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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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Abstract

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.

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Acknowledgments

This research is supported by Grant number H97HA15152 from the Health Resources and Services Administration (HRSA) Special Projects of National Significance (SPNS) Program. The authors would like to thank the project staff across the eleven demonstration sites for their participation in the process analysis as well as our program interns, Charisse Brown and Laurel Koester, for their support.

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Authors and Affiliations

  1. Department of Family and Social Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Block Building, Bronx, NY, USA

    Iliana A. Garcia, Arthur E. Blank & Alison Karasz

  2. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA

    Arthur E. Blank

  3. Department of Health and Nutrition Sciences, Brooklyn College, City University of New York School of Public Health, Brooklyn, NY, USA

    Elizabeth A. Eastwood

Authors
  1. Iliana A. Garcia
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  2. Arthur E. Blank
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  3. Elizabeth A. Eastwood
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  4. Alison Karasz
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Correspondence to Alison Karasz.

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Garcia, I.A., Blank, A.E., Eastwood, E.A. et al. Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care. AIDS Behav 19, 655–665 (2015). https://doi.org/10.1007/s10461-014-0837-5

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  • DOI: https://doi.org/10.1007/s10461-014-0837-5

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