Barriers, opportunities, and potential costs of expanding HIV support services

Margo M Wheatley, Katie M White, Aaron D. Peterson, Jonathan Hanft, Darin Rowles, Thomas Blissett, Eva A. Enns

Research output: Contribution to journalArticlepeer-review


Experiencing housing instability, food insecurity, and financial stress can negatively impact retention in care and treatment adherence for people living with HIV. Expanding services that support socioeconomic needs could help improve HIV outcomes. Our objective was to investigate barriers, opportunities, and costs of expanding socioeconomic support programs. Semi-structured interviews were conducted with organizations serving U.S. Ryan White HIV/AIDS Program clients. Costs were estimated from interviews, organization documents, and city-specific wages. Organizations reported complex patient, organization, program, and system challenges as well as several opportunities for expansion. The average one-year per-person cost for engaging new clients was $196 for transportation, $612 for financial aid, $650 for food aid, and $2498 for short-term housing (2020 USD). Understanding potential expansion costs is important for funders and local stakeholders. This study provides a sense of magnitude for costs to scale-up programs to better meet socioeconomic needs of low-income patients living with HIV.

Original languageEnglish (US)
Pages (from-to)1083-1090
Number of pages8
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Issue number8
StatePublished - 2023

Bibliographical note

Funding Information:
This work was supported by funding from the Minnesota Department of Human Services.

Funding Information:
We conducted interviews with RWHAP-funded service providers who support socioeconomic needs of clients in the Minneapolis-St. Paul region of Minnesota. Funding from RWHAP supports approximately 5000 PLWH annually in Minnesota and in 2019 27% of clients received food aid, 26% received transportation, 18% received emergency financial assistance, and 4% received housing support (Health Resources and Services Administration, ).

Publisher Copyright:
© 2023 Informa UK Limited, trading as Taylor & Francis Group.


  • Support services
  • financial aid
  • food aid
  • housing
  • scale-up costs
  • socioeconomic needs
  • transportation

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't


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