This presentation is on the Howard University’s differentiated service delivery (DSD-Plus) model which is an innovative approach that seeks to contribute to the national 2030 HIV epidemic control in Zambia. The DSD-Plus model is a treatment quality assurance program that ensures adherence, continuity in care(retention), viral load suppression and transition for sustainability. Through such interventions, Zambia is among the six countries to have reached the UNAIDS95-95-95 targets for 2025.
In this presentation, Dr. Barrington will first provide a summary of the context of HIV prevention and care for transgender women in the Dominican Republic. She will then describe her collaborative mixed methods research process to develop and test an intervention to improve HIV care and treatment outcomes and promote overall wellbeing among transwomen with HIV in Santo Domingo.
We model longitudinal trends in viral suppression before and after the transition to telehealth services during COVID-19 pandemic. The expected probability of viral suppression was not negatively impacted by tele-health adoption.
Panel will discuss the potential impact of California ballot propositions that passed and did not pass on the well-being of individuals and communities that are affected by HIV, with a focus on those related to the criminal legal system.
In Los Angeles County (LAC), we implemented a cluster detection and response (CDR) social network strategy (SNS) among HIV molecular clusters with the goal of addressing service gaps and bringing individuals into HIV prevention and care, preventing further HIV transmission. SNSs have strong evidence of effectively reaching populations who may not otherwise test. The Community Health Ambassador Program (CHAP) used this strategy to distribute HIV self-test kits among the social, sexual, and behavioral networks of communities who may be at increased risk for HIV.
This study examines how to optimize a conditional cash transfer (CCT) intervention to increase PrEP use among Black and Latinx men who have sex with men (MSM) in Los Angeles County. Findings from a discrete choice experiment reveal preferences for larger cash payments provided more frequently, with some variation in PrEP modality. These results highlight the potential of tailored CCT designs to improve PrEP uptake and advance national efforts to reduce new HIV transmissions among key populations.
We examined the relationship between violence/coercion and PrEP acceptability among cisgender female sex workers and transgender sex workers in urban West Bengal, India. We found very high rates of violence and coercion among participants, particularly among transgender sex workers. We also found that the relationship between coercion/violence and PrEP willingness was conditional on gender.
We conducted a cross-sectional survey to examine various pathways of resilience among HIV-positive youth living within informal settlements outside of Nairobi, Kenya. Relationships between variables were modelled and evaluated using linear regression analysis and structural equational modelling. We identified unique pathways linking social support, adverse childhood experiences, and HIV stigma to general health and resilience. These results may provide valuable insights for developing targeted intervention strategies to improve treatment adherence and HIV management in this population.
This presentation compares traditional Differentiated Service Delivery (DSD) models with the RiseUP! Enhanced Differentiated Service Delivery (EDSD) model for HIV care and treatment among adolescent girls and young women (AGYW) in Sub-Saharan Africa. We analyze retention rates and medication adherence across various countries, highlighting the effectiveness of the RiseUP! model’s holistic, youth-friendly approach. The study emphasizes the importance of tailored, community-based interventions in improving HIV care outcomes for vulnerable populations.
This study examines barriers to engagement in the HIV care continuum, focusing on patients at UCLA Health with detectable viral loads. By analyzing patient demographics, clinical characteristics, and care engagement, the study identifies factors like frequent visits and adherence to ART as key to achieving virologic suppression. Results suggest that increased healthcare interactions and timely follow-ups are crucial for improving engagement and retention in care, emphasizing the need for continued outreach and support for individuals living with HIV.