XIX International AIDS Conference

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THPE237 - Poster Exhibition


The role of community-based organizations (CBO's) and health departments (HD) in advancing HIV prevention with adults and adolescents living with HIV: new Centers for Disease Control and Prevention (CDC) and Health Resources and Services Administration (H

A. Patel1, K. Irwin1, A. Huang2, G. Dumitru1

1Centers for Disease Control and Prevention (CDC), National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Division of HIV/AIDS Prevention, Atlanta, United States, 2Health Resources and Services Administration (HRSA), HIV/AIDS Bureau, Rockville, United States

Background: More than 1.2 million people are living with HIV (PLWH) in the U.S.; this number increases by about 35,000/year. On average, each PLWH infects about five other persons over a lifetime. Accelerating HIV prevention with PLWH is therefore pivotal to controlling the epidemic. Since 2010, CDC, HRSA, and other HIV prevention organizations have collaborated to develop recommendations for HIV prevention with PLWH for clinical and non-clinical settings. These recommendations update the CDC/HRSA 2003 recommendations to incorporate HIV prevention into the medical care of PLWH and include many new recommendations for CBOs and HD.
Methods: This presentation will summarize the rationale, methodology, and evidence for the recommendations. It will highlight new recommendations for CBOs and HD and challenges of delivering prevention services during a period of changing priorities for HIV prevention in CBOs and HD with a long standing focus on HIV uninfected persons.
Results: The recommendations were based on scientific evidence, program evaluations, and expert opinion. They cover linkage and retention in HIV care, risk reduction, partner services, STI services, referral to non-HIV-related services, antiretroviral therapy (ART) adherence, and reproductive health care. They recommend that CBOs actively link PLWH to HIV care immediately after positive test results, support retention in care and ART adherence through non-clinical settings, provide interventions that promote safe behaviors, and refer PLWH to housing, transportation, and social services that promote safe behaviors and ART adherence. They recommend that health departments maintain directories of providers of HIV prevention services and use surveillance data to identify PLWH who merit linkage, retention, or partner services.
Conclusions: These new recommendations underscore that CBOs and health departments can capitalize on new behavioral and biomedical prevention strategies and the necessity to collaborate with clinical providers to support prevention with PLWH.

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