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

doi:10.1080/09540121.2023.2179593

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

Health Policy and Management

Research output: Contribution to journal › Article › peer-review

Abstract

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 language	English (US)
Pages (from-to)	1083-1090
Number of pages	8
Journal	AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume	35
Issue number	8
DOIs	https://doi.org/10.1080/09540121.2023.2179593
State	Published - 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.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 2 Zero Hunger
SDG 3 Good Health and Well-being

Keywords

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

Publisher link

10.1080/09540121.2023.2179593

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title = "Barriers, opportunities, and potential costs of expanding HIV support services",

abstract = "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.",

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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: {\textcopyright} 2023 Informa UK Limited, trading as Taylor \& Francis Group.",

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PY - 2023

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AB - 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.

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

Abstract

Bibliographical note

UN SDGs

Keywords

PubMed: MeSH publication types

Publisher link

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