Beyond the Barefoot Doctors: Using Community Health Workers to Translate HIV Research to Service

Bre Anne Young, Amanda Rosenthal, Sebastian Escarfuller, Simran Shah, Olveen Carrasquillo, Sonjia Kenya

Research output: Contribution to journalArticle

Abstract

Miami-Dade leads the nation in new HIV infections, and its Black communities experience the greatest disparities in outcomes. Our prior research found that street-based HIV testing facilitated by community health workers improved access to testing and care among Black adults in a controlled trial setting. Herein, we describe our efforts translating this CHW-led intervention into a community service for diverse Blacks in Miami. From December 2016 through August 2017, CHWs educated 1672 individuals about HIV transmission, prevention methods, and risk factor modification; 529 received HIV testing and/or linkage to care services. Approximately 5% of participants (n = 26) had rapid reactive results. This efficacious and culturally-acceptable model represents a powerful change in the delivery of HIV care and demonstrates how public health leaders can foster community engagement in the transition from research to service.

Original languageEnglish (US)
Pages (from-to)2879-2888
Number of pages10
JournalAIDS and Behavior
Volume23
Issue number10
DOIs
StatePublished - Oct 1 2019

Keywords

  • Community health workers
  • HIV disparities
  • Home-based HIV rapid testing
  • Translational research

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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