ACB people, especially newcomers, who are living with HIV face not only barriers to treatment, but also unique challenges such as language barriers, lack of social support, stigma and systemic barriers such as lack of healthcare coverage.

When linking individuals to treatment and care, it is important to consider clinician competency and reputation (e.g., commitment to anti-oppression, specialized HIV training, etc.), geographic proximity and interpretation services (as required). Partnering with an AIDS service organization can help to find the most accessible and highest quality treatment and care options for your clients. 

The Ontario HIV Treatment Network reviewed best practice guidelines to improve treatment access and reduce treatment barriers for newcomers living with HIV¹ Rapid Response #90: Treatment Barriers and Best Practices for Newcomers Living with HIV/HCV | The Ontario HIV Treatment Network [Internet]. [cited 2017 May 15]. Available from: http://www.ohtn.on.ca/rapid-response-90-treatment-barriers-and-best-practices-for-newcomers-living-with-hivhcv/:

• Eliminate biases and discriminatory practices in healthcare settings by ensuring staff are qualified and trained to provide culturally competent care that bridges the cultural divide that may exist between newcomer clients and providers
• Eliminate language barriers to care and treatment by employing trained and qualified interpreters in care settings
• Train clinical staff to evaluate all incoming patients for HIV risk and to provide HIV testing, care and treatment
• Assist in the coordination of legal, social and employment support services for newcomers. Newcomers who understand their rights and are able to access basic necessities such as housing, employment, and health and drug insurance coverage will be in a better position to access HIV care and treatment
• Develop programs to overcome gender-based barriers that make newcomer women more susceptible to discriminatory and stigmatizing practices in the community and in healthcare settings
• Given the prevalence of HIV among newcomers, particularly among those who are uninsured, advocate for all newcomers, regardless of insurance status, to receive free HIV treatment to protect their health, as well as public health.