The document discusses strategies to combat the HIV/AIDS epidemic in the United States and Nevada. It provides background on HIV/AIDS rates nationally and in Nevada, highlighting disproportionate impacts among certain groups. Key strategies discussed include increasing availability of media campaigns, online interventions, substance use interventions, and HIV testing. Specific tactics proposed under each strategy, such as developing culturally appropriate media campaigns targeting various communities, increasing online outreach and education, and requiring acknowledgement of safe sex practices on dating websites. The document emphasizes the need for a coordinated response using evidence-based approaches to reduce transmission rates and improve health outcomes.

2. President Obama committed to developing
July 2011 A CALL TO ALL FOR ACTION from the President of the United States asking all LEADERS
announced that HIV/AIDS the United States HIV/AIDS is increasing at PANADEMIC rates of infections
What Motivates Our Values
This is a global fight, and it’s one that America must continue to
lead…Looking back at the history of HIV/AI DS, you’ll see that no
other country has done more than this country, and that’s
testament to our leadership as a country. But we can’t be
complacent.”

3. THE GLOBAL STRATEGY TO AN #AIDSFREEGENERATION

4. A NATIONAL HIV/AIDS STRAGEGY FOR THE UNITED STATES
PEPFAR-THE UNITED STATES PRESIDENTS EMERGENCY AIDS RELIEF
EXECUTIVE SUMMARY
When one of our fellow citizens becomes infected with the human immunodeficiency virus (HIV) every
nine-and-a-half minutes, the epidemic affects all Americans. It has been nearly thirty years since the
first cases of HIV garnered the world‟s attention. Without treatment, the virus slowly
debilitates a person‟s immune system until they succumb to illness. The epidemic has
claimed the lives of nearly 600,000 Americans and affects many more.¹ Our Nation is at a crossroads.
We have the knowledge and tools needed to slow the spread of HIV infection and
improve the health of people living with HIV. Despite this potential, however, the public‟s
sense of urgency associated with combating the epidemic appears to be declining. In
1995, 44 percent of the general public indicated that HIV/AIDS was the most urgent health problem
facing the Nation, compared to only 6 percent in March 2009.² While HIV transmission rates have
been reduced substantially over time and people with HIV are living longer and more productive lives,
approximately 56,000 people become infected each year and more Americans are living with HIV than
ever before.³,⁴ Unless we take bold actions, we face a new era of rising infections, greater challenges in
serving people living with HIV, and higher health care costs.⁵
To accomplish these goals, we must undertake a more coordinated national response to the HIV epidemic.
The Strategy is intended to be a concise plan that will identify a set of priorities and strategic action
steps tied to measurable outcomes. Accompanying the Strategy is a Federal Implementation Plan that
outlines the specific steps to be taken by various Federal agencies to support the high-level priorities
outlined in the Strategy. This is an ambitious plan that will challenge us to meet all of the goals that we
set. The job, however, does not fall to the Federal Government alone, nor should it. Success will require
the commitment of all parts of society, including State, tribal and local governments, businesses, faith
communities, philanthropy, the scientific and medical communities, educational institutions, people
living with HIV, and others. The vision for the National HIV/AIDS Strategy is simple:
1. reducing the number of
people who become infected
with HIV,
2. increasing access to care
and optimizing health
outcomes for people living
with HIV
3. reducing HIV-related
health disparities.
1. CDC. HIV/AIDS Surveillance Report. 2007; 19: 7. Available
http://www.cdc.gov/hiv/topics/surveillance/resources/reports/2007report/pdf/20
07SurveillanceReport.pdf
2. Kaiser Family Foundation. 2009 Survey of Americans on HIV/AIDS: Summary of Findings
on the Domestic Epidemic. April 2009.
3. CDC. Estimates of new HIV infections in the United States. August 2008. Available
athttp://www.kff.org/kaiserpolls/upload/7889.pdf
4. CDC. HIV Prevalence Estimates—United States, 2006. MMWR 2008;57(39):1073-76.
5. If the HIV transmission rate remained constant at 5.0 persons infected each year per 100
people living with HIV, within a decade, the number of new infections would
increase to more than 75,000 per year and the number of people living with HIV
would grow to more than 1,500,000 (JAIDS, in press).

5. WELCOME
GOMOJO is here today in response to the July 2011 CALL TO ACTION for ALL LEADERS to join the fight against HIV/AIDS and for an AIDS FREE
GENERATION. The President asked for us all to focus on the hardest hit demographics with a grossly disproportioned rate of infection in particular
young Black Americans and Faith Based Organizations. Following the directions of the President Emergency Plan for AIDS Relief (PEPFAR) Blueprint
to an AIDSFREEGENERATION as an ongoing process of pursuing a course of high impact prevention: increasing our focus on building the capacity of
our community and disseminating the United States Federal Governments appropriates recommended strategieswith positive interventions and
strategies and increasing our distance learning, growth and endless NEW opportunities in DOWNTOWN LAS VEGAS..
GOMOJO is please to present A YEAR IN REVIEW highlighting A MINISCULE of our continuing possibilities with passion being a main effort. It
provides a glimpse into the INSPIRING and ongoing work of our Las Vegas community and building of the capacity of the nations HIV workforce
As difficult as it is to choose among the many accomplishments and uncovered opportunities in 2012, I choose to highlight the following
 Developing a Community Resource and Central Connection site to coordinate events and opportunities to the Downtown Las Vegas, the Downtown
Project and United States Federal Government funded and Private Based Community and Health Based Organizations.
 Restructured GOMOJO to better align with the priorities of the State of Nevada, City of Las Vegas, Downtown Project, Team Zappos
 Developing with the Gender Justice of Nevada team to address Gender Violence and Advocate for equal rights and justice.
 ,Developed GOMOJO into not only a Male Condom Holder but also a Female Condom holder.
 Collected and organized nearly 500 business cards collected
Please read on to learn more about these and other successes and opportunities for all of us to utilize. My progress would NOT have been possible
without th Josh at The Center, Jane and Holly with Gender Justice, Tony and Team Zappos, Delivering Happiness, Tech Cocktail, Big Ern, my three
kids support and humbleness to go for broke, and the public health and safety professionals, staff, and volunteers. Further, to build the nations HIV
prevention and THE GREATEST CITY IN THE WORLD TO LIVE, LEARN, WORK AND PLAY workforce requires the strength of our ongoing
collaborative efforts with our GOMOJO Capacity Building Assistance, Prevention Training Centers, the Downtown Project, VegasTech, Street Level
Business, and other partners and stakeholder's. I kindly thank you for your commitment to working together as ONE TEAM and to HIV/STI/Unwanted
Pregnancy and Gender Violence prevention.

