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Barriers and facilitators to use of a mobile HIV care model to re-engage and retain out-of-care people living with HIV in Atlanta, Georgia

Novel strategies to re-engage and retain people living with HIV (PLWH) who are out of care are greatly needed. While mobile clinics have been used effectively for HIV testing and linkage, evidence guiding their use in providing HIV care domestically has been limited. To guide the development of a mo...

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Autores principales: Henkhaus, Michelle E., Hussen, Sophia A., Brown, Devon N., del Rio, Carlos, Fletcher, Michelle R., Jones, Marxavian D., Marellapudi, Amulya, Kalokhe, Ameeta S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7951832/
https://www.ncbi.nlm.nih.gov/pubmed/33705421
http://dx.doi.org/10.1371/journal.pone.0247328
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author Henkhaus, Michelle E.
Hussen, Sophia A.
Brown, Devon N.
del Rio, Carlos
Fletcher, Michelle R.
Jones, Marxavian D.
Marellapudi, Amulya
Kalokhe, Ameeta S.
author_facet Henkhaus, Michelle E.
Hussen, Sophia A.
Brown, Devon N.
del Rio, Carlos
Fletcher, Michelle R.
Jones, Marxavian D.
Marellapudi, Amulya
Kalokhe, Ameeta S.
author_sort Henkhaus, Michelle E.
collection PubMed
description Novel strategies to re-engage and retain people living with HIV (PLWH) who are out of care are greatly needed. While mobile clinics have been used effectively for HIV testing and linkage, evidence guiding their use in providing HIV care domestically has been limited. To guide the development of a mobile HIV clinic (MHC) model as a strategy to re-engage and retain PLWH who are out of care, we aimed to explore stakeholder perceptions of barriers and facilitators to MHC implementation and use. From June 2019-July 2020, we conducted 41 in-depth interviews with HIV clinic providers, administrators, staff, legal authorities, and community advisory board members, PLWH, AIDS service organizations and city officials in Atlanta, Georgia, and domestic and international mobile health clinics to explore barriers and facilitators to use of MHCs. Interviews were transcribed, coded and thematically analysed. Barriers raised include potential for: breach of confidentiality with resulting heightened stigmatization, fractured continuity of care, safety concerns, staffing challenges, and low community acceptance of MHC presence in their locality. Participants provided suggestions regarding appropriate exterior design, location, timing, and co-delivery of non-HIV services that could facilitate MHC acceptance and address the concerns. In identifying key barriers and facilitators to MHC use, this study informs design and implementation of an MHC as a novel strategy for re-engaging and retaining PLWH who are out of care.
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spelling pubmed-79518322021-03-22 Barriers and facilitators to use of a mobile HIV care model to re-engage and retain out-of-care people living with HIV in Atlanta, Georgia Henkhaus, Michelle E. Hussen, Sophia A. Brown, Devon N. del Rio, Carlos Fletcher, Michelle R. Jones, Marxavian D. Marellapudi, Amulya Kalokhe, Ameeta S. PLoS One Research Article Novel strategies to re-engage and retain people living with HIV (PLWH) who are out of care are greatly needed. While mobile clinics have been used effectively for HIV testing and linkage, evidence guiding their use in providing HIV care domestically has been limited. To guide the development of a mobile HIV clinic (MHC) model as a strategy to re-engage and retain PLWH who are out of care, we aimed to explore stakeholder perceptions of barriers and facilitators to MHC implementation and use. From June 2019-July 2020, we conducted 41 in-depth interviews with HIV clinic providers, administrators, staff, legal authorities, and community advisory board members, PLWH, AIDS service organizations and city officials in Atlanta, Georgia, and domestic and international mobile health clinics to explore barriers and facilitators to use of MHCs. Interviews were transcribed, coded and thematically analysed. Barriers raised include potential for: breach of confidentiality with resulting heightened stigmatization, fractured continuity of care, safety concerns, staffing challenges, and low community acceptance of MHC presence in their locality. Participants provided suggestions regarding appropriate exterior design, location, timing, and co-delivery of non-HIV services that could facilitate MHC acceptance and address the concerns. In identifying key barriers and facilitators to MHC use, this study informs design and implementation of an MHC as a novel strategy for re-engaging and retaining PLWH who are out of care. Public Library of Science 2021-03-11 /pmc/articles/PMC7951832/ /pubmed/33705421 http://dx.doi.org/10.1371/journal.pone.0247328 Text en © 2021 Henkhaus et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Henkhaus, Michelle E.
Hussen, Sophia A.
Brown, Devon N.
del Rio, Carlos
Fletcher, Michelle R.
Jones, Marxavian D.
Marellapudi, Amulya
Kalokhe, Ameeta S.
Barriers and facilitators to use of a mobile HIV care model to re-engage and retain out-of-care people living with HIV in Atlanta, Georgia
title Barriers and facilitators to use of a mobile HIV care model to re-engage and retain out-of-care people living with HIV in Atlanta, Georgia
title_full Barriers and facilitators to use of a mobile HIV care model to re-engage and retain out-of-care people living with HIV in Atlanta, Georgia
title_fullStr Barriers and facilitators to use of a mobile HIV care model to re-engage and retain out-of-care people living with HIV in Atlanta, Georgia
title_full_unstemmed Barriers and facilitators to use of a mobile HIV care model to re-engage and retain out-of-care people living with HIV in Atlanta, Georgia
title_short Barriers and facilitators to use of a mobile HIV care model to re-engage and retain out-of-care people living with HIV in Atlanta, Georgia
title_sort barriers and facilitators to use of a mobile hiv care model to re-engage and retain out-of-care people living with hiv in atlanta, georgia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7951832/
https://www.ncbi.nlm.nih.gov/pubmed/33705421
http://dx.doi.org/10.1371/journal.pone.0247328
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