Training to Improve Linkages to Care

The Transcultural Navigator Model funded by US Health Care Finance Administration has been used to link HIV positive men and women into care and to improve retention in care.  The model is used to improve the care continuum, La Cascada de Atencion. The approach is currently being updated and reviewed for dissemination by the Pan American Health Organization based on the positive results (Ramos 2006 and Ramos 2007). There is a two-day training on the model that has been delivered to CBOs and Health Care agencies. The implementation by navigators in these agencies improved individual participation in HIV prevention and treatment after an HIV + diagnosis. The training is for Navigators (primarily peer case managers) working with HIV positive clients and wishing to play a significant role inimproving: the quality of life of the patients (increased by the development of social networks among patients) and a sense of self-reliance and empowerment that improves adherence to treatment. (Ramos 2006 and Ramos 2007)