared with 2016, and ways to rectify this are urgently needed.\n                  <\/jats:p>","DOI":"10.5588\/pha.19.0063","type":"journal-article","created":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T00:36:27Z","timestamp":1587688587000},"page":"27-32","source":"Crossref","is-referenced-by-count":7,"title":["HIV testing and ART initiation in people who inject drugs and are placed on methadone in Kachin State, Myanmar"],"prefix":"10.5588","volume":"10","author":[{"given":"N.","family":"Lum","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. T.","family":"Wai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. M. C.","family":"Thar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. L.","family":"Show","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. D.","family":"Harries","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. M. A.","family":"Wann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Hone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. N.","family":"Oo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3554","published-online":{"date-parts":[[2020,3,1]]},"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.19.0063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:20:55Z","timestamp":1768411255000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.19.0063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,3,1]]},"published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.5588\/pha.19.0063"],"URL":"https:\/\/doi.org\/10.5588\/pha.19.0063","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}