Perspectives from the Field: HIV Testing and Linkage to Care in North Carolina

J Int Assoc Provid AIDS Care. 2016 Nov;15(6):477-485. doi: 10.1177/2325957415617830. Epub 2015 Nov 19.


Background: HIV testing and linkage to care are critical first steps along the care continuum. Targeted efforts are needed in the South to achieve the goals of the National HIV/AIDS Strategy, and qualitative examination of testing and linkage to care from the perspective of professionals in the field can provide nuanced insight into the strengths and limitations of a care system to inform improvement efforts. These issues are explored in North Carolina (NC), with potential applicability to other Southern states.

Methods: Twenty-one interviews were conducted with professionals in the HIV prevention and care systems in NC. Interviews were analyzed for emergent themes.

Results: Individuals' access barriers, aspects of clinics and clinical care, challenges for community-based organizations, stigma, and the role of the NC Department of Health and Human Services were identified as themes affecting testing and linkage.

Discussion: These findings can inform efforts to address HIV testing and linkage to care in NC. This approach may provide beneficial insight for other systems of care.

Keywords: HIV/AIDS; health providers; linkage to care; qualitative research; testing.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Continuity of Patient Care*
  • HIV Infections / diagnosis*
  • HIV Infections / therapy*
  • Health Services Accessibility
  • Humans
  • North Carolina
  • Qualitative Research
  • Rural Population