Beyond the Barefoot Doctors: Using Community Health Workers to Translate HIV Research to Service.
Bre Anne YoungAmanda RosenthalSebastian EscarfullerSimran ShahOlveen CarrasquilloSonjia KenyaPublished in: AIDS and behavior (2019)
Miami-Dade leads the nation in new HIV infections, and its Black communities experience the greatest disparities in outcomes. Our prior research found that street-based HIV testing facilitated by community health workers improved access to testing and care among Black adults in a controlled trial setting. Herein, we describe our efforts translating this CHW-led intervention into a community service for diverse Blacks in Miami. From December 2016 through August 2017, CHWs educated 1672 individuals about HIV transmission, prevention methods, and risk factor modification; 529 received HIV testing and/or linkage to care services. Approximately 5% of participants (n = 26) had rapid reactive results. This efficacious and culturally-acceptable model represents a powerful change in the delivery of HIV care and demonstrates how public health leaders can foster community engagement in the transition from research to service.
Keyphrases
- hiv testing
- healthcare
- men who have sex with men
- mental health
- hiv positive
- public health
- quality improvement
- affordable care act
- human immunodeficiency virus
- palliative care
- randomized controlled trial
- risk factors
- primary care
- clinical trial
- social media
- antiretroviral therapy
- metabolic syndrome
- gene expression
- hepatitis c virus
- health insurance
- weight loss
- open label
- hiv infected
- quantum dots
- skeletal muscle
- genome wide
- sensitive detection