6. MISSION STATEMENT
To HARNESS OUR GLOBAL power as ONE TEAM in DOWNTOWN LAS VEGAS through
disseminating , marketing , supporting and MOBILIZING OUR WOW VALUES
, PURPOSES, PASSIONS , MEMORIES , DESIRES and GOALS FOR PROFIT with a
multi-pronged HIGHER PURPOSE of creating g an AIDSFREEGENERATION.
GOMOJO will empower our community members with the information, resources and
tools needed to achieve their goals by increasing knowledge
, skills, technology, infrastructure and stats, facts and good times necessary to
implement and sustain science-based , culturally appropriate HIV, STIs and
unwanted pregnancy prevention and intervention strategies.

8. How Does Nevada rank?
According to Henry J. Keiser Family Foundation Health Statistics (2007), Nevada ranked
26th in the nation for the number of new AIDS cases; the annual AIDS case rate for
males was higher than the national AIDS case rate (25.6 vs. 22.9); ranking males 10th in
the nation for AIDS cases in Nevada. Additionally, Nevada ranked 29th in the nation
among HIV Infection Cases Reported among States with Confidential Name-Based
Reporting, 2007 (1=High, 51=Low).

10. RATE OF HIV INFECTION BY SEX-2011

11. RATE OF HIV INFECTION BY AGE GROUP

12. RATE OF INFECTION BY RACE-2011

13. RATE OF HIV/AIDS INFECTION BY RACE

14. HISTORY OF HIV/AIDS IN NEVADA
0
20
40
60
80
55-64
45-54
35-44
25-34
13-24
>13
% OF INCREASE OF
PERSONS IN NV
LIVING WITH
HIV/AIDS 2004-2008
% OF
INCREASE
OF
PERSONS IN
NV LIVING
WITH…

16. NEVADA WORKING TOGETHER SURVEY FOCUS GROUP

17. BEHAVIORS CONNECTIONS TO HIV

18. VUNERABLE POPULATIONS

19. WEBSITES USED TO SEARCH FOR PARTNERS

20. KEY
INFORMANT
SURVEY DATA
FROM

24. Participants in the MSM focus groups (N=96) also completed
an anonymous quantitative survey that assessed
demographics, sexual and drug risk behaviors, and HIV
testing history. Because little is known about use of the
internet and HIV risk among MSM in Nevada, sexual behavior
questions were asked separately for partners met online and
those met offline. In addition, patterns of internet use
(number of hours spent online per week and websites most
commonly used) and attitudes about online HIV prevention
were assessed.
RESULTS
Sexual Behaviors and Use of the Internet
Half the participants reported using the internet to meet sex
partners during the past six months and 60% met partners
offline (bars, clubs, friends, or organizations)

25. • Over half (58%) of
participants believed
that internet sites
used to meet sex
partners do not have
enough
• HIV/STD information
and 56% said that
they would use a
website for MSM who
are only interested in
having safe sex.
NUMBER OF PARTNERS ONLINE VS OFFLINE

26. However, consistent condom use was
much less frequent when MSM had
sex with online partners compared
to offline partners: receptive anal sex (53% vs.
74%), insertive anal sex (54.5% vs. 69%), and oral sex
(3% vs. 25.5%).
(Figure 79).
Over one fifth of MSM who used the
internet to meet sex partners the past
six months said they spend 10 hours
or more searching for partners
online each week
Overall, there were not large differences
between in the number of partners that
participants reported meeting online
compared to offline during the past six
months (Figure 79).

27. DESCRIPTION AND JUSTIFICATION OF PRIORITY
POPULATIONS
Special emphasis should be placed on minority
populations, with a special emphasis on African-American
And Latino/a groups, who are disproportionately affected
by HIV.
HIV+
Due to increase in treatment options for individuals
infected with HIV, people have been living longer, healthier
lives with HIV and AIDS. There are approximately 7,940
people living with HIV/AIDS in Nevada in 2008, over
half (52 percent) of the cases are AIDS cases.
MSM
In Nevada in 2008, 71 percent of the newly diagnosed HIV infections had a primary risk of MSM. Over the past five years (2005-2008), the number
of newly diagnosed cases reporting MSM as primary risk factor has increased 33 percent. Although Whites accounted for the greatest proportion
of new cases among MSM, Nevada is experiencing significant increases among new MSM cases for both Blacks and Hispanics. Additionally, over
half (60 percent) of the persons identified living with HIV and AIDS in Nevada reported MSM as the primary risk of transmission. The high
prevalence of HIV among gay and bisexual men means MSM are at elevated risk for being exposed to the infection during each sexual encounter.
Therefore, MSM was determined to be the top priority population for the Nevada State HIV Prevention plan due to the rates of HIV infection among
this population.
Key focus areas within this population would
include:
1. MSM who seek out sexual partners via the internet,
including chats rooms and classified postings (ie:
craigslist.org, gay.com, manhunt.net, etc)
2. Partners of MSM, including female sex partners of
non-identifying MSM
3. MSM engaging in high-risk sexual activity under the
influence of Alcohol and/or drugs.

29. CDC‟s HIV Prevention Community Planning Guidance there are three
goals in community planning:
 The community planning process supports a
broad-based community participation in HIV
prevention planning.
 Community planning identifies priority HIV
prevention needs in each jurisdiction.
 Community planning ensures that HIV prevention
resources target priority populations and
interventions set forth in the comprehensive HIV
prevention plan.

31. OBJECTIVES
Mobilize condom
subsidized
commodities to
poor and
vulnerable
populations
frequently not
reached by
private sector
supply chains.
Distribute free
public sector
male and female
condoms
primarily to
populations
lacking
disposable
income and/or
those at
elevated risk of
HIV
transmission or
acquisition.
AIDSFREEGE
NERATION=H
APPINESS
WOW
Support &
Service
Evolve
POSITIVE
CHANGE
Redefine
“Weirdness”
Building
LIFE long
Friends
better than
Family
Seek
Adventure
, Learning
and Applying
Pursue AND
EMPOWER
Growth, Lear
ning
DO More
WITH Less
and GIVE
More FOR
Less
Humble

32. STRATEGIES
1. Increase the availability and reach of media campaigns
2. Increase the availability of online interventions
3. Increase the number and availability of interventions that address
substance use
4. Expand the availability of free and low cost HIV testing
5. Increase condom availability and appeal
6. Increase the number and availability of youth-specific
interventions

33. INCREASE THE AVAILABILITY AND
REACH OF MEDIA CAMPAIGNS
T H E N E E D
• Community member frustration
over lack of media attention on
HIV/AIDS
• Current media campaigns only
target the GLBTQI community
and reinforce the stigma that
associates HIV as a “gay
disease”
• Pharmaceutical companies
heavily promote HIV as a
manageable chronic disease
• Sexuality and condom use still
portrayed as
negative, dirty, and unhealthy.
T H E G A P S
• No current media campaigns targeting
injection drug users
• Campaigns targeting specific minority
communities and HIV+ populations
need to be expanded
• No current radio campaigns and limited
television marketing
• No current campaigns that feature
celebrities, athletes, and politicians
getting tested for HIV
• No current campaigns that demonstrate
that while HIV can be treated
effectively, living with HIV is not
easy and drugs have many side
effects.
Print (Q Vegas, LV Weekly),
Online (twitter, facebook), Promo
Materials
South
MSM, Y/YA
Narrowcast Campaign:
Print
South
MSM, Y/YA

34. INCREASE THE AVAILABILITY AND
REACH OF MEDIA CAMPAIGNS
• Expand media campaigns to portray safe sex in a healthy, fun, sexy way
• Reinforce safer sex messaging on a variety of media outlets to reach diverse
populations, including those with a focus on Latinos/as and African-
Americans
• Encourage discussion of condoms in movies and television shows
• Develop campaigns that feature celebrities, athletes, and politicians getting
tested for HIV
• Flash statistics of the number of people who are unaware of their HIV infection
to reinforce testing messages
• Create advertisements that demonstrate that while HIV can be treated
effectively, living with HIV is not easy and drugs have many side effects
• Include prevention messages in restrooms of bars/clubs, airports, and casinos
• Include information about HIV/AIDS prevention at gas stations, grocery
stores, and bus stops
• Develop more HIV prevention materials in Spanish.

36. INCREASE THE AVAILABILITY OF ONLINE
INTERVENTIONS
T H E N E E D
• Increase in the availability and
use of internet sites and phone
applications that people use for
the purpose of seeking sexual
partners (ie:
gay.com, adam4adam, craigslis
t, grindr, etc.)
• Increase in the availability and
use of social networking and
dating sites that people use for
the purpose of seeking sexual
partners (ie:
facebook, myspace, match.com
, etc.)
• Advances in technology allow
people easier access to meet
sexual partners in a private
and efficient manner
T H E G A P S
• Limited staffing for active peer
education
• Limited staffing for disease
investigation
• No coordinated statewide internet
interventions/marketing
campaigns
• No active online intervention on
craigslist
• Lack of interventions reaching
out to MSM population in non-
MSM online venues
• Limited educational outreach on
online sites, such as chat room
educational sessions

37. INCREASE THE AVAILABILITY OF ONLINE
INTERVENTIONS
THE RECOMMENDED STRATEGIES
Increased online HIV prevention interventions may be the most efficient way to reach sexually active
MSM, particularly those who do not self-identify as gay or bisexual, as well as younger populations.
• Require users of dating or sexual networking websites to click on a pop-up that acknowledges the importance
of using condoms
• Display local links for HIV testing and services on the first page of websites
• Have peer educators create profiles and respond to ads with information about where to obtain free condoms
and/or free testing
• Have peer educators set up an educational profile on social networking sites and „friend‟ others
• Create social networking profiles (myspace, facebook, twitter) that send information about HIV prevention•
Have public health professionals host live chats where individuals can ask questions about HIV and other
STDs
• Display HIV risk reduction pop-ups that will catch the attention of target populations (ie: using attractive
models and positive promotion of safer sex)
• Randomly display innovative and diverse condom advertisements
• Include a standard place for HIV status disclosure on all sites
• Development of a sex-positive branding strategy that promotes safer sex and harm reduction approaches

38. INCREASE THE NUMBER AND AVAILABILITY
OF YOUTH-SPECIFIC INTERVENTIONS
T H E N E E D
• Community frustration with the
quality and content of sexual
health education that is
delivered in schools
• Urgent need to develop sexual
health programs that involve
parents and include the roles
of home and community
• Youth have become de-sensitized
to HIV prevention messages
• Youth see HIV as a chronic
manageable disease
• Youth are more concerned with
pregnancy prevention than
HIV/STD prevention
T H E G A P S
• Limited resources and
programming that target youth
and young adults
• Lack of coordination and
collaboration with sexual
health education programming
in school districts
• Lack of parent/child intervention
programs
• Lack of peer sexual health
education programs for youth
• Limited support groups for HIV+
youth and youth adults

39. THE RECOMMENDED STRATEGIES
• Develop sexual health education programs for parents and increase parent
involvement in sexual health interventions.
• Advocate for consistent and comprehensive sexual health education programs
throughout all school districts in Nevada.
• Include a discussion of homosexuality in sexual health programs
• Address the stigma associated with discussion of sexuality, birth control and
HIV/STD testing
• Create programs were HIV-positive youth share their experience with other
youth
• Create a “tip sheet” on how to bring up condoms with a partner distributed at
youth-focused events
• Provide opportunities for youth to role-play condom negotiation
• Create peer education and mentorship programs for young MSM, as well as
heterosexual youth
INCREASE THE NUMBER AND AVAILABILITY OF
YOUTH-SPECIFIC INTERVENTIONS

