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