HIV services in rural and remote communities


Key take-home messages
  • People with or at risk of HIV who live in rural communities face complex challenges accessing services, including stigma, lack of services, transportation issues and some population-specific barriers.
  • The lack of skilled HIV services — physicians, infectious disease specialists and mental health professionals — in rural communities is a barrier to good care and information.
  • Each rural area has its own challenges, needs and resources so there is no “one size fits all” practice for administering HIV services.
  • Best practices include interventions that address stigma, reduce social isolation, build skills and improve access to services.
  • Technology-based interventions — including telemedicine, internet-based support programs and telephone-based therapeutic intervention — can help overcome barriers to care in rural settings, including stigma, concerns about confidentiality, transportation costs and lack of services.
  • Collaboration among agencies/services within rural communities to form networks of cooperation that can reduce duplication of efforts, integrate services, influence policies, and address community health holistically.


The Ontario HIV Treatment Network: Rapid Response Service




  • Determinants of Health
    • Social support
    • Stigma/discrimination
  • Population(s)
    • Men who have sex with men
    • Women
    • Other
  • Engagement and Care Cascade
    • Treatment
  • Health Systems
    • Delivery arrangements


Abstract/Full paper

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