Beyond Survival

Harnessing Sustainability Frameworks to Assess and Support Programs Implementing Bundled Interventions for Black Women With HIV

Dados Bibliográficos

ID11024418
AutoresAngela Wangari Walter (0000-0003-0098-6802, Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), Melanie Rocco (0009-0003-4787-731X, Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), Judith C Scott (0000-0002-1561-9354, Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), Ashley Carhee (Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), Vanessa Ayafor (Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), Rahab Goodwin (0009-0007-0299-4538, Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), Shakeila Lewis-Chery (0009-0001-8038-2349, Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), Alicia Downes (0009-0002-9553-8403, Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), LaShonda Y Spencer (0000-0002-1359-6531, Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che), Linda S Sprague Martinez (0000-0002-5070-7640, Angela Wangari Walter and Vanessa Ayafor are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell. Melanie Rocco and Linda Sprague Martinez are with The Health Disparities Institute, UConn Health, Hartford, CT. Judith C. Scott is with the Clinical Practice Department, Boston University School of Social Work, Boston, MA. Ashley Carhee is with Boston University, Boston, MA. Rahab Goodwin is with the AIDS Care Group, Chester, PA. Shakeila A. Lewis-Che)
Ano2025
Volume115
FascículoS1
PáginasS28-S37
Data de publicação2025-04-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2024.307790
PMID40138648
OpenAlexW4408854172
IdiomaEN
Citações recebidas1
Referências citadas27

Objectives. To evaluate the sustainability of bundled interventions aimed at expanding the delivery and utilization of HIV care and treatment services, tackling socio cultural health determinants, and improving health outcomes for Black women with HIV. Methods. We used quantitative data from the Program Sustainability Assessment Tool (PSAT) to examine sustainability capacity across sites in the United States. Qualitative data from monthly call forms completed by site staff (n = 199), annual site visit reports (n = 24), and one-on-one key informant interviews (n = 76) informed organizational and contextual factors influencing sustainability capacity. Results. A total of 59 stakeholders completed the PSAT. The initiative’s overall sustainability score was high (mean = 5.1; range = 3.8–6.6), with sites reporting favorably on program adaptation (mean = 5.8; range = 4.4–6.8), program evaluation (mean = 5.6; range = 3.9–7.0), and organizational capacity (mean = 5.6; range = 3.8–7.0) domains. Adaptability and responsiveness to client needs and sociopolitical contexts were determined valuable; establishing an evaluation infrastructure, capacity to integrate Black Women First (BWF) initiative activities within organizational operations, and environmental support facilitated sustainability. Conclusions. Interventions for Black women with HIV can be sustained and should be pursued and embedded consistently in community and health service organizations. ( Am J Public Health. 2025;115(S1):S28–S37. https://doi.org/10.2105/AJPH.2024.307790 )

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