40. EXPAND THE AVAILABILITY OF FREE AND
LOW COST HIV TESTING
T H E N E E D
• Community members are engaging in risky
sexual and/or needle sharing behavior;
yet,
these people are not getting tested for HIV
due to barriers in cost and availability
• Minority communities, although
disproportionately at risk for
HIV, report less availability of
free or low cost HIV testing options in their
communities
• The Centers for Disease Control and
Prevention recommend routine
screening of HIV in
health care settings for all adults
• There is community stigma around HIV
testing; HIV testing has not yet been
“normalized”
T H E G A P S
• No rapid testing in the field |
North
• Limited diversity in HIV testing
providers | South
• No online HIV test result options
• Limited education to providers
about routine HIV testing
• Lack of testing incentives for high
risk populations
• Limited free off-site testing
outreach to minority and
heterosexual communities
THE CURRENT
RESOURCES
Free and low cost HIV
testing is available at on-
site and limited off-site
locations statewide
targeting
MSM, Y/YA, and IDU.
HOPES
Rapid and Oral Standard
Free on-site testing
Free limited off-site testing
North
Washoe County Health
District
Rapid, Oral Standard, and
Blood Standard
Low cost on-site testing
Free limited off-site testing
North
Planned Parenthood
Rapid and Blood Standard
Low cost on-site testing
Statewide
Northern Nevada Outreach
Team
Oral Standard
Free limited off-site testing
North
Southern Nevada Health
District
Rapid, Oral Standard, and
Blood Standard
Low cost on-site testing
Free limited off-site testing
South

41. EXPAND THE AVAILABILITY OF FREE AND
LOW COST HIV TESTING
THE RECOMMENDED STRATEGIES
• Offer more rapid testing to increase the number of people who receive their test results
• Offer more oral testing options to increase the number of people who are willing to test
• Test where straight-identifying people hang out (e.g., “straight” bars, clubs, and concerts) to
reach MSM who are not “out” and high-risk heterosexuals
• Encourage testing at fraternities, sororities, and the dorms
• Offer testing in more “mainstream” locations (farmers markets, grocery stores, schools)
• Encourage providers to make HIV testing a routine part of medical exams
• Increase street-based HIV testing to reach sex workers and their partners
• Encourage testing with one‟s partner
• Give incentives for testing (discounted admission to shows, free drinks, vouchers for STD
screening and/or birth control)
• Offer testing at special events and/or host new community events for targeted populations
at risk (i.e., block parties, Cinco de Mayo, and community barbecues)
• Expanding testing and outreach in the jails and in collaboration with probation and parole services

42. INCREASE CONDOM AVAILABILITY AND
APPEAL
T H E N E E D
• Community members stated lack
of accessible, free condom
distribution locations
• Community stigma surrounding
the purchase and/or use of
condoms result in less frequent
use
• Few bars and clubs offer free
condoms
• Free condoms that are available
lack appeal The Current
Resources: Free, yet limited,
condom availability in the Reno
and Las Vegas areas at MSM
and Y/YA targeted sites.
T H E G A P S
• Lack of funding and
resources for widespread
condom availability
• Limited locations for free
condom distribution sites
• Limited hours of operations
for many free condom
distribution sites
• Lack of funding and
resources for “appealing”
condoms

43. INCREASE CONDOM AVAILABILITY AND
APPEAL
THE RECOMMENDED STRATEGIES:
• Widely distribute condoms in both gay and non-gay establishments, including
mainstream
locations such as barber shops, bus stops, movie theaters, dorms, bars, and
clubs
• Advertise and provide a wider variety of condoms (range of
flavors, colors, sizes)
• Couple condom distribution with campaigns that promote condom use as sexy
and desirable
• Advertise locations of free/reduced-cost condoms
• Have nightclub bouncers hand out condoms as people enter the establishment
• Install condom machines at bars, clubs, and gyms
• Distribute condoms at locations frequented by youth such as skate
parks, schools, Boys & Girls Club
• Actively hand out condoms in places of high-risk activity

44. INCREASE THE NUMBER AND AVAILABILITY
OF INTERVENTIONS THAT ADDRESS
SUBSTANCE USE
T H E N E E D
• Substance use is a growing issue
in all communities throughout
Nevada
• Used syringes are being found on
streets and in parks
throughout Nevada
• Community members stated that
they engaged in the “most
risky” sexual behavior while
under the influence of alcohol
and/or drugs
• Syringe access (needle exchange)
is illegal in the state of Nevada
T H E G A P S
• No statewide needle
exchange program
• Lack of substance use
interventions in
Spanish
• Lack of online substance
use interventions
• Lack of coordination
between substance
abuse agencies and HIV
prevention efforts
THE CURRENT
RESOURCES
Street Smart
North
Y/YA
FACT
South
Y/YA
SAPTA Testing
Sites
South
IDU
Street Outreach
(bleach kits,
disbursement and
education)
North
IDU

45. INCREASE THE NUMBER AND AVAILABILITY OF INTERVENTIONS
THAT ADDRESS SUBSTANCE USE
THE RECOMMENDED STRATEGIES
• Implement a statewide needle exchange program
• Develop campaigns that highlight substance use as a risk factor for
HIV
• Develop more substance use educational materials in Spanish
• Promote online substance abuse prevention efforts Increase the
availability of substance abuse treatment for diverse populations
• Decrease the stigma surrounding addiction

46. 89030
89101
89102
89106
89109
89115
89119
Objectives
CDC-INFO
•1-800-CDC-INFO (232-4636)
•cdcinfo@cdc.gov
•Get answers to questions and locate HIV testing sites.
CDC HIV Web Site
•www.cdc.gov/hiv
CDC National HIV Testing Resources
•http://hivtest.cdc.gov
•Text your ZIP code to KNOW IT or 566948. Locate an HIV testing site near you.
CDC National Prevention Information Network (NPIN)
•1-800-458-5231
•www.cdcnpin.org
•Technical assistance and resources.
AIDSinfo
•1-800-448-0440
•www.aidsinfo.nih.gov
•Treatment and clinical trials.
AIDS.gov
•www.aids.gov
•Comprehensive government problems you have identified.

