Centers for Disease Control and Prevention - ERA

Description

HIV antiretroviral therapy (ART) can durably suppress the plasma HIV viral load which restores and preserves immunologic function. Effective ART improves individual survival and quality of life and dramatically reduces further HIV transmission making it a priority for both individual health and community public health. Within the United States, the largest lost opportunity to achieve a suppressed viral load occurs among individuals who have failed linkage to or retention in HIV medical care. Health department demonstration projects have suggested that good partnerships and information exchange between health departments and HIV clinics are essential to linkage/re-engagement programs. The Cooperative Re-Engagement Controlled Trial (CoRECT) will evaluate an intervention to identify HIV-infected persons who are out-of-care and engage them in HIV care. Health department laboratory surveillance data and clinic appointment data will be shared at monthly case conferences to define recent out-of-care HIV infected individuals. These individuals will be randomized to receive an active health department field services intervention or usual linkage and engagement in care services. The active intervention activities will include field services to locate, contact, and provide assistance, including a same-day appointment to access HIV medical care. CoRECT will evaluate if the active intervention resulted in increased re-engagement in care, retention in care, and HIV viral load suppression as compared with usual linkage and engagement in care services. Ultimately the trial will demonstrate the feasibility of a joint health department – clinic intervention to identify recently out-of-care individuals and the effectiveness of an active health department intervention to (re-)engage these individuals in HIV medical care.

Who can apply

• Others

Contact

CDC <br/>Procurement and Grants Office (PGO) <br/>Technical Information Management Section (TIMS) <br/>Phone: 770-488-2700 <br/>
pgotim@cdc.gov