The Western-Eastern European Partnership Initiative on HIV, Viral Hepatitis and TB

Evaluate feasibility and effectiveness of a simplified HCV care and treatment model integrated into OAT programs in Ukraine.

- To develop SHIM and demonstrate its feasibility.

- Using a multi-level implementation science framework, to examine the client, clinician and organizational factors that contribute to SHIM adoption and clinical outcomes.

- To evaluate the effectiveness of SHIM in improving the HCV treatment cascade outcomes using a cluster-randomized three-arm trial design in 480 HCV-infected patients at 12 OAT clinics (4 clinics per arm) randomized to standard of care (N=160) versus SHIM with (N=160) or without (N=160) ECHO facilitation.