47. THE CURRENT RESOURCES
Free and low cost HIV testing is available at
on-site and limited off-site locations
statewide targeting
MSM, Y/YA, and IDU.
HOPES
Rapid and Oral Standard
Free on-site testing
Free limited off-site testing
North
Washoe County Health District
Rapid, Oral Standard, and Blood Standard
Low cost on-site testing
Free limited off-site testing
North
Planned Parenthood
Rapid and Blood Standard
Low cost on-site testing
Statewide
Northern Nevada Outreach Team
Oral Standard
Free limited off-site testing
North
Southern Nevada Health District
Rapid, Oral Standard, and Blood Standard
Low cost on-site testing
Free limited off-site testing South
Target Population Intervention Type
Men who have Sex with Men
(MSM)*
*includes partners and internet
Many Men Many Voices
D-Up: Defend Yourself
Mpowerment
Promise
Project Explore
HIV Positive*
*includes partners
Changes Project
Holistic Health Recovery
Willow
Healthy Relationship
Partnership for Health
Clear
Injection Drug Users MIP: Modelo de Intervención Psicomedica
Safety Counts
Shield
Real Men Are Safe: REMAS
Street Smart
North
Y/YA
FACT
South
Y/YA
SAPTA Testing Sites
South
IDU
Street Outreach
(bleach kits, disbursement and education)
North
IDU
Youth/Young Adults* * includes MSM and Heterosexual
Sihle: Sisters Informing, Healing, Living,
and Empowering
Focus on Youth
Be Proud, Be Responsible
Street Smart
Draw the Line, Respect the Line
Together Learning Choices
RESOURCES

48. PROJECT SUMMARY
Support countries in articulating a strategy for condom programming that
addresses key supply and demand issues related to increasing condom
use, assessing the relevant target populations that need to be reached
with condom programming and delineating how different market
actors(e.g., public, social marketing and private sectors) can contribute
to provision of condoms for these target populations.

49. Address structural, social and economic barriers to effective HIV
prevention, including GBV, stigma and discrimination and gender
inequality, with a focus on advocacy, policy and evidence based
interventions.

50. Employ evidence-based strategies to create demand for, and utilization
of, male and female condoms, such as ensuring that high-quality
condoms are available, that offered condoms correspond to consumer
preferences, and that a variety of price points for different distribution
channels are used.

51. ONLINE PREVENTION TACTICS
Increased online HIV prevention interventions may be the most efficient way
to reach sexually active MSM, particularly those who do not self-identify as
gay or bisexual, as well as younger populations.

52. YOUTH1. Target and tailor programming for
sexually active and most-at-risk youth
based on pattern of behavior and their
needs.
2. Provide necessary information and skills
building to help youth prepare to make
their eventual transition to sexual activity
safer and healthier, including delay of
sexual debut.
3. Work with parents and guardians to
help improve communication to youth
about their values and expectations
regarding adolescent behavior, as well as
stressing the importance of monitoring
and supervision of their adolescents.
4. Engage influential adults within the
community to create an enabling
environment conducive to the adoption of
safer sex behaviors among youth.
5. Expand access to community-level
prevention programs, including peer
outreach, and curriculum-based programs
for out-of-school youth.
6. Provide or refer sexually active youth to
confidential youth HTC, and ensure
linkages to care for HIV positive youth.
7. Encourage sexually-active youth to
learn their HIV status, practice safer sex
and reduce their number of sexual
partners. Provide sexually active young
people with risk reduction information
and skills building, including access to
male and female condoms and
information on correct and consistent
condom use.
8. Prioritize interventions targeting
evidence-based prevention, care and
treatment for adolescents living with
HIV/AIDS in the following areas:
•a) Measurement
•b) Prevention
•c) Treatment:
•d) Advocacy
9. Provide comprehensive packages of
interventions for highly vulnerable youth
and young member of key populations
tailored to be accessible and acceptable to
younger people.
10. Where feasible, support structural
interventions to reduce young people’s
exposure to risk and increase protection.
11. Strengthen and expand gender-
sensitive programs to respond to the
unique needs of male and female
youth, including addressing harmful
gender norms that foster the spread of
HIV.
12. Evaluate the impact of PEPFAR-funded
youth programs to build a stronger
evidence base for these interventions.

53. OBJECTIVES
State specific, measurable project objectives.
Explain how the project objectives address the problems you have
identified.

54. 0
2000
4000
6000
8000
10000
12000
1 YR 2 YR 3 YR 4 YR 5 YR
DTLV COMMUNITY
DTLV COMMUNITY
The most community focused and greatest city in the
world to live, learn, work and play
2011
• RESEARCH AND OBSERVING
• PRODUCT TESTING AND
DEVELOPMENT
• GATHERING STATS AND FACTS
• REFLECTION OF PERSONAL
EXPERIENCES
• TALKING TO FAMILY AND FRIENDS
• EYES, EARS AND THOUGHTS OPEN
AND FOCUSED ON COMMUNITY
OUTREACH AND STATISTICS
• RESEARCH NEED AND IMPACT
POTENTIALS
• APPLIED WOW VALUES AND
WWW.ZAPPOS.COM AS INTERNET AND
COMAPANY BUSSINESS AND VALUE
MODEL
• CAME UP WITH IDEAS TO CARRY
1,000S OF SMALL ESSENTIALS FOR
ENDLESS TARGET MARKETS
• AND WAYS TO HIDE BEHIND PURPOSE
2012
• SOULTION TO EVOLVING THE USE OF
FEMALE CONDOMS
2013

55. THE SPIRIT PROJECT
PEPFAR THE SPIRIT PROJECT
Support the deployment
of suitable technology for
measurement of viral
load, both through tiered
laboratory networks and
„point-of-care‟ tests as
they become available.
This technology is
particularly important in
helping people on ART
and their care provider
monitor how their
treatment is working and
assist them in achieving
an “undetectable” level
or virus in their bodies.
 JOHNLYNN
 DR.ZDOGG
 AFAN
 THECENTER
 VMPOWER
 TEEN HUNTRIDE
 VICTIMS OF
CRIME/WITNESS/ADVOCACY
 TRIALS AND OUTCOMES
 FUNDING

56. Are we taking Action Based on our
Shared Values?
8. Promote the female condom as an essential part of
an overall condom strategy, with programs that
account for each country‟s broader condom market
and that consider the unique attributes and benefits of
the female condom for various populations.
#GOMOJO #GODTLV
UNITED STATES FEDERAL GOVERNMENT
GOMOJO has responded to the PEPFAR required
strategy will continue to support a multi-pronged
approach to combating new HIV infections, working
with partner governments and civil society to address
the sources of new infections and create enabling
environments for HIV prevention.

