Leadership in Public Health: Strategies for HIV Prevention and Treatment

Running head: LEADESHIP IN PUBLIC HEALTH 1
Leadership in Public Health
Name
Institution

LEADERSHIP IN PUBLIC HEALTH 2
LEADERSHIP IN PUBLIC HEALTH
Introduction
Baltimore city is one of the highest United State Metropolitan places in the entire nation
for individuals staying with HIV/AIDS (Freedman, 2017). Baltimore recorded a total of 25% of
the EMA number of people, but 77% of all those (EMA) are living with HIV/AIDS. Regarding
City, race and state data reveals that the Disease affects mostly the Baltimore’s African
American population. A total of 63% of the population staying in Baltimore are African
American. However, they disproportionately indicate 83% of them are living with HIV infection.
Then there exists the problem of poverty. Based on the 2010 statistics, one out of four
Baltimoreans lives in poverty. There is also the problem of the unemployment rate (Leider, Shah,
Williams, Gupta, & Castrucci, 2017). The injection use of drugs continues to spread HIV
epidemic in the city (Baltimore city). Different intervention strategies developed with the
intention of controlling the spread of the disease.
Intervention Strategies
1 Seek, treat and test strategy
The target of this strategy is to control the HIV prevalent through the provision of (ART)
Antiretroviral treatment and increasing the HIV testing to individuals recognized as HIV
infected, thus, help in reducing infectiousness and viral load (White-Newsome, Meadows &
Kabel, 2018). Recent research found that an approximate of 2 in 5 of all people infected pass
through prisons and Jails each year, and all the population has psychosocial problems, increasing
burden of substances, and high-risk characteristics. Though there exist issues of delivering

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(ART) and performing HIV testing to jailed people, and this involves bureaucratic barriers,
stigma, problems due to high turnover rates, and cost constraints. In spite of the issues, treatment
of criminals and HIV testing can decrease HIV transmission (Brownson, Baker, Deshpande, &
Gillespie, 2017).
The implementation of STT involves engaging jails, community correction, and prison.
Because of stable population and longer sentences, it is easier to give care and HIV testing to the
prison population. Jailed offer access to many people through the office of criminal justice, with
approximately 12 million admitted annually. The united State prisons are control by state, and
jails are under local jurisdiction. There are several correlation centers in the United States.
The high turnover of incarcerated population has not affected the process of HIV testing
as it is essential and feasible in detecting individuals. The duration of stay in jail affect the
process of delivering HIV test results, initiate ART, complete baseline evaluation, and offer
linkage to the surrounding community after once release (McManus, 2017).
The study must, therefore, be conducted to determine the efficiency of the
implementation of STT within the Hospital and Jails. The task should be the offer to Agencies
available and be connected to community HIV care. Due to the high population of people who
are entering through jails, the facilities are an essential factor in a more comprehensive STT
strategy.
2Enhanced link strategy
The plan focused mainly on prevention to individuals diagnosed with HIV. It encourages
agencies like BCHD to work together with the Healthcare delivery system to assist in the
implementation of the intervention to reduce transmission risk and increase adherence to the
enacted regimens and retention in care. It helps to develop, identify, and evaluate response,

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technologies, and strategies to improve use of (ART) antiretroviral therapy and linkage to care;
retention in care; offer partner service; increasing adherence to ART, and decrease transmission
risk behaviors
The strategy also ensure that the evaluation and implementation of various interventions,
technologies, and strategies to improve habit of using ART and linkage to care; lower
transmission risk; increase retention in care and observance to ART; and offer partner services
(White-Newsome, Meadows, & Kabel, 2018).
3 Community support and partnership strategy (COMPASS)
COMPASS assist in managing care for the jailed population, and it mostly requires
effective policies to overcome the problems associated with integrating people after release from
jail terms.
The programs (COMPASS) have the significant influence on sector care arrangement for
justice to individuals with HIV. The model requires personnel like the Nurses to go into prisons,
find HIV infected individuals before they are discharged. The COMPASS initiative modified
project Bridge’s approach dealing with transient and short duration of the inmate in jails. The
results of the programs are constant with both studies getting the positive correlation between
positive health and post-release management of the case and the outcome of behavior for
previous prisoners with a high demand for a medical requirement (Kuo, Thomas, Chilton &
Mascola, 2018).
COMPASS provides an opportunity of assisting a large number of the population moving
out and in of correlational places obtains patient-centered care. The application of the model has
been enhancing by different pieces of evidence that provides the importance of efficiently