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MN Comprehensive HIV Prevention Plan, Updates for 2005

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MN Comprehensive HIV Prevention Plan, Updates for 2005 MINNESOTA COMPREHENSIVE HIV PREVENTION PLAN 2003 - 2005 Community Cooperative Council on HIV/AIDS Prevention and Minnesota Department of Health Update for 2005 Minnesota Comprehensive HIV Prevention Plan 2003 – 2005 Developed by the Community Cooperative Council on HIV/AIDS Prevention and the Minnesota Department of Health STD and HIV Section Written by Lucy Slater Tracy Sides Luisa Pessoa-Brandão Peggy O’Halloran Julie Hanson Pérez Prepared by Julie Hanson Pérez Acknowledgements This plan is the result of the work of many people who have dedicated their time, expertise, and passion to the Community Cooperative Council on HIV/AIDS Prevention: Community Co-chairs: Former CCCHAP Members Who Participated Geraldine Anderson in Development of Plan: Rosemary Thomas Denise Anderson Sharon Mandel Don Anderson Susan McKinely Roxanne Anderson Seamus McMillan Health Department Co-chair: Joe Ascheman Nick Metcalf Kip Beardsley Julia Ashley Bankole Olatosi Linda Atlas Melissa Palank Dotty Best Scott Pegues Current CCCHAP Members: Cindy Brown Sue Purchase Geraldine Anderson Jill DeBoer Helen Doris Reed Kathy Brothen Becky Clark Jamie Richardson Traci Capesius Amanda Denizen Nanette Schroeder Donna Clark Weston Edwards Sarah Simmons Lois Crenshaw Carl Eller Lucy Slater Alissa Fountain Kirk Fiereck Ebony Starr William Grier Rhys Fulenwider Aaron Keith Stewart Kelly Hansen Noelle Gray Lorraine Teel Doris Johnson Frank Guzmán Dann Trainer Steven Moore Patricia Kortes Carlos Velázquez Amy Moser Celia Lewis Muhidin Warfa Jerry Moss Tom Lindsay Clifford Noltee Bruce Maeder Drew Parks Gary Remafedi Wynfred Russell Former Youth Council Members Who Kevin Sitter Participated in Development of the Plan Charles Tamble Tom Adams Laketsia Kirkland Toyin Adebanjo Charles Lewis Mirtha Cepero Melissa Palank MDH Staff Becky Clark Jeremie Pawlewicz Jessica Barry Sarah Clark Vicki Pearce Nicoline Collins Yosiah Cunningham Gabby Richardson Ruth Dauffenbach-Kotrba Katie Dinndorf Nikki Rilea Marci Fjelstad James Doty Jason Rodich Kirsten Gerber Liz Doty Krystal Williams Steve Golat Ricky Ford Mao Yang Julie Hanson Pérez William Grier Gary Novotny Japhet Nyakundi Peggy O’Halloran Community Members Who Participated in Luisa Pessoa-Brandão Development of the Plan: Tracy Sides Chi Ellis Lucy Slater Diane Holmes Juan Jackson Michael Kalk Sue LaVacarre Rachelle Menanteau Fred McCormick Eileen McCormick Carla Nathan Andrea Palumbo Table of Contents Introduction ..............................................................................................1 Chapter One: Epidemiological Profile .........................................................................16 Chapter Two: Community Services Assessment ......................................................74 Needs Assessment ................................................... 75 Resource Inventory................................................. 166 Gap Analysis............................................................ 202 Chapter Three: Prioritization of Target Populations and Interventions ...................222 Chapter Four: Potential Interventions and Strategies...............................................230 Chapter Five: Prioritized Interventions and Strategies ...........................................269 Chapter Six: Coordination and Collaboration ........................................................298 Glossary................................................................................................314 References............................................................................................319 Minnesota Comprehensive HIV Prevention Plan 2003 - 2005 Introduction This introduction describes the community planning process and its relation to HIV prevention in Minnesota. The introduction also provides an overview of the Community Cooperative Council on HIV/AIDS Prevention. HIV Prevention identify what the HIV prevention service needs of those populations are. Resource inventory Community Planning is a listing of HIV services that have been implemented to address the needs. Gap revention strategies still remain our best analysis is a process that is used to determine Pdefense in the battle against HIV (Human which prevention needs are still unmet. Immunodeficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome). Our Prioritized Target Populations: Populations experience shows that unless HIV prevention that have been identified and prioritized as programs are developed with input from the needing prevention efforts due to high rates of communities they propose to reach, they are HIV infection and high incidence of risky unlikely to receive the support they need to be behaviors. The