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. 2021 Nov;22(10):892-897.
doi: 10.1111/hiv.13149. Epub 2021 Jul 29.

The success of HIV combination prevention: The Dean Street model

Nicolò Girometti  1 , Valerie Delpech  2 , Sheena McCormack  1   3 , Jameel Khawam  2 , Sophie Nash  2 , Dana Ogaz  2 , Hamish Mohammed  2 , Keerti Gedela  1 , Diarmuid Nugent  1 , Sheel Patel  1 , Tara Suchak  1 , Victoria Tittle  1 , Alan McOwan  1 , Gary Whitlock  1
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Free article

The success of HIV combination prevention: The Dean Street model

Nicolò Girometti et al. HIV Med. 2021 Nov.
Free article

Abstract

The 56 Dean Street combination prevention model, a strong engagement with the LGBTQI community and flexible services adapted to users' changing needs led to an 80% drop in HIV diagnoses in gay, bisexual and other men who have sex with men (GBMSM) from 2015 to 2017. We describe the service changes at 56 Dean Street since 2012 which resulted in an increase in the frequency of HIV testing, the introduction of pre-exposure prophylaxis, earlier HIV diagnosis and a shorter time to viral suppression in those living with HIV. This model could be adapted to deliver similar results in those settings of high HIV prevalence among GBMSM and where access to technological innovation in healthcare and engagement with the community can be achieved.

Keywords: GBMSM; HIV; HIV combination prevention; HIV prevention; pre-exposure prophylaxis (PrEP); treatment-as-prevention (TasP).

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References

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