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Sponsor: North Jersey AIDS Alliance dba North Jersey Community Research Initiative (NJCRI)
Conditions: HIV Infections, HCV, Overdose
Interventions: Ganchero intervention
Countries: United States
The goal of this pilot clinical trial is to learn if an intervention that trains Gancheros (people who provide injection services in exchange for drugs or money) to conduct risk-reduction outreach could help lower risk for human immunodeficiency virus (HIV), hepatitis C virus (HCV) and overdose among migrant Puerto Rican people who inject drugs (PWID) in New York City. The main questions it aims to answer are: * Can the Ganchero intervention be carried out successfully and will Gancheros and their clients like it? * Could the Ganchero intervention help Puerto Rican PWID who are clients of Gancheros use sterile syringes and carry naloxone (a medication to reverse opioid overdoses) more often? Gancheros who participate in the trial will be asked to attend a 6-session training on HIV, HCV, and overdose prevention and then to share key prevention messages and supplies (e.g., naloxone, sterile syringes and other injection equipment) with their clients during 4 months of outreach. The intervention will be carried out with Gancheros and their clients in two Bronx neighborhoods, one after the other, so the investigators can see if clients in the neighborhood that received the intervention first have better outcomes than clients in the neighborhood that did not yet receive the intervention.
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Two distinct groups of participants with different eligibility criteria will be enrolled: (1) Gancheros (n=10, 5/neighborhood); and (2) Gancheros' clients (n=60, 30/neighborhood).
1. Ganchero participants:
* Inclusion Criteria:
* A migrant person who injects drugs (PWID) from Puerto Rico living in one of 2 pre-selected neighborhoods in the Bronx, New York City (NYC)
* Past experience providing Ganchero services in Puerto Rico
* Currently provides Ganchero services to ≥10 clients/day
* Speaks Spanish or English
* Exclusion Criteria:
* Planned travel away from NYC for 2 weeks or longer over the next 24 months
* Inability to comprehend trial information or provide informed consent (e.g., due to intoxication)
2. Client participants:
* Inclusion Criteria:
* A migrant PWID from Puerto Rico living in one of 2 pre-selected neighborhoods in the Bronx, NYC
* Referred to the study by a participating Ganchero
* Used the services of their nominating Ganchero at least once/week for the past 90 days
* Speaks Spanish or English
* Exclusion Criteria:
* Inability to comprehend trial information or provide informed consent (e.g., due to intoxication)- New York, New York, United States