The purpose of this study is to adapt and evaluate a combination intervention that includes: (1) a data-driven approach to directed community-based HIV testing to areas with high need, (2) Project Connect to expedite linkage to care at time of diagnosis, (3) and a Rapid ART (antiretroviral therapy)Start program, all in Mobile County Health Department (MCHD) jurisdictions in Alabama.
Over the age of 18 years old.
Over the age of 13 years old
Tested for HIV in MCHD jurisdiction from time of COASTAL implementation to 36 months post-implementation start date.
Exclusion criteria include unwillingness or inability to provide informed consent.
Single group
COAST-AL
Other interventionThis combination intervention includes three CDC evidence based interventions: (1) a data-driven approach to direct Community-based HIV testing to areas with high need, (2) Project Connect to expedite linkage to care at time of diagnosis, (3) and a Rapid ART Start program, all in MCHD jurisdictions in Alabama
Time to viral suppression
Effectiveness outcome: Using ADPH EHARS data of all newly diagnosed individuals in MCHD jurisdiction during the study period
Proportion of zctas with >15% population HIV tested
Implementation outcome: Using commercial lab data sets (Quest/LabCorp) and ADPH data
Proportion linked to care within 30 days
Effectiveness outcome: Using MCHD FH clinic eHR data
Days from diagnosis to initiation of ART
Effectiveness outcome: Using MCHD FH clinic eHR data
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University of Alabama at Birmingham
Lead sponsor
Mobile County Health Deparment
Collaborator
Alabama Department of Public Health
Collaborator
