protocolSection identificationModule nctId: NCT06316739, orgStudyIdInfo id: R34DA057166, type: NIH, link: https://reporter.nih.gov/quickSearch/R34DA057166, briefTitle: The Ganchero Intervention for Migrant People Who Inject Drugs From Puerto Rico in New York City, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-05, primaryCompletionDateStruct date: 2025-11, completionDateStruct date: 2025-11, studyFirstPostDateStruct date: 2024-03-18, lastUpdatePostDateStruct date: 2024-03-18, sponsorCollaboratorsModule leadSponsor name: North Jersey AIDS Alliance dba North Jersey Community Research Initiative (NJCRI), class: OTHER, collaborators name: City University of New York, School of Public Health, descriptionModule briefSummary: 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., conditionsModule conditions: HIV Infections, conditions: HCV, conditions: Overdose, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: NON_RANDOMIZED, interventionModel: SINGLE_GROUP, interventionModelDescription: Non-randomized wait-list controlled trial. The intervention will be implemented in 2 neighborhoods (in the Bronx, New York City) sequentially. Outcomes among participants in the immediate intervention neighborhood will be compared to outcomes among participants in the delayed intervention neighborhood., primaryPurpose: PREVENTION, maskingInfo masking: NONE, enrollmentInfo count: 70, type: ESTIMATED, armsInterventionsModule interventions name: Ganchero intervention, outcomesModule primaryOutcomes measure: sterile syringe use, secondaryOutcomes measure: naloxone carriage, otherOutcomes measure: Feasibility of intervention - Ganchero Engagement, otherOutcomes measure: Feasibility of intervention - Client Engagement, otherOutcomes measure: Acceptability of the intervention's training component to Gancheros, otherOutcomes measure: Acceptability of the intervention's outreach component to Gancheros, otherOutcomes measure: Acceptability of intervention to Clients, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule, hasResults: False