Hispanic/Latino

25% of RW clients are latino, 61% live below the poverty level, 91% are virally suppressed, 42% are aged over 50

Approximately one-fourth of HRSA Ryan White HIV/AIDS Program (RWHAP) clients are Hispanic/Latino. Viral suppression rates are slightly above the overall RWHAP average, and overall these clients are younger than average. Technical assistance and training resources focus on, for example, linguistic, cultural, and other barriers to health care.

Best Practices

  • Center for Innovation and Engagement
    Collection of implementation guides on evidence-informed best practices in HIV care delivery.
  • IHIP
    Use of a transnational framework to provide intensive services, including one-on-one educational sessions, to help Latino men and Latina transgender women link to and stay engaged in care and treatment.
  • IHIP
    Multi-level messaging intervention focused on linking Latinos with HIV to high quality HIV primary care in Dallas County, Texas. Individual-, group- and community-level strategies.
  • SPNS Latino Access Initiative, UCSF Center for AIDS Prevention Studies

    Monographs describing interventions for the engagement and retention of Latinos in HIV care.

  • SPNS Transgender Women of Color Initiative

    Innovative models for linking and retaining transgender women of color in HIV care.

  • NASTAD
    Ideas for RWHAP Part B/ADAPs to support access to medications and tailor related services for Latinos and Latinas living with HIV.
  • IHIP

    Implementation guide for HIV providers on addressing the unique needs of women of color living with HIV.

  • Best Practices Compilation
    Hispanic and Latino clients served by the team received culturally responsive care and linkages to external community resources, with resulting greater retention in care and improved viral suppression rates.
  • Best Practices Compilation
    Clínica Bienestar (Spanish for “Wellness Clinic”) was developed to provide comprehensive, integrated HIV primary care services to Spanish-speaking and bilingual people of Puerto Rican ancestry, with HIV who inject drugs. Clínica Bienestar is a multilevel, multipronged intervention combining evidence-based practices in behavioral health and HIV medical care with a transnational approach to care. Clínica Bienestar positively impacted retention in HIV medical care and viral suppression.
  • Best Practices Compilation
    Enlaces Por La Salud is an HIV linkage, navigation, and education program for Mexican men and transgender women. The intervention is grounded in a transnational framework for providing cultural context to support the delivery of one-on-one educational sessions to Latina(o/x) people with a new HIV diagnosis, as well as people with HIV who are not yet retained in care. After 12 months, the majority of people participating in Enlaces Por La Salud were retained in care and reached viral suppression.
  • Best Practices Compilation
    From 2016 through 2019, three clinics—AIDS Care Group, Howard Brown Health, and Meharry Medical College—participated in a RWHAP Part F SPNS DEII initiative to implement peer linkage and re-engagement interventions for women of color with HIV. Integrating peers into HIV primary care teams has been effective in better engaging women of color in care.
  • Best Practices Compilation
    The Ruth M. Rothstein CORE Center launched Proyecto Promover to decrease HIV testing-related stigma, increase awareness of HIV status, and increase early linkage to and retention in care among Mexicanos with HIV. The program operates at the community level through social marketing, educational talks, networking, and testing. On the individual level, Proyecto Promover uses one-on-one conversations to identify and overcome barriers related to care engagement and retention. Evaluation showed promising rates of HIV testing, retention in care, and viral suppression.
  • Best Practices Compilation
    The Alexis Project used social network recruiting and engagement, peer navigation, and contingency management to reach and engage transgender women of color with HIV who were not engaged in HIV care. Participation in the 18-month intervention improved linkage to care and viral suppression.
  • Best Practices Compilation
    Bienestar developed TransActivate to improve timely engagement and retention in HIV care among Latina transgender women. Linkage coordinators/peer navigators use a strengths-based approach to help clients reach their goals of entering and staying in medical care to ultimately reach viral suppression.
  • Best Practices Compilation
    Viviendo Valiente aims to reduce ethnic disparities in HIV care and outcomes by providing culturally responsive services to the Latino/a community, specifically to people of Mexican descent. It is a multi-level intervention, featuring individual-, group-, and community-level activities, that links people to HIV care, offers HIV education and health literacy in group sessions, and promotes community-level testing for HIV and other sexually transmitted infections (STIs). Viviendo Valiente had positive impacts on HIV testing, retention in care, viral suppression, and client satisfaction.

Resources

Training Modules

Webinars

Conference Presentations

Atrium Health
Anna Jacobs, Mindy Sampson, Leigh Medaris, Jacob Schulte, Joseph Erato, Christopher Polk
2022 National Ryan White Conference on HIV Care & Treatment
HRSA
Cora Trelles Cartagena, Lauren Miller, Charles Shazor Jr.
2022 National Ryan White Conference on HIV Care & Treatment
Valley AIDS Council
Pedro Coronado, Rachel Rodriguez, Sandra Diaz
2022 National Ryan White Conference on HIV Care & Treatment
Positive Impact Health Centers
Gabriel Silva
2022 National Ryan White Conference on HIV Care & Treatment
Pacific AIDS Education and Training Center
Thomas Donohoe, Britt Nigon, Pedro Coronado
2022 National Ryan White Conference on HIV Care & Treatment

Technical Assistance

  • ELEVATE will prepare people with HIV to meaningfully engage and take on leadership roles in planning bodies, advocacy actions, and the HIV workforce. Project period: 2020-2024.

  • The NHC provides ongoing, up-to-date information needed to meet the core competency knowledge for HIV prevention, screening, diagnosis, and ongoing treatment and care to healthcare providers in the United States. Project period: 2020-2022.
  • Initiative documenting best practice strategies and interventions that have been shown to improve HIV outcomes in a "real world" setting and can be replicated by other programs. Project period: 2021-2024.
  • Interactive data tool to visualize the reach, impact, and outcomes of the RWHAP. HRSA offers office hours and webinars to help use the tool.

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