A typological approach to the study of rural HIV service delivery networks

Despite the rapid growth of AIDS cases in nonmetropolitan areas, little is known about the characteristics and needs of HIV-positive residents or how rural areas are responding to the epidemic. This paper proposes a typology for distinguishing among rural environments and examining variations in HIV service networks. The typology identifies three dimensions that have a major effect on the development of rural HIV service networks; degree of rurality, the prevalence of AIDS, and the epidemiological and demographic characteristics of the infected populations. Data from four cases studies are used to illustrate how variations in rural environments can affect the organization and delivery of HIV/AIDS care. The typology contributes to public discussions by identifying key attributes of rural environments that influence program planning and implementation and the transferability of service delivery models.