Barriers and Facilitators to Retaining and Reengaging HIV Clients in Care-Reference-Cited by-同舟云学术

Barriers and Facilitators to Retaining and Reengaging HIV Clients in Care

Published:2016-07-09 Issue:6 Volume:15 Page:486-493
ISSN:2325-9582
Container-title:Journal of the International Association of Providers of AIDS Care (JIAPAC)
language:en
Short-container-title:J Int Assoc Provid AIDS Care

Author:

Berger Miriam B.¹,Sullivan Kristen A.¹,Parnell Heather E.¹,Keller Jennifer²,Pollard Alice³,Cox Mary E.⁴,Clymore Jacquelyn M.⁴,Quinlivan Evelyn Byrd⁵⁶

Affiliation:

1. Center for Health Policy and Inequalities Research, Duke Global Health Institute, Duke University, Durham, NC, USA

2. Section on Infectious Diseases, Wake Forest University School of Medicine, Winston-Salem, NC, USA

3. North Carolina Community Health Center Association, Raleigh, NC, USA

4. Communicable Disease Branch, North Carolina Department of Health and Human Services, Raleigh, NC, USA

5. Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

6. Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

Abstract

Retention in HIV care is critical to decrease disease-related mortality and morbidity and achieve national benchmarks. However, a myriad of barriers and facilitators impact retention in care; these can be understood within the social–ecological model. To elucidate the unique factors that impact consistent HIV care engagement, a qualitative case study was conducted in North Carolina to examine the barriers and facilitators to retain and reengage HIV clients in care. HIV professionals (n = 21) from a variety of health care settings across the state participated in interviews that were transcribed and analyzed for emergent themes. Respondents described barriers to care at all levels within the HIV prevention and care system including intrapersonal, interpersonal, institutional, community, and public policy. Participants also described recent statewide initiatives with the potential to improve care engagement. Results from this study may assist other states with similar challenges to identify needed programs and priorities to optimize client retention in HIV care.

Publisher

SAGE Publications

Subject

Infectious Diseases,Dermatology,Immunology

Link

http://journals.sagepub.com/doi/pdf/10.1177/2325957415616491

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