Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care

The use of evidence-based strategies to increase access to medical care and improve health outcomes for people living with HIV is a major public health priority in the United States. As part of a multi-site evaluation funded under the Health Resources and Services Administration (HRSA), a process ev...

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Veröffentlicht in:AIDS and behavior 2015-04, Vol.19 (4), p.655-665
Hauptverfasser: Garcia, Iliana A., Blank, Arthur E., Eastwood, Elizabeth A., Karasz, Alison
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container_end_page 665
container_issue 4
container_start_page 655
container_title AIDS and behavior
container_volume 19
creator Garcia, Iliana A.
Blank, Arthur E.
Eastwood, Elizabeth A.
Karasz, Alison
description The use of evidence-based strategies to increase access to medical care and improve health outcomes for people living with HIV is a major public health priority in the United States. As part of a multi-site evaluation funded under the Health Resources and Services Administration (HRSA), a process evaluation was conducted with the goal of understanding barriers and facilitators to the implementation of eleven heterogeneous interventions designed to engage and retain HIV positive women of color (WoC) in medical care. Findings identified barriers and facilitators to program implementation at five levels: (1) program; (2) team; (3) agency; (4) partner network; and (5) the larger socio-ecological context. We conclude with a series of recommendations that may be useful for the implementation of similar interventions focused on recruitment and retention of WoC in HIV medical care.
doi_str_mv 10.1007/s10461-014-0837-5
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subjects Access
Acquired immune deficiency syndrome
African Americans
AIDS
Attrition
Barriers
Case Management
Color
Constraints
Environmental aspects
Evidence-based practice
Female
Females
Health
Health care
Health problems
Health Psychology
Health services
Health Services Accessibility
Health services utilization
Hispanic Americans
HIV
HIV Infections - therapy
Human immunodeficiency virus
Humans
Implementation
Infectious Diseases
Intervention
Leadership
Management
Medicine
Medicine & Public Health
Original Paper
Peer Group
Process Assessment (Health Care)
Program implementation
Public Health
Qualitative Research
Race
Recruitment
United States
United States Health Resources and Services Administration
Women
Women's Health Services - organization & administration
title Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care
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