58. KEY BENEFITS
AIDSFREEGENERATION
A Complete Source for Community
Utilize Our Resources
Help Youth
Use Advantages for Good
Harness Our Global Power
Value Diversity-Our world is becoming smaller and
smaller, especially in a global community like Las Vegas.
Technology, economic conditions and mobility require we work
within a diverse playing field. While on my journey I took special
precautions to keep my mouth shut and observe, identify and
analyze problem situations, conflict resolution, active listening
and gathering coping mechanisms for change.

59. PROJECT TIMETABLE
Description Start Date to Completion Date
Phase 1 RESEARCH AND
ANALYSIS
JULY 2011-FOREVER
Phase 2 WALK THE PATH OF
HARDEST HIT
DEMOGRAPHICS
NOVEMBER 2011-PRESENT
Phase 3 INTRODUCE AND
PROPOSE TO
DOWNTOWN LAS
VEGAS COMMUNITY
NOW TO LAST WEEK, MONTH,
YEAR

60. KEY RESOURCES
UNITED STATES
FEDERAL
GOVERNEMENT
ALL FUNDED
HEALTH AND
COMMUNITY BASED
ORGANIZATIONS
MEDIA
PUBLIC AND
PRIVATE SECTOR
Utilizing our GLOBAL POWER is key

61. EVALUATION
Discuss how and when the project will be evaluated.
 Community Participation
 Explain how you will act on the results of your assessments and project
evaluation.
Increase the momentum and go harder, faster, longer until
AIDSFREEGENERATION

62. AUGUST 2, 2013
DEAR PREVENTION PARTNER:
August 2, 2013
Dear Prevention Partner:
Today, the Centers for Disease Control and Prevention (CDC) announced the competitive availability of fiscal year (FY) 2014 funds to implement funding opportunity
announcement (FOA), PS14-1403: Capacity Building Assistance for High-Impact Prevention. This program will support multiple awards to implement capacity building
programs that meet or exceed FOA requirements and performance targets. The purpose of this funding opportunity announcement is to strengthen the capacity of the HIV
prevention workforce to optimally plan, implement, and sustain high-impact HIV prevention interventions and strategies within health departments, community-based
organizations, and healthcare organizations across the United States and its territories. Total fiscal year funding will be approximately $26 million, culminating in a total 5-
year project period funding of approximately $130 million. Applications are due October 2, 2013, and the project period is from April 1, 2014 to March 31, 2019.
Toward meeting the vision and goals of the National HIV/AIDS Strategy (NHAS), CDC‟s high-impact prevention (HIP) approach is based on scientifically-proven, cost-
effective, and scalable interventions directed to populations who need it most. Consolidating capacity building assistance (CBA) programs previously funded under FOAs
PS09-906 and PS11-1103, this FOA will support a single program that reflects CDC‟s current and future efforts to provide high quality CBA services to reduce HIV infections
and related morbidity, mortality, and health disparities across the United States and its territories.
This program will support a national Capacity Building Assistance (CBA) Provider Network (CPN) under three core funding categories to serve the following organizations:
A. Health Departments, B: Community-based Organizations, and C: Healthcare Organizations. In addition, funding Category D: CPN Resource Center will provide
overarching network coordination and support for awardees funded under Categories A, B, and C.
The new funding opportunity embodies CDC‟s commitment to High-Impact Prevention and represents an exciting new direction in strengthening the capacity of the HIV
prevention workforce. We encourage you to widely distribute this announcement within your own
networks. Additional information about this new FOA is available at http://www.cdc.gov/hiv/policies/funding/announcements/PS14-1403/index.html.
Sincerely,
/Rashad Burgess/
Rashad Burgess, M.A.
Chief,
Capacity Building Branch
Division of HIV/AIDS Prevention National Center for HIV/AIDS,
Viral Hepatitis, STD and TB Prevention
/Janet C. Cleveland/
Janet C. Cleveland, M.S.
Deputy Director, Prevention Programs
Division of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention

63. 1. COMPETENT STAFF 2. CBA DELIVERY 3. CBA SERVICES 4. CULTURAL COMPETENCE 5. MARKETING 6. CBA PROVIDER
NETWORK (CPN) PARTICIPATION 7. REPORTING
Community-
based
Organizations
Healthcare
Organizations
Health
Departments
CBA PROVIDER
NETWORK
1. HIV Testing
2. Prevention
with HIV-
Positive
Persons
3. Prevention
with High-Risk
HIV Negative
Persons
4. Condom
Distribution
5. Organizational
Development
& Management
6. Policy
1. HIV Testing
2. Prevention
with HIV-
Positive
Persons
3. Prevention
with High-Risk
HIV Negative
Persons
4. Condom
Distribution
5. Organizational
Development
& Management
6. Policy
1. HIV Testing
2. Prevention
with HIV-
Positive
Persons
3. Prevention
with High-Risk
HIV Negative
Persons
4. Condom
Distribution
5. Organizational
Development
& Management
6. Policy
1. Marketing CPN
2. Supplemental
Development
of CPN
Products
3. CPN
Coordination &
Meeting
Support

64. 1. Competent Staff 2. CBA Delivery 3. CBA Services 4. Cultural Competence 5.
Marketing 6. CBA Provider Network (cpn) Participation 7. Reporting
1. HIV Testing
2. Prevention with HIV-Positive
Persons
3. Prevention with High-Risk HIV
Negative Persons
4. Condom Distribution
5. Organizational Development &
Management
6. Policy
Marketing CPN
Supplemental Development of CPN
Products
CPN Coordination & Meeting Support
•HEALTH DEPARTMENTS
•HEALTH PROVIDERS
•COMMUNITY-BASED ORGANIZATIONS

65. AN ARMY CRAWL THROUGH OUR SYSTEM

71. Road Map for Shared Responsibility
The goal of creating an AIDS-free generation is a shared
responsibility with partner countries in a convening role. Neither the
U.S. nor any other single entity can accomplish this goal alone.
Rather, it requires a country to demonstrate political will and
effective coordination of multiple partners that are providing
financing and carrying out interventions both inside and outside of
the health sector, and most importantly, meaningfully involve those
living with and affected by HIV in all aspects of the response.

