HIV Navigation Services – STEPS to Care

HIV Navigation Services – STEPS to Care (HNS-STEPS to Care) is a training to help participants obtain timely, essential, and appropriate HIV-related medical and social services.

About HIV Navigation Services – STEPS to Care

HIV Navigation Services – STEPS to Care (HNS–STEPS to Care) includes guiding clients to health care systems, assisting with health insurance and transportation, identifying and reducing barriers to care, and tailoring health education to the client to support their full engagement in care.

HNS–STEPS to Care guide persons at high risk to and retain them in HIV services such as:

  • HIV care and treatment
  • nPEP;
  • PrEP; and
  • Services and interventions dealing with other major risk-complicating factors including substance use, violence, stigma, mental health, homelessness, and other health disparities.

HNS–STEPS to Care also includes:

  • Client identification,
  • Health education,
  • Motivation,
  • Guidance to services,
  • Appointment assistance,
  • Payer identification,
  • Cultural sensitivity,
  • Guidance while in services for retention,
  • Adherence support, and
  • Transportation.

HNS–STEPS to Care Training

This training has two components:

  1. 30-minute eLearning pre-course module
  2. 3-day virtual, instructor-led training

The HNS-STEPS to Care course is designed to improve navigation skills for those delivering prevention services to persons with HIV and HIV-negative persons at risk. This comprehensive course package is for service providers who want to know more about navigation skills, how navigation fits in the overall field of HIV prevention, structural components of a navigation program, and professional conduct.

The recommended training audience includes staff from:

  • Community-Based Organizations (CBOs);
  • Health Departments;
  • Health Care Organizations implementing HIV programs and services; and
  • General navigation programs that seek to enhance their existing navigation services.

HNS-STEPS to Care virtual, instructor-led trainings are conducted over a 3-day period. Participants are required to complete the HNS-STEPS to Care pre-course online module prior to attending the virtual, instructor-led training.

To view and register for scheduled virtual, instructor-led trainings:

  1. Access the National HIV Classroom Learning Center training calendarexternal icon hosted on Cicatelli Associates, Inc.’s (CAI’s) website.
  2. Pre-register for your selected course via the link provided in the training calendar.
  3. Complete your registration on CDC TRAINexternal icon as directed when you receive an email from the National HIV Classroom Learning Center. You must join the HIV CBA Learning Group and locate the HIV CBA Training Plan in order to complete your CDC TRAIN registration for a specific training session (step-by-step instructionsexternal icon are available).

To access eLearning modules, including training prerequisite courses:

  1. Log-in to CDC TRAINexternal icon and access the HIV CBA Training Plan (step-by-step instructionsexternal icon are available).
  2. Select the module you wish to take.
  3. Launch the module or save the module for later.

To request technical assistance or that a training session be scheduled:

  1. CDC’s directly funded health department and CBO partners may request delivery of a CDC-supported training or technical assistance by submitting a request in the CBA Tracking System.
  2. Organizations not directly funded by CDC may contact their local health department for assistance in submitting a technical assistance or training request.

If you have questions or need additional assistance, please contact HIVCBA@cdc.gov.

Implementation and Marketing Materials

The materials and resources listed below support the implementation and/or marketing of HIV Navigation Services – STEPS to Care by health departments, community-based organizations, and health care or other organizations. The resources are evidence-based and designed for cost-effective, scalable implementation.

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  • Bradford JB, Jones A, Coleman S. HIV system navigation: An emerging model to improve HIV care access. AIDS Patient Care STDS 2007;21(suppl 1):S49-S58.
  • Centers for Disease Control and Prevention, Health Resources and Services Administration, National Institutes of Health, American Academy of HIV Medicine, Association of Nurses in AIDS Care, International Association of Providers of AIDS Care, the National Minority AIDS Council, and Urban Coalition for HIV/AIDS Prevention Services. Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014.
  • Zuniga JM, International Association of Providers of AIDS Care (IAPAC). IAPAC guidelines for optimizing the HIV care continuum for adults and adolescents. J Int Assoc Provid AIDS Care 2015;14(suppl 1):S3-S34.