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The Prevention And Access Of Care And Treatment ( Pact ) Program

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Introduction The Prevention and Access to Care and Treatment (PACT) program was established in 19971 to improve the health of the most vulnerable HIV and AIDS patients in Boston through the use of community health workers. Unlike many other types of healthcare providers, community health workers are able to form unique bonds with patients based on shared backgrounds, cultures, and languages. These community health workers provide individualized, culturally competent educational interventions in an effort to maximize patients’ usage of available medical and social services.2 Patients are referred into PACT by social services or healthcare providers when other options for care have been tried and were unsuccessful. Vulnerable populations such as racial and ethnic minorities, drug users, and those living below the poverty line tend to be disproportionately affected by HIV and AIDS3. Conventional care for these individuals can be particularly challenging with regards to access to culturally sensitive care, consistency of treatment, and patient understanding of risk factors and of the disease itself. Therefore, there is a great need for comprehensive, targeted programs such as PACT to effectively address these issues. In order to make sure that PACT is adequately addressing the needs of its target population, we will be conducting a program evaluation. This will allow us to assess the importance, value and quality of the program, all of which are important to stakeholders. This

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