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Andrea Salas-Ortiz1, Luz Edith Ochoa-Sánchez2, Sergio Bautista-Arredondo3

  • 1Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México/Department of Economics and Related Studies, University of York. York, Reino Unido. andrea.s@cisidat.org.mx.

Salud Publica De Mexico
|September 21, 2022
PubMed
Summary

Networks providing HIV care in Mexico show fragmentation and low connectivity as patients progress through the care continuum. This multi-governance system, while forming networks, doesn't guarantee optimal service delivery.

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Area of Science:

  • Public Health
  • Social Network Analysis
  • Health Systems Research

Background:

  • The continuum of care for people living with HIV (PLHIV) involves multiple stakeholders.
  • Understanding the network structure is crucial for optimizing HIV service delivery in Mexico.

Purpose of the Study:

  • To describe and characterize the networks involved in the HIV care continuum in Mexico.
  • To analyze the relationships between actors in HIV care.

Main Methods:

  • Social Network Analysis (SNA) was employed.
  • Information on actor relationships within the HIV care continuum was analyzed.

Main Results:

  • Networks of care are formed by various actors.
  • Networks tend to fragment as patients move along the care continuum.

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  • Low connectivity was observed within these networks.

    • Conclusions:

    • HIV service provision in Mexico is a multi-governance process.
    • Network configuration does not inherently ensure optimal service provision.
    • Network formation is a potential tool for HIV/STI clinics and hospital services to provide timely, continuous care amidst limited resources and performance-based public management.