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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.
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