School of Public Health
Corrections2Community: Retention in HIV care from incarceration to community can in South Africa
Retaining people living with HIV on ART is critical to HIV management programs. Transitions in care are one of the weak points in retention on care, especially the transition from care in a correctional facility to care in the community. Only 10-40% of patients on effective ART during incarceration remain in care following release. Our group has described this attrition in South Africa. Others have described in the United States. We are seeking to test an innovative approach to improve retention in care by providing a transitional group HIV care approach to address multiple re-integration challenges faced by ex-inmates. This intervention involved monthly or bi-monthly group meetings with a set curriculum and facilitation approach and health assessment and HIV medication distribution. In this study we will compare this approach to the current care as usual in a individual-level randomized clinical trial. The primary endpoint is HIV viral load 6 months from corrections release. The intervention draws heavily on social and behavioral theory and results from in depth interviews with ex-inmates.
PI Mentor: Christopher Hoffmann