Strategies and Interventions for CommunityBased Organizations Implementing HIV

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

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 2

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 highprevalence setting (a geographic location or community with an HIV seroprevalence > 1%) or with a person who is living with HIV. 3

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 needlesharing partners or • Been diagnosed with a sexually transmitted disease (STD) 4

The Procedural Guidance • http: //www 2 a. cdc. gov/hivpra/documents/Attachm ents/CBOProcedures_15 Dec 03_Final. Draft. pdf • Included as an attachment to PA 04064 to provide direction for the design of communitybased 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 5

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

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 7

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 8

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 9

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

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 11