HPPC 2009 Celebrating 15 Years of HIV Prevention

+ HPPC 2009 Celebrating 15 Years of HIV Prevention Community Planning Kathleen Roe, HPPC Process Evaluator 1996 - 2009

+ 2009 Accomplishments n n The Plan n Chapters, pages, meetings, hours, votes n New ground – BRPs, structural interventions, compendium, box n New leadership – committees, presentations n From committee to council n United – votes, partnership, support for decisions The Process of Community Planning n Recruitment, roles, leadership, elections n Taking care – team building, joint meeting, new ideas, action plans n Exit Survey, Membership Process moments, n Transitions n Context – economic crises, federal changes, UCHAPS, NMAC

+ From 30, 000 feet… Overall Meeting Indicators Same 9 questions at the end of each meeting evaluation survey Each rated 1 – 5, mean (average) score calculated and reported back to Council n I understood the role of the Council 4. 7 – 5. 0 4. 84 n Helpful materials 4. 6 – 5. 0 4. 83 n Clear and engaging presentations 4. 6 – 5. 0 4. 81 n Adequate time for discussion 4. 4 – 5. 0 4. 82 n Good discussion & participation from full Council 4. 5 – 4. 9 4. 76 n My opinions were valued by the HPPC 4. 6 – 5. 0 4. 80 n We made important decisions today 4. 4 – 5. 0 4. 77 n We made important progress on the Plan today 4. 4 – 5. 0 4. 78 n This meeting was important to HIV prevention in San Francisco 4. 6 – 5. 0 4. 82

+ From where you sit… Three Words Opportunity to offer “three words to describe your experience of today’s meeting” on each meeting survey Three word sets (from everyone) reported back to the full Council in the process evaluation results report 28 Informative……. 11 Productive……. . 11 Exciting……. . 8 Engaging……. 8 Effective

+ In your own words…

+ On the shoulders of others…

+ How it started… 1981 1993 1994 First case identified in SF SF commits to community process for HIV prevention planning CDC awards community planning grants to 65 jurisdictions HPPC formed in January 1994 First San Francisco HIV Prevention Plan completed in September Plan published in December 1994 § § § 37 members reflecting “characteristics of SF epidemic, both current and projected 3 Co-Chairs 3 – 6 p. m. Thursday meetings Central location, hot food, no titles or degrees, name plates, print materials, parliamentary procedure, break Committee structure Dedicated staff and consultant support § Chapters: Epi Profile, Resource Inventory, Strategies and Interventions, Priority Setting Criteria, Needs Assessment, Goals and Objectives, System Linkages and Coordination, Technical Assistance, Evaluation

+ Who they were… A lot or a great deal of experience with… 78% Losing a colleague or friend to AIDS 78% Losing an acquaintance to AIDS 65% Losing someone you love to AIDS 39% Caregiving for someone with AIDS 78% Working in a community based organization 65% Large group decision making 48% Conducting HIV/AIDS research 39% Evaluation prevention programs 35% City or county prevention planning 18% City or county policy development

+ The First Plan December 1994 Overarching Prevention Themes for San Francisco § Prevention strategies targeting IDU activity must also address sexual behavior modification § Prevention strategies must address non-IDU substance use issues as well as IDU activity § Prevention messages must reach beyond behavior modification to address sociological and psychological issues such as self-esteem and the importance of community membership § Information on prevention services and programs must be gathered in a manner which enables measurement of unmet needs § Services must be targeted at who is at highest risk, and perceptions of service decisions must be needbased, not politically-based § Transmission information and education must be delivered in a clear, concise, and culturally appropriate manner

+ Going forward from 1994… The principal conclusion is that issues of self-esteem, mental health, poverty, homophobia, racism, and sexism are issues which have plagued communities long before the onslaught of AIDS. What makes AIDS prevention planning so difficult is that the causes of risky behavior are so inextricably linked with these larger social issues…. . None of us expects that issues such as self-esteem and homophobia will be solved in one or ten years. What we do expect is that small, measurable steps towards solving these problems can be developed, implemented, and evaluated by HIV prevention planners in a realistic and timely fashion. The final recommendation…and perhaps the most crucial one… is that the HIV prevention planning process and all those who have participated in it, is recognized and accepted as the first small step in a very long process. This process, which has raised more questions than it has answered, requires a commitment towards working for the answers to those questions and an acceptance of prevention planning as part of the permanent HIV prevention process.

+ Into the future… n What (always) follows a new Plan n The Request for Proposals (RFP) process n The award decisions n The public response n What you bring forward to 2010 n Partnership n Process that works n Extraordinary staff and support n Talent, commitment, insight, generosity among members n History n Eyes of the nation n Shared vision of a City (world) without HIV