The structural and health policy environment for delivering integrated HIV and substance use disorder treatments in Puerto Rico.

ABSTRACT:

Background

HIV prevalence in Puerto Rico is nearly twice that of the mainland United States, a level that was substantially fueled by injection drug use. Puerto Rico has a longstanding history of health provision by the public sector that directly affects how HIV and substance use disorder (SUD) treatment services are provided and funded. As part of pre-implementation research for a randomized trial of a community-level intervention to enhance HIV care access for substance users in San Juan, Puerto Rico, we sought to understand the structural and health policy environment for providing HIV and SUD treatments.

Methods

We conducted semi-structured qualitative interviews (n = 8) with government and program administrators in English and Spanish. Data were analyzed to identify do

SUBMITTER: Leff JA 

PROVIDER: S-EPMC5364616 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature