245653 Barriers to access, treatment, and retention in quality HIV/AIDS Care: Interventions with Latina immigrant and migrant farm workers

Wednesday, November 2, 2011

Louis Marino, MA , University Research Company, Center for Human Services, Bridgeton, NJ
Nanmathi Manian, PhD , University Research Company, Center for Human Services, Bethesda, MD
One of the components of successful HIV intervention programs with hard-to-reach populations has been to identify and remove barriers along the continuum of care. The present intervention targets one a high-risk populations with greatest unmet needs – the Latina immigrants and migrant farm workers. The mobility of this population, in conjunction with high poverty rates and low education, compounds the difficulty in implementing HIV intervention programs and providing services. We describe the results of an ongoing program that has improved retention in quality HIV care for target population, by 1) establishing a referral network with local organizations that provides comprehensive care, including mental health and substance abuse treatment, 2) providing a linguistically and culturally appropriate case management system, 3) reducing the likelihood that mobile populations of migrant farm workers fall out of care by enrolling patients in Migrant Clinical Network. The program also implements an innovative intervention called “Yo Me Cuido” (I Take Care of Myself) specifically designed for the target population. The intervention addresses psychosocial barriers to proactive HIV care by increasing knowledge of HIV, safer sex behaviors; developing positive attitudes toward safer sex, enhancing condom negotiation skills. and increasing control over sexual situations. Outcome evaluation is being conducted at baseline, 3 months, and 6 months post intervention, and includes barriers to seeking HIV, physical and mental health indicators, risk behaviors, treatment adherence. Preliminary findings (n=11) indicate that successful retention is dependent upon providing secondary services in terms of service location, transportation, legal services, which we have incorporated.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Participants will be able to: • Understand the barriers to successful recruitment, treatment, and retention in quality HIV/AIDS care for high-risk populations. • Understand the need and utility of contextualizing intervention programs with bilingual and bicultural service providers. • Formulate evaluation tools to assess program efficacy.

Keywords: Behavior Modification, Migrant Farm Workers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the Project Evaluator for the program
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.