Outreach to Outcomes: Advancing HIV Care in Priority Populations

Area of Science:

• Public Health
• Epidemiology
• Health Disparities

Background:

• The US HIV epidemic disproportionately impacts marginalized communities, especially Black individuals in Southern states.
• Systemic barriers like stigma and limited healthcare access exacerbate HIV incidence and outcomes.
• The national 'Ending the HIV Epidemic' (EHE) initiative aims to reduce infections in priority populations.

Purpose of the Study:

• To develop and implement community-engaged programs to address HIV disparities.
• To improve HIV testing, treatment, and prevention knowledge among clinicians, community partners, and clients.
• To mitigate stigma and access barriers by delivering services in familiar community settings.

Main Methods:

• Implemented five community-engaged programs in priority jurisdictions, utilizing venues like Black-owned barbershops and faith-based organizations.
• Employed a multidimensional educational strategy for clinicians (HIV/PrEP disparities, cultural humility, ART initiation), community partners (barbers, clergy), and clients.
• Provided onsite health education, incentives, and screenings for HIV and other conditions at community events.

Main Results:

• Conducted 804 HIV screenings across five programs.
• Educated over 1,650 clinicians, showing improved knowledge, competence, and confidence in HIV/PrEP disparities and management.
• Community partners were crucial for recruitment, education, and bridging mistrust in the medical establishment.

Conclusions:

• Multidimensional programs combining client, clinician, and partner education with incentives are effective for HIV testing and treatment in priority populations.
• Community engagement and culturally tailored approaches are vital for overcoming systemic barriers in HIV prevention and care.
• Leveraging trusted community venues and partners can significantly improve healthcare access and reduce health disparities.