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