Replication Resources: SPNS Systems Linkages and Access to Care

Insights from a multi-state demonstration and evaluation of innovative models for linkages to and retention in HIV care.

The HRSA Special Projects of National Significance (SPNS) Initiative: Systems Linkages and Access to Care for Populations at High Risk of HIV Infection funded six demonstration states. Each was tasked with designing, implementing, and evaluating innovative strategies to integrate different components of the public health system like:

• Surveillance
• Counseling and testing
• Treatment to create new and effective systems of linkages and retention in care for hard to reach populations who have never been in care
• Populations that have fallen out of care, or are at-risk for falling out of care 
• Populations of interest who were at high risk for, and/or infected with, HIV but are unaware of their HIV status 
• Populations aware of their HIV infection but have never been referred to care, or are aware but have refused referral to care