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. 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. 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 > 1%) or with a person who is living with HIV.

4. 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 (>5) or anonymous unprotected sex or needle- sharing partners or Been diagnosed with a sexually transmitted disease (STD)

5. 5 The Procedural Guidance http://www2a.cdc.gov/hivpra/documents/Attachm ents/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. 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. 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. 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. 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. 10 The STD Clinic VOICES/VOICES Counseling, Testing, and Referral Integrating Prevention Services into Medical Care for PLWH Partner Counseling and Referral Services

11. 11 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