Surveillance/evaluation |
Develop integrated health informatics systems to collect real-time, actionable, patient-level surveillance of HIV testing and engagement in care activities at both local and national levels. |
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Standardize national quality benchmarks for linkage and retention in care and hold agencies that provide HIV testing, prevention, treatment, and supportive service accountable for meeting minimum standards. |
Information/education |
Deploy educational and social marketing campaigns aimed at emphasizing the importance of engagement in HIV care. |
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Incorporate engagement in care information in all HIV treatment guidelines as a component of an expanded spectrum of adherence beyond antiretroviral medications and in relation to testing, linkage to care plus (TLC+) initiatives. |
Resource allocation |
Critical assessment of current funding paradigm and appropriate reallocation of funds to optimize HIV testing, prevention, treatment, and care services to accurately reflect the needs of current HIV patient population. |
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Allocation of federal HIV funds for dissemination and implementation of cost-effective, integrated TLC+ programs. |
TLC+ service delivery |
Coordinate activities from funding agencies and service delivery organizations that provide HIV testing, prevention, medical and supportive services to facilitate integrated TLC+ programs. |
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Develop additional evidence-based individual- and systems-level interventions to improve linkage and retention in HIV care. Cost-effectiveness, dissemination, and implementation studies are notably lacking and are imperative to inform policy and practice decisions. |