Formerly incarcerated individuals face disproportionate infectious disease burden yet remain significantly underrepresented in preventive health programs. The MOSAIC trial quantifies a critical solution: onsite point-of-care testing delivered by trusted community health workers removes the major barriers that prevent screening access in this population.
By integrating testing directly into re-entry organizations—settings where formerly incarcerated individuals already access support services—the intervention eliminates transportation challenges, reduces healthcare system mistrust, and addresses insurance gaps. The trial demonstrates that 92 percent of identified barriers to healthcare access can be effectively addressed through this community-embedded model.
These data highlight how structural interventions focused on accessibility and trust can dramatically reshape health outcomes for populations historically excluded from preventive care systems.
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