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Implementing Multi-Level Interventions to Improve HIV Testing, Linkage-to-and Retention-in-Care Interventions.

Kimberly A Koester, Shannon M Fuller, Andres Maiorana

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    State health departments implemented HIV interventions to improve testing, linkage, and retention in care. Qualitative interviews revealed key lessons for a coordinated state-level HIV response.

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    Area of Science:

    • Public Health
    • Health Services Research
    • Qualitative Research

    Background:

    • The Health Resources and Services Administration initiated a program in 2011 to improve HIV care access for high-risk populations.
    • Six state health departments received funding to develop and implement HIV testing, linkage-to-care, and retention-in-care interventions over four years.

    Purpose of the Study:

    • To characterize and compare HIV interventions developed and implemented by state health departments.
    • To assess factors influencing the implementation of these interventions.
    • To identify barriers and facilitators for linkage and retention in HIV care.

    Main Methods:

    • Qualitative interviews were conducted with 68 stakeholders involved in intervention development and/or implementation.
    • The study focused on interventions aimed at HIV testing, linkage-to-care, and retention-in-care.

    Main Results:

    • Intervention characteristics and implementation factors varied across states.
    • Key barriers and facilitators to linkage and retention in HIV care were identified.
    • Lessons learned for improving state-level HIV epidemic response were documented.

    Conclusions:

    • Findings offer valuable insights for enhancing coordinated state-level strategies in HIV prevention and care.
    • The study highlights the importance of understanding implementation dynamics for effective public health interventions.
    • Results can inform future initiatives to improve HIV testing, linkage, and retention outcomes.