AEGiS-09IAC: Providing HIV care services to disenfranchised populations.

9th International AIDS Conference


Berlin, Germany — June 6-11, 1993

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Providing HIV care services to disenfranchised populations.

Int Conf AIDS 1993 Jun 6-11; 9:127 (abstract no. WS-D24-1)
Fernandez ES, Milon P, Holloway J, Gaston M, O'Neill J, Lago M; Health Resources and Services Administration, Rockville, Maryland.

OBJECTIVE: To gain access to HIV prevention and care services for underserved, underinsured, high-risk populations, by building the capacity of community based organizations to provide HIV early intervention services.

METHODS: Title III(b) of the Ryan White CARE Act provides funds to support HIV early intervention programs in non-profit, community based organizations. Organizations identify an unmet need for HIV services in their communities, and an ability to implement outreach, prevention, and HIV care within primary care infrastructures. An integral feature of the 121 grantee organizations is their identity as a principal source of health care for the target populations. They comprise 46% Federally funded community/migrant health centers, 12% non-Federally funded community health centers, 13% city and county health departments. The remaining 29% are diverse community based organizations including gay and lesbian identified service organizations, health care for the homeless centers, family planning agencies, and comprehensive hemophilia centers.

RESULTS: Data indicates success in reaching targeted populations. Over 96,000 HIV+, or at-risk persons received clinical service. An estimated 22,000 HIV+ persons received comprehensive primary care services; 40% were women, 55% were minorities, 20% were aged 13-24; 28% were IDUs or their sexual partners; 25% of all clients have severe immune impairment on entry into early intervention programs, indicating the delay that currently exists in gaining access to, and providing services for these critical populations. Factors influencing program success: Location in the community being served; Recognition as a usual source of health care for the target populations; The ability to expand services to embrace diverse populations within the community.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, HIV Infections, Health Services Needs and Demand, Delivery of Health Care, Population, Homeless Persons, Family Planning, Primary Health Care, Human, Female, ICA9KWDaegis,acquiredimmunodeficiencysyndrome,hivinfections,healthservicesneedsanddemand,deliveryofhealthcare,population,homelesspersons,familyplanning,primaryhealthcare,human,female,ica9
930606
WSD241

Copyright © 1993 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.