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Long-acting antiretroviral therapy (ART) with cabotegravir and rilpivirine was superior in suppressing HIV replication compared to daily oral ART in people who had been unable to maintain viral suppression through an oral daily regimen.News Article updated on 02/28/2024
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ED Alert
The goals of the Emergency Department and Hospital-Based Data Exchange for Real-Time Data to Care (ED Alert) intervention are to reengage people with HIV in care and to improve viral suppression rates. This is achieved using a real-time data exchange system that connects clients presenting to the emergency department with health department linkage specialists. ED Alert increased viral load testing and viral suppression over six months following a provider visit in the post-intervention period.Resource from the RWHAP Best Practices Compilation updated on 03/18/2024
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Rapid ART Program Initiative for New Diagnoses
Rapid ART Program Initiative for New Diagnoses (RAPID) was designed to connect people with a new HIV diagnosis to ART within five days of diagnosis and within one day of their initial care visit. Linkage navigators counseled people on HIV care, identified an available clinician capable of immediately prescribing ART, scheduled the clinical appointment, and connected people to additional support services. RAPID led to a reduction in median time between initial diagnosis and both ART initiation and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 07/04/2024
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YGetIt? Program
The YGetIt? Program engaged youth and young adults with HIV in care through three components: a health management mobile application (GET!), Peer Engagement Educator Professionals (PEEPs), and a graphic serial (Tested). Tested received over 200,000 views, and viral suppression rates among YGetIt? participants increased from 79% to 86% over the course of the program.Resource from the RWHAP Best Practices Compilation updated on 03/18/2024
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RWHAP Part A Division of Metropolitan HIV/AIDS Programs Stakeholder Series
HRSA HIV/AIDS Bureau DMHAP stakeholder calls with the RWHAP Part A and EHE Initiative stakeholder community at large.Resource updated 07/02/2024
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RWHAP Part A Stakeholder Call: Intersectionality - Transformative Strategies for Priority Populations in HIV Care
Review of intersectionality and creating a care environment to address varied client needs.Resource updated 07/02/2024
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INFINI-T
INFINI-T is a program designed to reach young transgender women of color with HIV and retain them in care through peer advocates who provided case management. These peer advocates facilitated social support sessions with the goal of alleviating the negative impacts of psychosocial factors like history of trauma, stigma, and discrimination. Clients were more likely to be virally suppressed and retained in care after 12 months of participating in the intervention.Resource from the RWHAP Best Practices Compilation updated on 07/11/2024
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Journey Mapping (Encore Presentation)
Attendees will gain insights into the process of constructing patient journey maps collaboratively within their communities.Event updated 07/17/2024
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National Transgender HIV Testing Day
This awareness raising day recognizes the disproportionate impact of HIV on transgender people and the importance of increased testing and access to HIV care for transgender and gender non-binary people.Event updated 07/17/2024
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POP-UP
POP-UP provides low-barrier comprehensive HIV primary care, substance use services, mental health services, and case management to people who are homeless and unstably housed with the goal of retaining clients in care and improving viral suppression. Among POP-UP participants, 44% who were unstably housed and not virally suppressed at the start of the study were virally suppressed 12 months after enrollment.Resource from the RWHAP Best Practices Compilation updated on 05/24/2024
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Taking Care of Me
Taking Care of Me is a video- and poster-based intervention to promote prompt ART initiation and medication adherence for people with HIV. The video and posters are designed for use in HIV clinics, drawing on the example of similar initiatives launched in public health clinic waiting rooms that aim to reduce incidence of sexually transmitted infections. A trial testing the efficacy of Taking Care of Me found that clients exposed to the video were more likely to be prescribed ART and reach viral suppression.Resource from the RWHAP Best Practices Compilation updated on 06/21/2024
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Rapid ART Start Protocol
The Rapid ART Start Protocol focuses on helping veterans with a new HIV diagnosis access ART and comprehensive treatment as soon as possible. A retrospective cohort study showed positive outcomes, including decreases in the time to first appointment, the time to ART initiation, and the time to reach viral suppression. In addition, patients receiving the intervention were more likely to reach viral suppression compared to patients seen pre-intervention at the same clinic.Resource from the RWHAP Best Practices Compilation updated on 06/21/2024
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HIV Prevention and Care Improvements Summarized in CDC Surveillance Reports
In the U.S., the number of new HIV cases continue to decline, most people are linked to care within one month of their HIV diagnosis, and 69% reach viral suppression within 6 months of HIV diagnosis.News Article updated on 06/10/2024 -
Suppression Bundle
This nine-month program tailored services for people with HIV by bundling three to five evidence-informed care strategies for each client, such as mental health referrals, transportation assistance, appointment reminders, and pill boxes. A primary care physician, case manager, and pharmacist coordinated with each client to address their specific needs. After the intervention, 70.1% of previously non-suppressed clients were virally suppressed.Resource from the RWHAP Best Practices Compilation updated on 06/11/2024
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Rise
Rise was implemented to address ART adherence issues among Black people with HIV. Through Rise, peer counselors used motivational interviewing techniques, leveraged Medication Event Monitoring System data to monitor and promote adherence, and connected participants to support services to address unmet needs. A randomized controlled trial showed that Rise participants were more likely to be adherent to ART than non-participants.Resource from the RWHAP Best Practices Compilation updated on 06/11/2024
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The Brandy Martell Project
The Brandy Martell Project aimed to engage adult transgender women of color in HIV care and increase retention in care by offering patient navigation services, workshop programming, and legal support. Evaluation results showed The Brandy Martell Project had a significantly positive effect on ART prescription for clients.Resource from the RWHAP Best Practices Compilation updated on 07/11/2024
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Stronger Together
Stronger Together uses counseling to increase engagement in and improve the quality of HIV care available for serodiscordant male couples. Through three in-person and additional “booster” sessions over an 18-month period, Stronger Together gave couples a space to work with an HIV professional to improve treatment adherence and keep both people healthy. Stronger Together participants were more likely to adhere to ART than those in a control group.Resource from the RWHAP Best Practices Compilation updated on 04/12/2024
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OPT-In For Life
OPT-In For Life is a social media-based intervention that promotes advancement along the HIV care continuum for young adults (ages 18 to 34) with HIV. During the 18-month intervention, OPT-In For Life used multiple social media platforms and a mobile application to provide HIV-related and positive lifestyle resources. Young adults enrolled in OPT-in For Life demonstrated improved retention in HIV care and higher rates of viral suppression after participation.Resource from the RWHAP Best Practices Compilation updated on 03/20/2024
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Test & Treat Rapid Access Program
Through the Test & Treat Rapid Access (TTRA) Program, clients with a new HIV diagnosis in Miami-Dade County can access ART, receive other services and counseling, start enrolling in RWHAP, and connect to HIV primary care during the initial visit. At Borinquen Health Care Center, one of the clinical sites participating in TTRA, 76% of clients were virally suppressed within three months of receiving a rapid ART start, and 95% were retained in care for 12 months.Resource from the RWHAP Best Practices Compilation updated on 04/19/2024
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AETC National Coordinating Resource Center
The central hub of the AETC Program, the clinical training arm of the RWHAP, through HIV curricula, technical support to regional AETCs on practice transformation and best practices, and housing of all AETC-developed tools for HIV clinical staff. Project period: 2019-2024.RWHAP Technical Assistance Provider updated on 04/15/2024