Improving the Organizational Social Context to Address Structural Racism and Discrimination

Inclusion Criteria

• •Aim 1:
• •PLWH: in care in one of 12 clinics in Philadelphia
• •1. HIV diagnosis date at least one year prior to the administration of the clinic OSC measures
• •2. Philadelphia address at the time of HIV diagnosis
• •3. successfully linked to care at any point during the study period, defined as having documentation of 1 or more CD4 or Viral Load test results after the date of diagnosis
• •Clinic workers: clinic leaders, administrators, frontline staff, and providers across participating clinics
• •Aim 2:
• •PLWH: having an established diagnosis of HIV and receiving care at one of the 4 clinics at least 6 months before the pre-implementation period
• •Clinic workers: the entire pool of workers employed in the 2 clinics assigned to the intervention arm will be invited to participate in ARC
• •Aim 3:
• •\- Clinic staff and PLWH at clinics receiving ARC