In 2015, the Washington AIDS Partnership and the District of Columbia Department of Health’s HIV/AIDS, Hepatitis, STD, and TB Administration launched a new public-private partnership aimed at reaching D.C. residents living with HIV who struggle with engagement in HIV care though the traditional provision of medical services. The Mobile Outreach Retention and Engagement (MORE) initiative utilizes a mobile medical team approach in Washington, D.C., with medical and supportive services provided in the home and at pop-up community clinics. It addresses common and persistent barriers associated with engagement in HIV care including transportation challenges, inability to attend daytime medical appointments, and past bad experiences with the medical system.
As part of the MORE initiative, the Washington AIDS Partnership awarded a $470,000 grant to Whitman-Walker Health in July 2015 to implement this new mobile approach. The MORE team is deployed in the community, to find out-of-care individuals and provide medical evaluations, blood draws for lab tests, and counseling either in the home or at pop-up community clinics, with the ultimate goal of supporting effective engagement in care. The team includes a physician’s assistant, nurse practitioner, two care navigators, and a community health educator.
This initiative is made possible with funding from the Bristol-Myers Squibb Foundation and the M•A•C AIDS Fund. MORE’s evaluation efforts are funded in part by the Government of the District of Columbia, Department of Health, HIV/AIDS, Hepatitis, STD, and TB Administration.