COMBINED INTERVENTION STRATEGIES (CIS)

Details

• Corporate Authors:
  National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (U.S.). Division of HIV/AIDS Prevention
• Description:
  Combination Intervention Strategy (CIS) is a multi-level intervention intended to target prevalent health system, structural, and behavioral barriers patients face across the HIV care continuum. CIS includes a combination of three evidence-based strategies that simplify the clinic flow and encourage linkage to and retention in care. The first strategy includes equipping voluntary counseling and testing (VCT) clinics with CD4 assay machines that provide CD4 test results immediately following diagnosis. All patients are given a paperbased referral to on-site HIV services. Patients receive their CD4 count and instructions to present for their first clinical consultation within 1 week. Second, patients with CD4 cell count ≤ 350 cells/mm3 are provided with accelerated ART initiation. Patients receive a same-day individual ART preparatory counseling session in the VCT clinic, expedited appointments, ART initiation at the first clinical visit, a 2-week ART supply, and counseling to follow the recommended visit schedule. Third, participants receive health messages and appointment reminders via short message service (SMS). These messages address behavioral barriers associated with deferring care engagement and forgetting appointments. The health messages are sent weekly for 1 month following diagnosis and then monthly thereafter. Appointment reminders are sent 3–7 days before each scheduled clinic visit.
• Subjects:
  Acquired Immunodeficiency Syndrome Acquired Immunodeficiency Syndrome / Epidemiology Data Interpretation, Statistical Epidemics Epidemiological Monitoring HIV Public Health Surveillance Statistics Tables
• Keywords:
  DHP_HIV_Reports PRS Project HIV Compendium
• Series:
  Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Genre:
  Report
• Place as Subject:
  United States
• Rights:
  Public Domain
• CIO:
  National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention (NCHHSTP)
• Division:
  DHP - Division of HIV/AIDS Prevention
• Topic:
  Diseases & Conditions
• Location:
  North America
• Collection(s):
  Infectious Diseases
• Main Document Checksum:
  urn:sha-512:e4c655407da8a8277baf4c0c7a9763ac09e4f565f30b8b1bcd68657570eca15efdd3ff76dc74cc238f00ce30ba6066a4465a682c7bd96df28430254ba6f97955
• Download URL:
  https://stacks.cdc.gov/view/cdc/149580/cdc_149580_DS1.pdf
• File Type:
  [PDF - 284.71 KB ]