title: Implementing Multi-Level Interventions to Improve HIV Testing, Linkage-to-and Retention-in-Care Interventions.
abstract: In 2011, the Health Resources and Services Administration launched the Systems Linkage and Access to Care for Populations at High Risk of HIV Infection Initiative. Six state Departments of Health were funded to develop and implement HIV testing, linkage-to-care, and retention-in-care interventions over a four-year period. We conducted qualitative interviews with stakeholders (n = 68) involved in intervention development and/or implementation in order to characterize and compare the interventions; assess factors shaping the implementation of different interventions; and identify barriers to and facilitators of linkage and retention interventions. Our findings provide important lessons learned for achieving a more coordinated state-level response to the HIV epidemic.
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Koester
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Fuller
authors.forename: Andres
authors.initials: A
authors.lastname: Maiorana
authors.forename: Wayne T
authors.initials: WT
authors.lastname: Steward
authors.forename: Sophia
authors.initials: S
authors.lastname: Zamudio-Haas
authors.forename: Jessica
authors.initials: J
authors.lastname: Xavier
authors.forename: Cara
authors.initials: C
authors.lastname: Safon
authors.forename: Shane P
authors.initials: SP
authors.lastname: Collins
authors.forename: Stephen F
authors.initials: SF
authors.lastname: Morin
authors.forename: Janet J
authors.initials: JJ
authors.lastname: Myers
mesh_terms: D003299:Cooperative Behavior; D057286:Electronic Health Records; D015658:HIV Infections / Q000175:diagnosis* / Q000628:therapy*; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D008403:Mass Screening / Q000458:organization & administration*; D036301:Qualitative Research; D012017:Referral and Consultation