72. Road Map for Driving Results with Science
2. Support implementation research.
3. Evaluate the efficacy of optimized
combination prevention.
4. Support innovative research to
develop new technologies AND
METHODS TO MOBILIZE SAFE SEX
for prevention
5. Develop evidence-based approaches
to reaching people early enough in their
disease progression to help maintain a
strong immune system, stave off
opportunistic infections, particularly
TB, and reduce new HIV infections.
6. Support the deployment of
suitable technology for measurement
of viral load, both through tiered
laboratory networks and „point-of-
care‟ tests as they become available.
COLLABORATE GOVERNMENT
RESORUCES WITH SPIRIT
PROJECT
7. Utilize OUR AMAZING
RESOURCES Downtown Las Vegas
TO HELP OUR
COMMUNITY/COUNTRY/WORLD
in adopting breakthrough new
technologies with proven
impact, such as
new, PHROPHLYATIC CARRYING
DEVICE FOR MALE AND FEMAL
CONDOMS

73. Driving Results with SCIENCE
The implementation science agenda examines methods that:
 GOMOJO M
 MALE AND
FEMALE
 SAFESEX
KEYCHAIN
CONTAINER
S
 THIS WAS
2012 WHEN
SCORE WAS
IN THE
BUILDING
NEXT TO
IT…WHAT IF
WE

74. Driving Results with Science
2. Support
implementatio
n research:
a) On decentralization
strategies to help reach
and retain more people
in care (and put people
more in charge of their
care), such as
community-based
testing and treatment
strategies
b) On interventions that
can help address gaps in
the continuum of care—
plugging the holes in the
leaky cascade—including
ways to increase
testing, improve linkage
to care for people testing
positive, and reduce
attrition by helping
people remain in care.
c) Test
interventions, including
innovative technologies
and other strategies to
reduce the burden on
patients, the cost of the
package of care and the
requirements of the
health system to deliver.

75. Road Map for Driving Results with Science

76. Road Map for Saving Lives
Through its continued support for
scale-up of combination prevention
and treatment interventions in high-
burden countries, PEPFAR will help
countries
•Reduce new HIV infections
and CONDOMS, ABSTAIN
•Decrease AIDS-related
mortality GET TESTED
GET TREATED GET
AIDSFREE
while simultaneously increasing the
capacity of OUR COMMUNITY,
COUNTRY AND WORLD to sustain
and support these efforts over time
and reduce sexually related
incidences.
COOL CONTATAINERS TO
SAFELY CARRY, EASILY ACCESS
AND USE CONDOM SENSE
This support will, in turn, move
more countries past the
programmatic tipping point in OUR
HIV epidemics—the point at which
the annual increase in new patients
on ART exceeds annual new HIV
infections—
and put US on the
path toward
achieving an AIDS-
free generation.
THIS IS THE
STRATEGY I USED
FOR DOWNTOWN
LAS VEGAS AND
GOMOJO

77. 1. Partner with
community in a
joint move toward
community-
led, managed, and
implemented
responses.
2. Increase
support for civil
WOW society as a
partner in the
global AIDS
response.
3. Expand
collaboration with
multilateral and
bilateral partners.
4. Increase private
sector
mobilization
toward an AIDS-
free generation.
Road Map for Shared Responsibility

78. Driving Results with Science
5. Develop evidence-based approaches to reaching people early enough in their disease progression to help maintain a strong immune
system, stave off opportunistic infections, particularly TB, and reduce new HIV infections.
COMPELLI
NG
STORIES
ENDLESS
BIG
THINKING
PROBABIL
ITIES
WAYS TO CARRY AND
REMEMBER GOALS
AND VALUES TO STICK
BY
CONNECTION
TO
COMMUNITY
RESOURCES
READINES
S AND
ACHIEVE
MENT
PLACES
TO GO
THINGS
TO DO
AND
GOALS TO
ACCOMPLI
SH
STAY
READY
AND BE
READY
PURPOSE+PASSIO
N=PROFITS
HAPPINESS

79. GOMOJO Driving Results with Science
 4. Support innovative research to develop new technologies for prevention

80. DRIVING RESULTS WITH SCIENCE
 THE CENTER
 GENDER JUSTICE OF NV
 FEDERAL ADVOCAY CERTIFICATION
FOR EQUAL RIGHTS AND JUSTICE FOR
ALL FOR 1 FOR ALL 4 ONE
 VMPOWERMENT
 HIV/AIDS PROGRAM
 FREE TESTING
 SUPPORT
 HELP
 MEDICAL TREATMENT REFERALS
 SHARE STORIES
 STATE OF NEVADA
 HUMAN & HEALTH SERVICES
 GOMOJO
 PEPFAR
 CDC/NPIN
 HHS/AIDS.GOV
 WHITEHOUSE.GOV/NHAS

81. YOUTH
• 1. Target and tailor programming for sexually active and most-at-risk youth based on pattern of behavior and their needs.
• 2. Provide necessary information and skills building to help youth prepare to make their eventual transition to sexual
activity safer and healthier, including delay of sexual debut.
• 3. Work with parents and guardians to help improve communication to youth about their values and expectations
regarding adolescent behavior, as well as stressing the importance of monitoring and supervision of their adolescents.
• 4. Engage influential adults within the community to create an enabling environment conducive to the adoption of safer
sex behaviors among youth.
• 5. Expand access to community-level prevention programs, including peer outreach, and curriculum-based programs for
out-of-school youth.
• 6. Provide or refer sexually active youth to confidential youth HTC, and ensure linkages to care for HIV positive youth.
• 7. Encourage sexually-active youth to learn their HIV status,
• practice safer sex and reduce their number of sexual partners.
• Provide sexually active young people with risk reduction information and skills building,
• including access to male and female condoms and information on correct and consistent condom use.
• 8. Prioritize interventions targeting evidence-based prevention, care and treatment for adolescents living with HIV/AIDS
in the following areas:
– a) Measurement: Work with the UN and partner governments to better track the numbers of adolescents living with HIV (ALHIV) and the
coverage of critical HIV services for these populations.
– b) Prevention: Work with global experts to identify the most effective interventions for preventing new HIV infections in vulnerable
adolescent populations and support partner governments to bring them to scale.
– c) Treatment: Work with partner governments and implementing partners to scale programs that increase access to treatment for
ALHIV, and help those currently in pediatric care to effectively transition to adult care.
– d) Advocacy: Work with UNICEF and other global partners to raise awareness of the needs of ALHIV and vulnerable adolescents, and
– Build commitments to bringing effective programs and interventions to scale.
• 9. Provide comprehensive packages of interventions for highly vulnerable youth and young member of key populations
tailored to be accessible and acceptable to younger people.
• 10. Where feasible, support structural interventions to reduce young people’s exposure to risk and increase protection.
• 11. Strengthen and expand gender-sensitive programs to respond to the unique needs of male and female youth,
including addressing harmful gender norms that foster the spread of HIV.
• 12. Evaluate the impact of PEPFAR-funded youth programs to build a stronger evidence base for these interventions.

