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DP ^5 >> '^,'^C>^ 1ftfrit §8 II 99 #s 3< HIV PREVENTION PLAN California Community PlanningWorking Group, January 1995 II G0Vi=oNA/l!=NTINFORMATION' CFN-TEH Shh hhANCiSGO PUBLiC LIBRARY SAN FRANCISCO PUBLIC LIBRARY DOCUMENTS DEPARTMENT REFERENCE BOOK Nottobetakenfromthe Library SANFRANCISCOPUBLICLIBRARY I1IIIII||I1IIIIIIII1I1|1|II JUL s 1995 3 1223 04245 0008 HIV California Prevention Plan Conducted by the Community Planning Work Group Prepared by Harder+Kibbe Research San Francisco December 1994 D REF 362 1969 C12! . 1995 California HIV prevention plan / 1S95. 8f PUBLIC LIBRARY . 3 1223 04245 0008 Dedication The CaliforniaHIVPreventionPlan isdedicated toDoug Yarnon — CommunityPlanning Work Group member, AIDSactivist, andFilipino community leader-andallpersons whohavedied ofHTVdisease in California. Acknowledgments The efforts ofmany people went into creating the California HIV PreventionPlan. The Community Planning WorkGroup members assisted by the staffofthe Office ofAIDS developed theplan. They were ably assisted by members ofthe Community Planning Advisory Group. Harder+Kibbe Researchprovided technical supportto the planning process and wrote the Plan with the assistance of RobertWhirry, Judith Spiegel, Debbie Notkin, and JeffAmory. The facilitators ofthe planning meetings were Noel Day ofPolaris Institute and DeborahJohnson- Rolon ofthe Motivational Institute. The principal consultant onthe HIV PreventionCommunity Planning Process was Pat Franks ofthe Institute for Health Policy Studies, University of California, SanFrancisco. The logistics coordinationagency was RDLEnterprises. The evaluationconsultant was KathleenRoe Dr.PH, Professor, SanJose State University. Members of HrV-affected communities and HIV prevention service providers gave valuable insights at the public comment sessions ofthe CPWG meetings. Digitized by the Internet Archive in 2012 with funding from California State Library Califa/LSTA Grant http://archive.org/details/californiahivpre1995Gali Community Planning Working Group Vision Statement and Letter ofConcurrence Wayne E. Sauseda, Chief Office ofAIDS P.O. Box 942732 Sacramento, California 94234-7320 Dear Mr. Sauseda: TheCaliforniaDepartmentofHealthServices,OfficeofAIDS(OA) developedandimplemented aparticipatorycommunityplanningprocess(CPP)forHIVpreventionperrequirementsspecified in the Centers for Disease Control and Prevention (CDC) "Supplemental Guidance on HIV PreventionCommunityPlanningforNoncompetingContinuationofCooperativeAgreementsfor HIV Prevention Projects". The CPP was accomplished through the formation of the HIV Community Planning Working Group (CPWG), comprised of individuals who represent HIV affected communities and providers ofprevention services that were selected through an open nominationprocessbaseduponselectioncriteriadevelopedbyCDC,aswellascriteriadeveloped by OA. The CPWG is co-chaired by a representative of the California State Department of Health Services and two representatives chosen by group members. MembersoftheCPWGrepresentstateandlocalhealthdepartments; urbanandrural populations; community-basedorganizations;AIDSserviceorganizations;racialandethnicminorities;lesbian, gay/bisexual people; people infected with HIV; public education; health care professionals; maternal and child health; transgendered persons; and various other fields including, but not limited to, social and behavioral scientists, health educators, and epidemiologists. All members are equally empowered to participate fully in the planning process and received a statement of clearly defined roles and responsibilities. Because ofthe tight timeframe in which to develop a plan, every member signed a Letter of Commitment to fully participate in the community planning process, thereby committing to consistent attendance and ownership of the CPWG process. CPWG meetings were held in several locations throughout California: Oakland, Long Beach, Fresno, San Diego, Redding, San Mateo. All meetings were open to the public; four ofthe six meetings set aside time on the agenda for public comment. During the comment period, the public addressed issues such as: what communities are not being served, or are currently underserved, by HIV education and prevention efforts in California; what HIV education and prevention needs are not being addressed in the community and why; what HIV education and prevention strategies/interventions would work in the community; what linkages need to be established in the community to make current coordination of education and prevention programs/strategiesmoreeffective;andwhattechnicalassistanceisneededtomakeeducationand preventionprograms,curriculum,andservicedeliverymoreeffectiveinthecommunity. Written testimony and public comments became part ofthe formal record ofproceedings. InordertoaddressthecomponentsspecifiedintheCDC Guidance,theCPWGestablishedseven committees: Epidemiology, Needs Assessment, HIV Prevention Strategies and Interventions, Priority Setting Criteria, Technical Assistance, Coordination and Linkages, and Resource Allocation Process. An eighth committee, Community Participation, was formed to provide a forumformembersofthepublicwhowereinattendanceattheCPWGmeetingstoprovideinput into the process. In concurrence with the CDC guidance, California's participatory community planning process includes essential components of effective HIV prevention programs based on HIV/AIDS epidemiologic surveillance as well as incorporates the views and perspectives ofcommunities targeted by prevention programs. The HIV Prevention Plan includes an epidemiologic profile, targetpopulationprofilesby strategy andinterventionswhich includesunmetneedsandbarriers, incorporatestheviewsandperspectivesofthegroupsatriskforHIV infection/transmission;HIV preventionresourceprofilesbystrategyandinterventionaddressingFederal, State,local,private, andvolunteerresources;HIVpreventionoutcomesprofile;linkages;coordinationbetweenpublic, private, state, regional and local entities; technical assistance; and evaluation. In addition to the requirements ofthe CPP that were met, the CPWG membership had strong convictionsaboutcertain issues which impact HIVprevention efforts. Regardless ofhowmany resourcesaremadeavailableandhowmanynewpreventionstrategiesaredeveloped, successcan only be attained when all issues affecting people's lives are addressed. It is because ofthese concernsthatthevisionstatementwhichfollowsisincludedinthisletterforfurtherconsideration and as a preamble to the California HIV Prevention Plan. Preamble to Goals and Objectives In developing the HIV Community Prevention Plan for the State of California, the CPWG recognizes that certain conditions limitpeople's ability to benefit from HIV prevention services and create additional challengesto HIV preventionproviders. These conditions include poverty and other economic disparities, community disempowerment, anti-immigrant sentiments, xenophobia, racism, sexism, ageism, homophobia, bigotry, addiction, low self-esteem, sexual victimization,andviolence(includingstreetviolence,domesticviolence,andsexualassault). Too often, these social conditions limit the ability of communities and individuals to adequately respond to the epidemic andjeopardize efforts to stop the spread ofthe virus. We support changes in society and in communities to reduce or remove the barriers those conditions create. Although correcting these societal barriers is beyond the scope ofour HIV prevention plan, we believe they must be addressed ifthe HIV epidemic is to be eradicated. Therefore, the CPWG sets forth the following principlesandpolicies which, iffollowed, would contribute significantly to the prevention ofHIV.