Replication Resources: SPNS Systems Linkages and Access to Care

Presented below are resources to support programs in replicating the evidence-informed interventions of the HRSA Special Projects of National Significance (SPNS) Initiative: Systems Linkages and Access to Care for Populations at High Risk of HIV Infection. The "Systems Linkages" Initiative was a multi-state demonstration project and evaluation of innovative models for linkage to and retention in HIV care.

The initiative funded six demonstration states to design, implement, and evaluate innovative strategies to integrate different components of the public health system such as surveillance, counseling and testing, and treatment to create new and effective systems of linkages and retention in care for hard-to-reach populations who have never been in care, have fallen out of care, or are at-risk for falling out of care. Populations of interest were: those persons who at high risk for and/or infected with HIV but are unaware of their HIV status, are aware of their HIV infection but have never been referred to care, or are aware but have refused referral to care.