ArticleJournal of the International AIDS Society2026
Implementation Outcomes and Lessons From a Health-Department-Driven Quality-Based Financing Approach to HIV Prevention Programmes in New York City, United States: A Mixed Methods Analysis.
Article in Journal of the International AIDS Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- The State of HIV-Related Implementation Research in 2026: Lessons Learned and Future Directions.Journal of the International AIDS Society · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionIn 2021, the New York City Health Department (NYCHD) became one of the first jurisdictions in the United States to adopt a quality-based financing (QBF) approach to HIV prevention programming, shifting away from the traditional fee-for-service model. NYCHD used a multi-level approach that defined quality through three programme-level implementation strategies (PLS): universal screening; holistic care provision; and sex-positive, "risk-free" HIV prevention conversations. By focusing their QBF programme on implementation strategies in addition to service delivery outcomes, NYCHD held agencies accountable for both what was provided and how services were delivered.
methodsProject PACE is a CDC-funded implementation science (IS) partnership between a public university and the NYCHD designed to document and evaluate their QBF approach. Data collected May 2023-September 2024 include: (1) thematic coding of qualitative interviews with agency staff (n = 29); (2) quantitative analysis of staff survey data (n = 69); and (3) thematic coding of technical assistance meeting minutes/programme monitoring data (document n = 771). This paper presents an analysis of the impact of the strategy on 19 funded agencies, focusing on implementation outcomes and applying the Consolidated Framework for Implementation Research (CFIR) to examine barriers and facilitators to the implementation process.
resultsThe quality-focused implementation strategies were rated as highly acceptable, feasible and appropriate. Agencies reported multiple relative advantages of quality-focused implementation: more holistic care, increased access to services, integration of mental health and sexually transmitted infection testing into HIV prevention, reduced stigma and improved client rapport. Acceptability and feasibility ratings were strongly associated with both adoption and sustainment. Implementation barriers were clustered in the inner setting, individual and innovation CFIR domains, and focused on available resources, innovation recipients and innovation design constructs. The biggest challenges to feasibility were related to constraints in the overall care delivery system, including time pressure, service delivery limitations, restricted resources and competing demands.
conclusionsAnalyses indicate that health departments can develop quality-based PLS that are acceptable, appropriate, and feasible for HIV prevention agencies and staff. This research is a case study for academic-practice IS partnership that can identify actionable barriers and facilitators to adoption and sustainment in real time.
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