Making the Link: A Pilot Health Navigation Intervention to Improve Timely Linkage to Care for Men Who have Sex with Men and Transgender Women Recently Diagnosed with HIV in Guatemala City.

Journal Article (Journal Article)

We piloted a health navigation strategy to promote timely linkage to care among men who have sex with men (MSM) and transgender women (TW) recently diagnosed with HIV in Guatemala City. We used a mixed-methods approach, integrating quantitative data collected during clinic visits and qualitative data from in-depth interviews, to characterize acceptability of navigation and time to linkage, defined as having the first clinical care visit. Out of 54 participants who enrolled in the pilot (n = 52 MSM; n = 2 TW), 50 (92.6%) accepted navigation and all were linked to care. Median time to linkage was 3 days (Interquartile Range 2-5 days). In qualitative interviews, participants expressed feeling scared and alone following their diagnosis and appreciated the support of a navigator, especially when they did not feel they could access their existing support networks. Future research and evaluation should continue to assess how to best use health navigation to support key populations recently diagnosed with HIV.

Full Text

Duke Authors

Cited Authors

  • Loya-Montiel, MI; Davis, DA; Aguilar-Martínez, JM; Paz Bailey, OA; Morales-Miranda, S; Alvis-Estrada, JP; Northbrook, S; Barrington, C

Published Date

  • April 2019

Published In

Volume / Issue

  • 23 / 4

Start / End Page

  • 900 - 907

PubMed ID

  • 30377979

Pubmed Central ID

  • PMC6691504

Electronic International Standard Serial Number (EISSN)

  • 1573-3254

International Standard Serial Number (ISSN)

  • 1090-7165

Digital Object Identifier (DOI)

  • 10.1007/s10461-018-2328-6


  • eng