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Overview of implementation science activities for the Ryan White HIV/AIDS Program (RWHAP) and feedback on future directions.News Article updated on 04/14/2023
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Health Disparities
Ensuring health equity within projects.Resource (Conference Presentation) updated 09/14/2023
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Telehealth Implementation at a Midwest HIV Clinic
The University of Nebraska Medical Center/Nebraska Medicine (UNMC/NM) Specialty Care Center (SCC) is the largest provider of comprehensive HIV care—including primary and HIV-focused medical services as well as multiple support services—in Nebraska. In March 2020, at the onset of the COVID-19 pandemic, the clinic integrated telehealth into its care delivery model to continue serving patients beyond the clinic structure, and developed algorithms that allowed any team member to quickly identify a patient's eligibility for a telehealth visit. The algorithms include the date of the most recent office visit, stability of HIV disease, most recent viral load and CD4 count, and antiretroviral therapy (ART) refill histories as a proxy for medication adherence. Overall, viral suppression rates remained high for all patients regardless of visit type, indicating that telehealth is a successful alternative to in-person visits for providing HIV care.Resource from the RWHAP Best Practices Compilation updated on 03/23/2024
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Housing First to Treat and Prevent HIV
Intervention using three interconnected approaches to improve retention in HIV care: housing first, harm reduction, and Motivational Interviewing.Resource updated 10/13/2023
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STI Implementation Plan Released
HHS has released an implementation plan on specific actions for entities to take in preventing and treating sexually transmitted infections (STI).News Article updated on 06/13/2023 -
Health Centers on the Front Lines Podcast: Status Neutral
Review of concept of status neutral (access to HIV services regardless of HIV status).Resource updated 10/24/2023
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Health Centers on the Front Lines: Be the Change: Black Cisgender and Trans Women, HIV Treatment, & PrEP
Role of health centers in increasing PrEP access and use among women.Resource updated 10/18/2023
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Micro Learning: Black Cisgender and Trans Women, HIV Treatment, & PrEP
Learn how to improve messaging about HIV prevention and care to improve acceptance of services among all Black women.Resource updated 05/10/2023
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Navigator Case Management for People Leaving Jail
The Navigator Case Management intervention helps people with HIV who are incarcerated and are leaving to return to the community. The intervention uses harm reduction, case management, and motivational interviewing techniques to promote healthy behaviors. Enhanced case management including peer support and connection to other needed services both immediately before and after release supports increased linkage to and retention in HIV care for people transitioning to the community from jail.Resource from the RWHAP Best Practices Compilation updated on 01/19/2024
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Enhanced Patient Navigation for Women of Color
The Enhanced Patient Navigation for Women of Color with HIV intervention uses patient navigators, who are non-medical staff in clinical settings, to reduce barriers to health care and optimize care. The intervention was effective in improving linkage to and retention in care, as well as viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/28/2024
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Ryan White Conference Database Expands
A searchable database is now available to access slides and videos from HRSA Ryan White Conferences stretching back to 2020.Blog updated 03/28/2024
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Postpartum Retention and Engagement Quality Improvement Initiative
The University of Mississippi Medical Center implemented a Postpartum Retention and Engagement Quality Improvement Initiative in 2017 to improve linkage to care, retention in care, and viral suppression among postpartum women with HIV. This intervention uses a combination of care coordination, printed materials, case management services, and improved collaboration and coordination between the Adult Special Care Clinic, which provides comprehensive HIV medical care, and a Perinatal HIV Program. The comprehensive intervention significantly improved retention in HIV care and increased viral suppression at both six and 12 months postpartum.Resource from the RWHAP Best Practices Compilation updated on 11/14/2023
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Issue Brief: Using Participatory Art Approaches to Promote Health and Empower Client Voice
Use of participatory arts to generate dialogue and engage individuals in receiving health care and participating in community activities.Resource updated 01/08/2024
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Aging with HIV Initiative
SPNS project evaluating interventions that seek to improve the well-being of RWHAP clients 50 and older. Project period: 2022-2025.RWHAP Technical Assistance Provider updated on 02/27/2024
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Epidemic through a pandemic: Strategies to support Black women with HIV during COVID-19 pandemic
This poster will provide information about approaches of the Black Women First Initiative in adressing HIV epidemic through the COVID-19 pandemic. Various strategies were developed and adapted by the 12 RWHAP SPNS demonstration sites by changing their existing systems for a more culturally responsive care for Black women with HIV.
Resource (Conference Presentation) updated 04/23/2024
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Our WORK: Women and Infant Supportive Housing Demonstration Project
Our Women Organizing Resources and Knowledge (WORK) is supportive housing demonstration project developed to address and reduce gaps in resources for low-income women with HIV with children. Learn best practices and lessons learned through the development and implementation project.
Resource (Conference Presentation) updated 09/14/2023
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HIV Provider-led Reproductive Health Visits to Increase Contraception Counseling Among Persons with HIV
The percentage of people with HIV who could become pregnant and lacked designated form of contraception rose from 13 percent to 22.5 percent between April 2020-April 2021 in our Southeastern RWHAP clinic. We developed a reproductive health visit to reduce the rate of those with no contraception plan from 22.5 percent to 17 percent by July 2022.
Resource (Conference Presentation) updated 09/14/2023
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Navigating HIV services for Deaf, Hard of Hearing, and DeafBlind
Barriers to care for deaf people living with HIV and best practices for engaging them in care and providing culturally relevant HIV services.
Resource (Conference Presentation) updated 09/14/2023
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Impact of Covid-19 protocols on recruitment for an engagement in care program for returning citizens
Exploratory study to understand recruitment challenges faced by an HIV engagement in care project for Black women, incorporating constructs from the Consolidated Framework for Implementation Research. The main source of recruitment barriers were protocol changes implemented to minimize COVID-19 risk.
Resource (Conference Presentation) updated 09/14/2023
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Innovative Approaches to Engaging Hard-to-Reach PWA into Care Toolkit
Learning tools on how to engage hard-to-reach people with HIV into care, including a training manual (for adapting SPNS models); a curriculum (for training staff); and webinars on key topics.Informational updated 04/03/2024