Online Program

Exploring changes in interagency collaboration following Positive Charge, a five site HIV linkage and retention in care program

Monday, November 2, 2015 : 11:30 a.m. - 11:50 a.m.

Kriti Jain, MSPH, PhD(c), Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Catherine Maulsby, PhD, MPH, Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Suzanne Kinsky, MPH, Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
Nidhi Khosla, PhD, MPH, Department of Health Sciences, School of Health Professions, University of Missouri, Columbia, MO
Vignetta E. Charles, PhD, AIDS United, Washington, DC
Maura Riordan, MSW, AIDS United, Washington, DC
Erin Nortrup, MSW, AIDS United, Washington DC, DC
David Holtgrave, PhD, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Background: Out-of-care people living with HIV (PLWH) are often marginalized and have many unmet basic needs. This population is often served by a network of loosely connected agencies, such as HIV primary care providers and AIDS Service Organizations. Prior research suggests that increasing coordination among these agencies may lead to higher quality, better coordinated care for PLWH. This study examines interagency collaboration in four U.S. geographies in the context of an HIV linkage and retention in care program, called Positive Charge (PC). PC was a program of AIDS United, a non-profit focused on ending AIDS in the United States. This study explores the networks of agencies receiving grants in these four locations, which included a lead agency and collaborators.

Methods: An administrator and service provider at each agency completed an online survey about interagency collaboration prior to and during PC. Density and centralization were calculated for each network for “any collaboration” as well as “specific” collaboration types: providing technical assistance, sharing resources, exchanging information, and referring clients.

Results: Density increased in all networks. Centralization decreased in two networks and remained constant in the others. Exchanging information and referring clients were the most common forms of collaboration.

Conclusions: This study suggests that a targeted initiative to increase linkage to care may also increase collaboration among organizations serving PLWH and provides insights to policy makers about how such a network may evolve. Future research directions include factors that promote sustainability of interorganizational collaboration.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Program planning
Provision of health care to the public

Learning Objectives:
Explain how the needs of people living with HIV (PLWH) are best served by collaborations among multiple agency types including AIDS Service Organizations (ASOs), healthcare providers, state and local departments of public health, and other organizations. Describe how collaboration among organizations serving PLWH in a single geographic area changes through administration of a grant to support HIV linkage to care activities

Keyword(s): HIV/AIDS, Network Analysis

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I analyzed the data for this study and have collected data for similar, follow-on studies. I have a Master’s of Science in Public Health, as well as several years of experience monitoring and evaluating domestic and international sexual health programs.
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.

Back to: 3157.0: Access to HIV/AIDS Care