Rabinovich, Rashel

School of Public Health

MSPH

South Africa

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

People

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs
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November 2019

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