strategies and interventions for community-based organizations implementing hiv prevention
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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
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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
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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 > 1%) or with a person who is living with HIV.
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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 (>5) or anonymous unprotected sex or needle-
sharing partners
or• Been diagnosed with a sexually transmitted disease (STD)
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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
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Targeted Outreach and HE/RR
• Recruitment• Popular Opinion Leader• Mpowerment Project• Community PROMISE• Real AIDS Prevention Project• Safety Counts• SISTA• Many Men, Many Voices
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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
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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
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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
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The STD Clinic
• VOICES/VOICES
• Counseling, Testing, and Referral
• Integrating Prevention Services into Medical Care for PLWH
• Partner Counseling and Referral Services
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Impact and Outcomes of AHP
• Expand efforts to help people living with HIV to learn their HIV serostatus
• Expand CDC’s 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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