Multiple factors may hinder the successful uptake of testing and linkage to care and prevention.
Multiple factors may hinder the successful uptake of testing and linkage to care and prevention. These include patient-level factors (such as depression, lack of social or family support, and fear of disclosure), as well as structural or economic factors such as stigma and discrimination, distance from care sites, lack of or cost of transportation, and long waiting times at the facility). Hepatitis C and HIV also disproportionally affects individuals with co morbid mental health or substance use issues.
Traditionally, services for hepatitis and HIV, mental health and substance use have been provided by separate clinicians or teams often located in different health facilities, which may contribute to HCV/HIV treatment dropout and/or treatment failure.