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Paper Title

Creating systems change to support goals for HIV continuum of care: The role of community coalitions to reduce structural barriers for adolescents and young adults

Keywords

  • hiv testing
  • linkage
  • adolescents/young adults
  • community coalitions
  • hiv continuum of care
  • structural barriers
  • hiv screening
  • linkage to care
  • retention in care
  • national hiv/aids strategy
  • hiv health care
  • viral suppression
  • smile program
  • connect-to-protect (c2p)
  • youth hiv awareness
  • hiv testing access
  • seamless health system
  • quality hiv care
  • public health strategy
  • health disparities
  • hiv prevention
  • engagement in care
  • healthcare accessibility
  • youth-focused interventions
  • hiv care gaps
  • systems change
  • structural interventions

Article Type

Research Article

Research Impact Tools

Issue

Volume : 15 | Issue : 2 | Page No : 158–179

Published On

May, 2016

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Abstract

Routine HIV screening, linkage, and retention in health care are nodes of the HIV continuum of care and goals of the National HIV/AIDS Strategy. However, up to 80% of youth are unaware of their HIV status, 29% are linked to and less than 50% are engaged in HIV health care, and fewer maintain viral suppression. To fill these gaps and to address the national call to establish a seamless system for quality HIV health care, the authors describe the processes by which the SMILE Program, with ATN-affiliated Connect-to-Protect® (C2P) community coalitions, addressed structural barriers that prevented HIV testing, linkage, and engagement in HIV health care among youth.

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