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A Community-Based, Multidisciplinary Training Program to Improve HIV Services for US-Based African Immigrants:

Chioma Nnaji1, Rena C Patel2, Agatha O Adigwe1

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|March 28, 2026
PubMed
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Culturally responsive training improved HIV care for African immigrants by addressing service gaps. This initiative highlights the need for sustainable models integrating community expertise and policy reform for equitable HIV prevention and care.

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African immigrantsHIVcommunity–academic partnershipscontinuing educationprovider training

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Area of Science:

  • Public Health
  • Health Disparities
  • Cultural Competency in Healthcare

Background:

  • African immigrants in the U.S. experience disproportionately high HIV rates.
  • Existing HIV services often fail to meet the cultural and linguistic needs of this population.
  • Healthcare providers lack adequate training to address these specific disparities in HIV prevention and care.

Purpose of the Study:

  • To evaluate the effectiveness of the African Immigrant (AI) Health initiative in improving HIV care for African immigrants.
  • To assess the impact of a culturally responsive, community-engaged training model on healthcare providers.
  • To identify barriers and facilitators to implementing culturally responsive HIV care.

Main Methods:

  • The AI Health initiative integrated the Extension for Community Healthcare Outcomes (ECHO) model, Community of Practice model, and Commitment to Change (CtC) evaluation framework over five years.
  • Data collection involved pre/post-CtC questionnaires, case presentations, and discussion groups.
  • Commitment to Change statements were thematically analyzed using the socioecological model.

Main Results:

  • Over 100 providers enrolled, with 58 completing the program, reporting improvements in culturally responsive care.
  • 390 Commitments to Change were developed, with most participants partially implementing them (54.5%).
  • Iterative program adaptations enhanced participant engagement and retention.

Conclusions:

  • The AI Health initiative successfully supported providers in enhancing HIV care for African immigrants through culturally responsive training.
  • Findings underscore the necessity for sustainable, longitudinal training models that incorporate community expertise.
  • Policy and structural reforms are crucial to overcome systemic barriers hindering equitable HIV care for African immigrants.