Our Work

Guide to Healing: Enhancing Access for HIV+ Women in the Rural South

Project Overview

The Guide to Healing (G2H) project seeks to enhance the entry, retention, and re-entry of HIV-positive women of color into care in the University of North Carolina Infectious Diseases Clinic. The grant represents a partnership between the Duke University and the UNC Chapel Hill Infectious Diseases (UNC-CH ID) Clinic. Guide to Healing provides HIV-positive women of color in the UNC-CH ID Clinic a Nurse Guide for ongoing support and access to rapid appointments, a women's support group to increase social support and health literacy, and instrumental support through gas cards, cell phone access and other services.

In 2014, Guide to Healing (G2H) completed its fifth year of funding and began a no-cost extension year from a HRSA Ryan White SPNS grant, as part of the Enhancing Access for Women of Color Initiative. The grant represents a partnership between the Duke University and the UNC-Chapel Hill Infectious Diseases (UNC-CH ID) Clinic. Guide to Healing offers HIV-positive women of color in the UNC-CH ID Clinic with a Nurse Guide who provides participants with ongoing support and access to rapid appointments; a women's support group to increase social support and health literacy; and instrumental support through gas cards, cell phone access and other services.

This year, the Duke team continued their role in local evaluation and publication/dissemination activities. Guide to Healing collected the final tiers of data of patient-level interviews collection for the Interrupted Time Series evaluation. Duke evaluation team members were involved in both qualitative and quantitative data analysis and resulting manuscripts and conference presentations.

2014 Conference Presentations:
Golwalkar, M., Sullivan, K., Quinlivan, E.B., Safley, D., Roytburd, K., & Parnell, H. (2014, April). Aging and mental and physical health symptoms in HIV-positive women of color. Poster presented at the 2014 UNC Institute on Aging, Aging Exchange. Chapel Hill, NC.

Roytburd, K., Blickman, A., Quinlivan, E.B., Parnell, H., Berger, M. & Sullivan, K. (2014, May). How expanding an HIV women's support group became a family of choice. Poster presented at the 9th Annual Women as the Face of AIDS Summit of Iris House. New York, NY.

Sullivan, K., Messer, L.C., Quinlivan, E.B., Blank, A.E., Verdecias, N., & Fletcher, J. (2014, June). Effects of the SAVA Syndemic-related factors on viral suppression among HIV-positive women of color receiving HIV care. Poster presented at the 47th Annual Society for Epidemiologic Research Meeting. Seattle, WA.

Sullivan, K., Quinlivan, E.B., Blickman, A., Messer, L.C., & Adimora A.A. (2014, July). Effects of intimate partner violence (IPV) on treatment-specific social support among HIV women of color. Paper presented at the International Family Violence and Child Victimization Research Conference. Portsmouth, NH.

Messer, L.C., Sullivan, K., Quinlivan, E.B., Blank, A.E., Verdecias, N., & Fletcher, J (2014, August). Effects of the SAVA syndemic-related factors on viral suppression of HIV women of color. Poster presented at the 20th International Epidemiology Association World Congress of Epidemiology. Anchorage, AL.

Manuscripts:
Sullivan, K., Messer, L.C., & Quinlivan, E.B. (in press). SAVA Syndemic effects on viral suppression among HIV-positive women of color. AIDS Patient Care & STDs.

Sullivan, K., Schultz, K., Ramaiya, M., Berger, M., Parnell, H. & Quinlivan, E.B. (in press). Experiences of women of color with a nurse navigation program to for linkage and engagement in HIV care. AIDS Patient Care & STDs.

This study has implications for the specific treatment of HIV women of color (WoC) in the rural south. G2H has evaluated the nurse-led intervention to improve the recruitment and retention of WoC in HIV care while also offering support groups, transportation support (gas cards) and communication support (cell phones).

Countries

Sponsors

  • Health Resources and Services Administration University of North Carolina-Chapel Hill

Project Collaborators

  • Institute for Global Health and Infectious Diseases, UNC Chapel Hill

Project Status

Ongoing

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