197781 Creating an enabling environment to improve access and utilization of HIV/AIDS care in underserved communities: A case study from Chester, PA

Monday, November 9, 2009: 10:45 AM

Irshad Shaikh, MD, MPH, PHD , AIDS Care Group, Chester, PA, Chester, PA
Howell Strauss, DMD , AIDS Care Group, Chester, PA, Chester, PA
Chester, PA is a minority-majority urban community in southeastern Pennsylvania with alarmingly high rates of socio-economic and health indicators namely: high poverty, homelessness, and unemployment rates, > 50% female headed households, > 75% population on Medicaid, highest infant mortality in the Sate, highest percentage of low-weight births in the Sate, second highest teenage pregnancy rates, high HIV/AIDs prevalence, and homicide rates in 15-44 males. AIDS Care Group, a community-based health care provider has been providing comprehensive health, dental care and referral care for the marginalized population in Chester for over a decade. Despite improved availability of services, access and utilization has traditionally remained very poor because of combination of conventional barriers low health literacy, transportation, homelessness, insurance, unemployment, etc.

Capitalizing upon its decade long experience of community-oriented and participatory approach, ACG identified housing, transportation, food, clothing, cultural sensitivity and respect as key Client needs and adopted a model of care that adequately and appropriately catered to these identified client needs. ACG now has a cohort of 954 HIV/AIDS patients that has been in its care for at least 2 years or more. This cohort has seen improved prognosis, general and dental health outcomes under care. The presentation will discuss salient features of service delivery model, key support services that are associated with longevity and compliance in patients, and most importantly improved health outcomes attributable to it.

Learning Objectives:
1. Identify five key client needs in an underserved population 2. Describe salient features of a succesfull community-based health care delievery model 3. Define key variables that are assocaited with longevity of care and improved health outcomes

Keywords: Access and Services, Barriers to Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This activity is funded by HRSA/HHS under a SPNS grant
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.