AIDS and Behavior

, Volume 23, Issue 10, pp 2879–2888 | Cite as

Beyond the Barefoot Doctors: Using Community Health Workers to Translate HIV Research to Service

  • BreAnne YoungEmail author
  • Amanda Rosenthal
  • Sebastian Escarfuller
  • Simran Shah
  • Olveen Carrasquillo
  • Sonjia Kenya
Original Paper


Miami-Dade leads the nation in new HIV infections, and its Black communities experience the greatest disparities in outcomes. Our prior research found that street-based HIV testing facilitated by community health workers improved access to testing and care among Black adults in a controlled trial setting. Herein, we describe our efforts translating this CHW-led intervention into a community service for diverse Blacks in Miami. From December 2016 through August 2017, CHWs educated 1672 individuals about HIV transmission, prevention methods, and risk factor modification; 529 received HIV testing and/or linkage to care services. Approximately 5% of participants (n = 26) had rapid reactive results. This efficacious and culturally-acceptable model represents a powerful change in the delivery of HIV care and demonstrates how public health leaders can foster community engagement in the transition from research to service.


Community health workers HIV disparities Home-based HIV rapid testing Translational research 



CHAMP was supported by the Elton John AIDS Foundation (Grant No. 5202-00-00). This program would not be possible without the dedication of our Sr. Community Health Worker, Jakisha Blackmon, and the support of Zachary Gardner, Emanuel Washington, and our growing team of Community CHAMPIONS.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of MedicineUniversity of Miami Miller School of MedicineMiamiUSA
  2. 2.Department of Public Health SciencesUniversity of Miami Miller School of MedicineMiamiUSA
  3. 3.Don Soffer Clinical Research CenterUniversity of Miami Miller School of MedicineMiamiUSA

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