Julie Dombrowski, MD - IAPAC

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Outline • Rationale for a population-based approach to linkage and retention • HIV surveillance basics • Health department intervention examples 2
Clinic-Based Retention Programs • Crucial, but invariably neglect many PLWHA – Patients spread across array of providers – Many providers lack means to systematically identify patients who have fallen out of care & resources to re-engage them – Not all HIV+ persons are eligible for case management – Ryan White Clinics – 1/3 of PLWHA in Seattle • Coordination across clinics is necessary for a population-based approach 3
Page 1: Public Health Systems Approaches fo
Page 5 and 6: Project Inform Think Tank • HIV a
Page 7 and 8: 7 Slide courtesy NASTAD
Page 9 and 10: Examples of Health Department Inter
Page 11 and 12: Linkage in King County • Linkage
Page 13 and 14: High Needs Outreach Workers • Cli
Page 15 and 16: STDs: A Window of Opportunity? •
Page 17 and 18: Lousiana Louisiana Public Health In
Page 19 and 20: Los Angeles County • Navigator Pr
Page 21 and 22: Conclusions • Surveillance-based

Julie Dombrowski, MD - IAPAC

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