What HIV/AIDS Case Management Approaches Bring About Positive Client Outcomes? Results from ConnectHIV

Abstract

ConnectHIV was a public-private partnership between the Pfizer Foundation and 20 AIDS Service Organizations (ASOs) in 10 high prevalence states. Five of the ASOs, funded to link persons living with HIV into high quality care and treatment services, used a case management (CM) approach. The ASOs utilized various strategies in their CM interventions which were conducted in diverse organizations and geographic areas. An outcome evaluation was conducted that used a repeated measures design collecting data at baseline and at two follow-ups—either 2 or 3 months and again at 6 months. Results showed that the clients who participated in CM interventions made significant positive changes across the five outcomes (knowledge of HIV disease management, medical adherence, viral load, CD4 count, and perceived health) from either baseline to the first follow-up and/or the second follow-up. Results also showed that clients at certain ASOs made significantly stronger gains than those in others which plausibly could be attributed to the use of certain CM strategies as well as organizational factors. More multisite research needs to be conducted on HIV/AIDS case management to identify the most effective strategies and contextual factors that can bring about positive client outcomes.