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  3. Enhancing Notification-driven Linkage To Care For People Living With Hepatitis C In Queensland: System Constraints And Solutions.
  1. Home
  3. Enhancing Notification-driven Linkage To Care For People Living With Hepatitis C In Queensland: System Constraints And Solutions.

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Enhancing notification-driven linkage to care for people living with hepatitis C in Queensland: system constraints

Amanda E Armstrong1,2, Stephen B Lambert3,4, Theophilus I Emeto2

  • 1West Moreton Public Health Unit, West Moreton Health, Wacol QLD 4076, Australia.

Communicable Diseases Intelligence (2018)
|July 30, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Queensland's hepatitis C virus (HCV) surveillance system has significant data gaps hindering linkage to care. Recommendations include automated reporting and data linkage to improve HCV elimination efforts.

Keywords:
HCVRNA testinghepatitis Clinkage-to-carenotificationssurveillancesystem map

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Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease Surveillance

Background:

  • Hepatitis C virus (HCV) elimination requires effective surveillance systems.
  • Queensland, Australia, relies on state and territory health authorities for HCV surveillance and response.
  • This study evaluates Queensland's HCV surveillance system to identify barriers and solutions for linkage to care.

Purpose of the Study:

  • To examine Queensland's HCV surveillance system.
  • To identify barriers to implementing notification-driven linkage to care.
  • To propose solutions for strengthening HCV surveillance and care.

Main Methods:

  • System mapping and gap identification through stakeholder consultation.
  • Descriptive analysis of two months of HCV notification data (January-February 2023).
  • Categorization of cases into indeterminate, active, and cleared infection.

    • Main Results:

    • Significant constraints identified, including lack of automated data processes and key data elements.
    • 54.0% of 2,257 cases had cleared HCV infection.
    • Incomplete diagnostic testing was more common in community settings (p < 0.001), disproportionately affecting Aboriginal and/or Torres Strait Islander people (30.2% of incomplete tests).
    • Of 734 active cases, 36.0% were Aboriginal and/or Torres Strait Islander people.

    Conclusions:

    • Strengthening Queensland's HCV surveillance requires regulatory amendments for negative HCV RNA testing notification.
    • Systematic, real-time data linkage and automated reporting of Point of Care Testing are crucial.
    • Implementing a HCV clearance cascade and a centralized public health model are recommended to optimize HCV surveillance and care.