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Strategies and Interventions for Community-Based Organizations Implementing HIV Prevention

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Title: Strategies and Interventions for Community-Based Organizations Implementing HIV Prevention


1
Strategies and Interventions for Community-Based
Organizations Implementing HIV Prevention
  • Joseph Prejean, Ph. D.
  • Capacity Building Branch
  • Division of HIV/AIDS Prevention
  • National Center for HIV, STD, and TB Prevention
  • March 11, 2004

2
Program Announcement 04064
  • Community Based Organizations to be funded for
    three broad classes of HIV prevention activities
  • Conducting targeted outreach and providing Health
    Education/Risk Reduction (HE/RR) for high risk
    individuals.
  • Conducting targeted outreach and Counseling,
    Testing, and Referral (CTR) services for
    high-risk individuals.
  • Implementing one or more of the following
  • Prevention for individuals living with HIV and
    their sex or injecting drug-using partners who
    are HIV negative or unaware of their HIV status
  • Prevention for individuals at very high risk for
    HIV infection
  • Partner Counseling and Referral Services

3
Definitions
  • High Risk
  • An individual at high risk for HIV infection is
    someone who has had unprotected sex or has shared
    injecting equipment in a high-prevalence setting
    (a geographic location or community with an HIV
    seroprevalence gt 1) or with a person who is
    living with HIV.

4
Definitions
  • Very High Risk
  • An individual at very high risk for HIV infection
    is someone who, within the past 6 months, has
  • Had unprotected sex with a person who is living
    with HIV
  • Had unprotected sex in exchange for money or
    drugs
  • Had multiple (gt5) or anonymous unprotected sex or
    needle-sharing partners
  • or
  • Been diagnosed with a sexually transmitted
    disease (STD)

5
The Procedural Guidance
  • http//www2a.cdc.gov/hivpra/documents/Attachments/
    CBOProcedures_15Dec03_FinalDraft.pdf
  • Included as an attachment to PA 04064 to provide
    direction for the design of community-based
    programs that address the strategies of AHP and
    meet the needs of communities.
  • Describes all strategies and interventions that
    are eligible for funding under PA 04064

6
Targeted Outreach and HE/RR
  • Recruitment
  • Popular Opinion Leader
  • Mpowerment Project
  • Community PROMISE
  • Real AIDS Prevention Project
  • Safety Counts
  • SISTA
  • Many Men, Many Voices

7
Targeted Outreach and CTR
  • Counseling, Testing, and Referral
  • Rapid Testing in Non-Clinical Settings
  • Routine Testing of Inmates in Correctional
    Facilities
  • Universal HIV Testing of Pregnant Women

8
Prevention with Positives and those at Very High
Risk
  • PLWH and their sex or injecting drug using
    partners
  • Prevention Case Management
  • Integrating prevention services into medical care
    for PLWH
  • Teens Linked to Care
  • Holistic Harm Reduction Program
  • Healthy Relationships

9
Prevention with Positives and those at Very High
Risk
  • Individuals at very high risk
  • Prevention Case Management
  • VOICES/VOCES
  • SISTA
  • Street Smart
  • Many Men, Many Voices
  • Partner Counseling and Referral Services

10
The STD Clinic
  • VOICES/VOICES
  • Counseling, Testing, and Referral
  • Integrating Prevention Services into Medical Care
    for PLWH
  • Partner Counseling and Referral Services

11
Impact and Outcomes of AHP
  • Expand efforts to help people living with HIV to
    learn their HIV serostatus
  • Expand CDCs efforts in focusing prevention
    programs for people living with HIV
  • Ensure that every person living with HIV has
  • The opportunity to get tested
  • Access to state of the art medical care, and
  • Access to ongoing prevention services to prevent
    transmission to partners
  • Decrease new infections
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