Hepatitis C virus (HCV) coinfection is associated with poor health outcomes for persons with HIV (PWH). Although higher HIV viral suppression rates have been reported among PWH who participate in Ryan White services, studies have not assessed effects on HCV coinfection.

We used Philadelphia’s routine HIV and hepatitis surveillance data to identify new HIV diagnoses during November 2018–October 2021 in a retrospective cohort analysis. We plotted Kaplan-Meier curves and performed Cox regressions to understand effects of HCV coinfection and receipt of Ryan White support services on time to reach HIV viral suppression, adjusting for linkage to HIV care, retention in HIV care, race and ethnicity, gender, age at time of HIV diagnosis, and injection drug use history.

Addressing social determinants of health through federally sponsored Ryan White services can improve health for persons with HIV monoinfection and HIV and HCV coinfection.