Advancing the Care Continuum

“With the nearest HIV provider nearly three hours away, this patient would otherwise have had no access to proper HIV care. Through telemedicine, she was able to be seen immediately by an HIV- specializing physician during her hospitalization. Within one month, she completely recovered from Pneumocystic Pneumonia and was able to breathe without specialized treatments.”

Project Coordinator,
Medical AIDS Outreach of Alabama

Access to Care
Advancing the Care Continuum

AIDS United’s Access to Care (A2C) initiative is a public-private partnership with the Corporation for National and Community Service’s Social Innovation Fund (SIF) and 14 private funders. A2C supports innovative, evidence-based, collaborative programs to connect thousands of low-income and marginalized individuals living with HIV to supportive services and health care. AIDS United’s support includes cash grants, technical assistance, evaluation, and networking opportunities that help to maximize the impact of each A2C program.

Another pivotal component of this program is the multi-pronged evaluation that measures health outcomes, community impact, and cost analysis. The evaluation is led by Dr. David Holtgrave and Dr. Catherine Maulsby at Johns Hopkins Bloomberg School of Public Health.

In 2013, thanks to the commitment and tenacity of these collaborations, AIDS United’s A2C initiative continued to see encouraging results, helping to get more than 3,200 individuals into the lifesaving care that they need. Clients served by these programs are working toward self-sufficiency through treatment adherence, job training, housing stabilization, and peer support. Most notably was A2C’s recognition by the White House in a report released in conjunction with World AIDS Day 2013 entitled National HIV/AIDS Strategy: Improving Outcomes: Accelerating Progress Along the HIV Care Continuum. The report highlights A2C’s seminal work in leveraging public-private partnerships to tackle barriers, meet the goals of the national strategy, and advance vulnerable populations beyond barriers and into care.

AIDS United’s
A2C Initiative Grantees
  • ActionAIDS, Philadelphia, PA
  • AIDS Action Committee, Boston, MA
  • AIDS Foundation of Chicago, Chicago, IL
  • AIDS Project Los Angeles, Los Angeles, CA
  • Amida Care, New York, NY
  • Christie’s Place, San Diego, CA
  • Damien Center, Indianapolis, IN
  • Louisiana Public Health Initiative (LPHI), Baton Rouge, LA
  • Medical AIDS Outreach of Alabama, Montgomery, AL
  • St. Louis Effort for AIDS,
    St. Louis, MO
  • University of Alabama at Birmingham (UAB),
    Birmingham, AL
  • USC/Center for Health Justice,
    Los Angeles, CA
  • Washington AIDS Partnership,
    Washington, DC
A2C is designed to help bridge access to services for the most marginalized people living with HIV by serving as an innovation hub for local strategies to tackle barriers to care . . . The work being done by A2C’s grantees is inspiring.

2013 White House Report, “National HIV/AIDS Strategy: Improving Outcomes: Accelerating Progress Along the HIV Care Continuum”

Retention in Care

AIDS United’s Retention in Care (RiC) initiative is a three-year partnership with the MAC AIDS Fund to identify, document, and evaluate innovative, emerging, or promising program models for improving retention in care. The initiative uses a national evaluation framework that works hand-in-hand with local evaluators to document the ability of programs to improve individual health, affect systems change, and measure cost effectiveness.

RiC grantees focus on populations that often experience some of the worst HIV-related health disparities in the United States. The grantees implement programs to address a multitude of retention barriers to addressing one of the largest drop-off points along the HIV care continuum (see illustration here).

New research documents the dramatic impact viral suppression has on extending the lives of those living with HIV, but also in substantially reducing new transmissions. Thus, moving patients along the care continuum to where they are not only engaged but also retained, prescribed, and adherent to HIV medication is critical to public health efforts.

2013 Retention in Care Grantees
  • AIDS Alabama, Birmingham, AL
  • BOOM!Health, Bronx, NY
  • Christie’s Place, San Diego, CA
  • Institute for Public Health Innovation,
    Prince George’s County, MD
  • Mazonni Center, Philadelphia, PA
  • The Open Door, Pittsburgh, PA
  • The University of Virginia,
    Charlottesville, VA

“Trans women across the city are utilizing our T.R.U.E. Care Clinic . . . as an alternative access point to receive HIV testing, medical care, and case management . . . This project is truly having an impact on the larger community!”

RiC grantee the Mazzoni Center in Philadelphia, PA helps to keep trans women living with HIV in care and on treatment through its peer-based TransWellness Project.