EVIDENCE-BASED STRATEGIES: HOW ARKANSAS CAN BETTER ADDRESS THE INTERCONNECTED ISSUES OF SYPHILIS, HCV, AND SUBSTANCE USE, IMPROVING HEALTH OUTCOMES FOR INDIVIDUALS AND COMMUNITIES

Arkansas faces persistent public health challenges due to high rates of HIV, hepatitis C virus (HCV), and syphilis. While best practices from the Centers for Disease Control and Prevention (CDC) are widely recognized, their implementation remains inconsistent in the state due to systemic barriers, funding limitations, and healthcare infrastructure gaps. Efforts have been made to expand screening services, particularly in nontraditional settings such as jails and street-based outreach, yet rural areas continue to experience limited access to care. Programs such as pre-exposure prophylaxis (PrEP) and harm reduction strategies remain underutilized due to stigma, inadequate education, and funding constraints. Despite federal funding aimed at improving health outcomes, only 48% of individuals diagnosed with HIV in Arkansas achieve viral suppression, highlighting challenges in linking patients to sustained treatment. This paper explores strategies to enhance healthcare provider training, expand community awareness, and implement integrated care models that address co-occurring substance use and infectious diseases. A comprehensive response, including sustained investment, targeted education, and stigma reduction, is essential to improving public health outcomes in Arkansas.