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If resources for HIV prevention efforts were truly unlimited, then
this book would be en tirely unnecessary. In a world with limitless
support for HIV prevention activities, one would simply implement
all effective (or potentially effective) programs without regard to
expense. We would do everything useful to prevent the further
spread of the virus that has already claimed hundreds of thousands
of lives in the United States and millions of lives worldwide.
Unfortunately, funding for HIV prevention programs is limited. Even
though the amount of available funding may seem quite large
(especially in the United States), it is still fixed and not
sufficient to meet all needs for such programs. This was very well
illustrated in the summer of 1997 when over 500 community-based
organizations applied for a combined total of $18 million of HIV
prevention funding from the U.S. Centers for Disease Control and
Prevention (CDC). Less than one-fifth ofthese organizations
received support via this funding mechanism. Hence, although $18
million may seem like a large amount of money at first blush, it is
not enough to meet all of the prevention needs that could be
addressed by these community-based organizations."
The availability of combination antiretroviral therapy has changed
the lives of millions of people living with HIV (PLWH), for whom a
once fatal infection can now be a manageable chronic disease. Yet
only 30 percent of PLWH in the United States are virally
suppressed, and significant gaps in access to care persist. While
programs to boost linkage to and retention in HIV care are critical
to improving the health of PLWH, efforts to evaluate these programs
are surprisingly scarce. Using cutting-edge implementation science,
this book tackles the issue of how to better link and retain PLWH
in ongoing primary medical care. A multipart case study examines
successful strategies and provides detailed profiles of the
organizations involved and their processes for reaching, linking,
and retaining PLWH. Barriers to and facilitators of implementation
are explored qualitatively, network analysis is used to assess
changes in interagency collaboration among organizations serving
PLWH, and evidence-based recommendations are offered for improving
linkage to HIV care in the US.
If resources for HIV prevention efforts were truly unlimited, then
this book would be en tirely unnecessary. In a world with limitless
support for HIV prevention activities, one would simply implement
all effective (or potentially effective) programs without regard to
expense. We would do everything useful to prevent the further
spread of the virus that has already claimed hundreds of thousands
of lives in the United States and millions of lives worldwide.
Unfortunately, funding for HIV prevention programs is limited. Even
though the amount of available funding may seem quite large
(especially in the United States), it is still fixed and not
sufficient to meet all needs for such programs. This was very well
illustrated in the summer of 1997 when over 500 community-based
organizations applied for a combined total of $18 million of HIV
prevention funding from the U.S. Centers for Disease Control and
Prevention (CDC). Less than one-fifth ofthese organizations
received support via this funding mechanism. Hence, although $18
million may seem like a large amount of money at first blush, it is
not enough to meet all of the prevention needs that could be
addressed by these community-based organizations.
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