HIV Street Medicine | The Last Mile

The Solution to Ending the HIV Epidemic.

It’s no longer a question of science but of access. HIV Street Medicine transforms HIV care by embedding prevention and treatment into mobile, community-based street medicine teams that meet patients on sidewalks, in encampments, at reentry centers, and in rural areas.

An HIV street medicine doctor is leaning down talking to an unhoused patient. Above is a street sign that says HIV Street Medicine The Last Mile and on the wall is an image representing a syndemic.

HIV Street Medicine provides a powerful national pathway to bring equitable HIV prevention and treatment directly to people who need it most.

The United States has the technical capacity and infrastructure to end the HIV epidemic (EHE). HIV prevention and treatment modalities are highly effective. Federal and state initiatives have expanded access to whole person care, care coordination, and community- based services.

Yet the Epidemic Persists.

Antiretroviral therapy and PrEP are highly effective, but without equitable delivery through models like HIV Street Medicine, too many people remain out of reach.

In 2022, about 31,800 people acquired HIV in the U.S., only a 12% drop since 2018.

Disparities Remain

  • Black/ African Americans accounted for 37% (11,900) of new cases

  • Hispanics/Latinos 33% (10,500), despite smaller population shares

  • Nearly half of new cases occur in the South. Adults 25–34 make up the largest share (37%)

This is the Last Mile

If HIV care does not reliably reach people living outside clinic walls, sustained national viral suppression cannot be achieved. Ongoing gaps drive preventable transmission, avoidable emergency and inpatient utilization, and long-term public health costs.

HIV and Homelessness

THE END IS IN SIGHT

We have the tools to end the HIV Epidemic. Do we have the will to deliver them?

Street medicine reaches the people clinics never will delivering HIV prevention and treatment right where they live.

An AIDS-free generation is within reach. Getting there is a policy and funding choice, not a scientific one.

THE SOLUTION TO ENDING THE HIV EPIDEMIC

Testing + Treatment (PrEP & ART) + Behavioral Health + Primary Care Delivered to People Where They Are.

A n HIV street medicine nurse is taking the blood pressure of an unsheltered man living in an encampment.

Street Medicine Services

A Revolution in Street Medicine

  • Direct medical services tailored to the immediate needs of each patient and breaking down barriers by meeting patients where they are.

  • Mental Health and Substance Use (drug and alcohol problems). Confidential support for emotional health, including counseling and medication.

  • Guidance and support in navigating healthcare systems to optimize access and financial support.

  • Eliminating transportation and accessibility issues by bringing healthcare directly to communities in need. Experienced care managers will work with your community to help you and your community achieve longterm health and wellness.

  • Promoting health and wellness and disease prevention by providing the following:

    • Infectious disease (eg HIV, STIs) testing, prevention and treatment

    • Vaccinations

    • Health Education