A Participatory Learning and Action (PLA) Approach to Enhancing Linkage to HIV Care Among Youth

Abstract

Purpose: Early linkage to HIV care is critical for viral suppression and to prevent HIV transmission. However, people with HIV, and especially adolescents, delay linkage to care. Studies estimate between 66% and 75% of newly diagnosed HIV-positive individuals are linked to care. The purpose of this study was to utilize a Participatory Learning Action (PLA) approach to engage community members in identifying barriers to HIV linkage to care and creating an action plan. Methods: Over 50 individuals from various community organizations participated in a series of meetings to address HIV linkage to care barriers. Identified barriers were related to the health care system, lack of community collaborations, social factors such as stigma, and characteristics of risk populations. Results: dOne of the solutions identified to address individual barriers was the creation of an application (app) for smart phones that includes resources and how to access care. This app is a way to reach youth on a platform that they are familiar with using. The app was created and allows to search for various resources related to HIV/STD testing and care, directions to nearby services, and the ability to call linkage workers at various sites. Conclusions: HIV linkage to care is a major public health concern. Engaging community stakeholders through a PLA approach can be effective in improving engagement in care of people with HIV. The PLA approach has been shown to be an effective approach to mobilize the community and engage stakeholders in addressing a shared concern and make a collective impact. Sources of Support: Gilead Sciences Inc.