title: Barriers and facilitators to the implementation of SPNS interventions designed to engage and retain HIV positive women of color in medical care.
abstract: The use of evidence-based strategies to increase access to medical care and improve health outcomes for people living with HIV is a major public health priority in the United States. As part of a multi-site evaluation funded under the Health Resources and Services Administration (HRSA), a process evaluation was conducted with the goal of understanding barriers and facilitators to the implementation of eleven heterogeneous interventions designed to engage and retain HIV positive women of color (WoC) in medical care. Findings identified barriers and facilitators to program implementation at five levels: (1) program; (2) team; (3) agency; (4) partner network; and (5) the larger socio-ecological context. We conclude with a series of recommendations that may be useful for the implementation of similar interventions focused on recruitment and retention of WoC in HIV medical care.
authors.affiliation: Department of Family and Social Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Block Building, Bronx, NY, USA.
authors.forename: Iliana A
authors.initials: IA
authors.lastname: Garcia
authors.forename: Arthur E
authors.initials: AE
authors.lastname: Blank
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Eastwood
authors.forename: Alison
authors.initials: A
authors.lastname: Karasz
mesh_terms: D001741:Black or African American; D019090:Case Management; D005260:Female; D015658:HIV Infections / Q000628:therapy*; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D006801:Humans; D007857:Leadership; D010379:Peer Group; D017064:Process Assessment, Health Care; D036301:Qualitative Research; D014481:United States; D014488:United States Health Resources and Services Administration; D014930:Women; D014932:Women's Health Services / Q000458:organization & administration*