prioritized target populations effective. In 1993, the Centers for Disease are identified through using the epi profile and Control and Prevention (CDC) issued a the community services assessment. guidance to all state and territorial health Appropriate Science-based Prevention departments on how to implement ongoing Activities/Interventions: Interventions to HIV Community Prevention Planning through reduce infection or transmission that have the establishment of a community planning been identified for each of the prioritized group (CPG). target populations. The interventions are The purpose of having a CPG is to share chosen based on effectiveness and cultural/ with the community the responsibility for ethnic appropriateness to the target identifying and developing effective, culturally population. specific prevention education interventions. Letter of Concurrence / Concurrence with The primary task of the CPG is to develop a Reservations / Non-concurrence: A written comprehensive HIV prevention plan; thus, the response from the community planning body development of this document. The that describes to what extent the prevention comprehensive HIV prevention plan includes activities proposed in the health department’s detailed information on the following work that grant application agree with the priorities in is completed through the community planning the comprehensive HIV prevention plan. process: The updated community planning guidance Epidemiological Profile: The epidemiological developed by the CDC in 2003 describes profile (epi profile) describes the scope of the three goals and eight objectives for HIV HIV epidemic within different populations in prevention community planning. The goals the state. provide overall direction for how community planning should be implemented. However, Community Services Assessment: The the goals were purposefully written in broad community services assessment (CSA) is terms to allow the health departments and made up of three components: needs community planning groups flexibility in assessment, resource inventory, and gap determining how to achieve them. analysis. Needs assessments describe how social and cultural characteristics impact HIV infection within specific populations, and Introduction 1 Minnesota Comprehensive HIV Prevention Plan 2003 - 2005 GOALS AND OBJECTIVES Perhaps the most important and controversial part of community planning is Goal One the prioritization of target populations and Community planning supports broad-based identification of interventions. Since there is a community participation in HIV prevention finite amount of resources available for HIV planning. prevention, and an infinite number of ways in Objectives: which to use those resources, the community A. Implement an open recruitment process planning process is responsible for deciding (outreach, nominations, and selection) for CPG what those resources should be used for, and membership. to which communities the resources should B. Ensure that the CPG membership is go. This responsibility is becoming ever more representative of the diversity of populations challenging as the amount of available most at risk for HIV infection and community characteristics, and includes key professional resources continues to decrease. expertise and representation from key governmental and non-governmental agencies. The CCCHAP C. Foster a community planning process that encourages inclusion and parity among In 1994, in order to implement all these community planning members. aspects of community planning, Minnesota Goal Two formed the Commissioner's Task Force on Community planning identifies priority HIV HIV/STD Prevention Planning (Task Force). In prevention needs (a set of priority target 2004, the group decided to change its name populations and interventions for each to the Community Cooperative Council on identified target population) in each HIV/AIDS Prevention (CCCHAP). This group jurisdiction. is selected by, and composed of, community Objectives: members that represent the cultural and D. Carry out a logical, evidence-based process to geographic diversity of the HIV epidemic in determine the highest priority, population Minnesota. The CCCHAP is responsible for specific needs. prioritizing HIV prevention target populations E. Ensure that prioritized target populations are and identifying interventions for each based on an epidemiological profile and a population. community services assessment. The CCCHAP works closely with the F. Ensure that prevention activities/interventions for Minnesota Department of Health (MDH) to identified priority target populations are based carry out the community planning process. on behavioral and social science, outcome effectiveness, and/or have been adequately The MDH receives funding from the CDC and tested with the intended target populations for
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