Performance Improvement 2008. What Impact Do HIV Outreach and Intervention Models Have?

01/01/2008

An Outreach Initiative funded in September 2001 as part of the Special Projects of National Significance program had the following goals: 1) evaluate proactive strategies for bringing minority and underserved populations into health care in the early stages of HIV disease; 2) identify and evaluate models that transform sporadic users of health care into regular and continual users of health care; and 3) identify effective methods to support and retain clients in health care.

In Phase I, grantees evaluated their existing outreach programs and strategies to retain patients in care. Based on these evaluations, they developed new or enhanced currently existing interventions along with methods to evaluate their impact. In Phase II, the grantees evaluated these new or enhanced interventions. Ten demonstration sites (in California, District of Columbia, Florida, Massachusetts, Michigan, New York, Oregon, Rhode Island, and Washington) and a coordinating Evaluation Center were funded for both phases of the project.

A multi-site evaluation was designed and implemented by the coordinating Evaluation Center; it included client level data analysis, aggregate agency-level quality improvement analysis, and qualitative analysis. Key findings included: 1) receipt of the intervention (nine or more contacts over the first three months) was associated with retention in HIV care over one year; 2) outreach interventions were successful in reducing a number of barriers that limited access to HIV care, including lack of health insurance coverage, drug use, structural/practical barriers, unmet support service needs and health beliefs; 3) receipt of case management services was associated with engagement and retention in HIV care; and 4) retention in care was associated with improvements in undetectable viral load and quality of life.

Report Title: Multiple Site Reports; Final Reports and Additional Dissemination Products from the 11 Project Sites May be Obtained from Federal Contact
Agency Sponsor: HRSA, Health Resources and Services Administration, HIV/AIDS Bureau
Federal Contact: Adan Cajina, 301-443-3180
Performers: For over all multi-site evaluation, Boston Coordinating Evaluation Center; in addition, each site carried out a separate evaluation.
PIC ID: 8389

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