82. PEPFAR programs are led by OGAC at the State Department and implemented by
various U.S. agencies and departments, including the following:
1) Centers for Diseases Control and Prevention (CDC): CDC‟s Global AIDS Program (GAP) operates in 38 countries and four
regional programs. CDC HIV/AIDS programs assist ministries of health and local implementing organizations to implement
HIV/AIDS prevention programs, analyze program impact and cost effectiveness, and build the capacity of public workforce, as
well as public health information, laboratory, and management systems.
2) National Institutes of Health (NIH): NIH supports HIV/AIDS research and training in approximately 100 countries. This
research focuses on tools to prevent HIV transmission, such as vaccines and microbicides; strategies to prevent mother-to-
child transmission; and approaches to treating HIV and its associated opportunistic infections and co-infections in resource
poor settings.
3) U.S. Agency for International Development: USAID supports HIV/AIDS programs in nearly 100 countries. These programs
focus on providing treatment, care, and support to people infected with HIV/AIDS; strengthening primary health care
systems; providing training, technical assistance, and commodities that reduce HIV transmission; educating high-risk
behaviors; and supporting international partnerships.
4) Health Resources and Services Administration (HRSA): HRSA provides education and training HIV/AIDS programs in more
than 25 countries that increase rapid roll-out of ART, support health system strengthening and improvements in human
resources for health, and facilitate innovative approaches to health data collection and evaluation.
5) U.S. Food and Drug Administration (FDA): FDA ensures the availability of safe and effective AIDS treatment. Since
2004, FDA has supported an accelerated review process for ARTs, including generic drugs and fixed dose combination drugs
(FDCs)—multiple antiretroviral drugs combined into a single pill—for PEPFAR programs. As of 2011, 136 ART formulations
had been approved or tentatively approved by FDA.
6) Department of Labor (DOL): DOL implements HIV/AIDS programs in over 23 countries that facilitate the development of
comprehensive workplace-based HIV prevention and education programs; assist governments, employers, and trade unions to
develop and disseminate workplace policy countering stigma
7) U.S. Response to the Global Threat of HIV/AIDS: Basic Facts Congressional Research Service 8 and discrimination; and
support collaboration between government, business, and labor in countering HIV/AIDS.
8) Peace Corps: Peace Corps volunteers support community-based HIV/AIDS care and prevention efforts over 66 countries. A
number of Peace Corps volunteer projects related to HIV/AIDS received direct PEPFAR funding, while other Peace Corps
posts benefited from activities organized by the headquarters using central PEPFAR funding.
9) U.S. Department of Commerce (DOC): DOC creates and disseminates sector specific strategies to inform HIV trade advisory
committees on how the private sector can help combat HIV/AIDS.
10) The U.S. Census Bureau also contributes to PEPFAR by assisting with data management and analysis, estimating infections
averted, and supporting mapping of country-level activities

83. Congressional Research
 U.S. Response to the Global Threat of HIV/AIDS:
Basic Facts Congressional Research Service 8 and
discrimination; and support collaboration between
government, business, and labor in countering
HIV/AIDS.
 The U.S. Census Bureau also contributes to PEPFAR
by assisting with data management and
analysis, estimating infections averted, and
supporting mapping of country-level activities

84. Centers for Diseases Control and Prevention (CDC)
 CDC‟s Global AIDS Program (GAP) operates in 38
countries and four regional programs. CDC
HIV/AIDS programs assist ministries of health and
local implementing organizations to implement
HIV/AIDS prevention programs, analyze program
impact and cost effectiveness, and build the capacity
of public workforce, as well as public health
information, laboratory, and management systems

85. U.S. Agency for International Development: USAID
 USAID supports HIV/AIDS programs in nearly 100
countries.
 These programs focus on providing treatment, care,
and support to people infected with HIV/AIDS;
 Strengthening
 primary health care systems;
 providing training,
 technical assistance,
 and commodities that reduce HIV transmission; educating
high-risk behaviors; and supporting international
partnerships.

86. Department of Defense (DOD):
 DOD operates HIV/AIDS programs in 73 countries.
 DOD‟s primary role under PEPFAR is to support
military-to-military HIV/AIDS
prevention, treatment, and care efforts; assist in the
development of military-specific HIV/AIDS policies; and
provide HIV/AIDS counseling, testing, and care for
military families. DOD also provides HIV prevention
scientific and technical assistance to non-military
PEPFAR programs.
 The DOD HIV/AIDS Prevention Program (DHAPP)
manages DOD‟s HIV/AIDS programs for foreign
militaries and oversees the use of PEPFAR funds by DOD

87. National Institutes of Health (NIH)
 NIH supports HIV/AIDS research and training in
approximately 100 countries. This research focuses
on tools to prevent HIV transmission, such as
vaccines and microbicides; strategies to prevent
mother-to-child transmission; and approaches to
treating HIV and its associated opportunistic
infections and co-infections in resource poor
settings.

88. Health Resources and Services Administration
(HRSA)
 HRSA provides education and training HIV/AIDS
programs in more than 25 countries that increase
rapid roll-out of ART
 Support health system strengthening
 Improvements in human resources for health, and
facilitate innovative approaches to health data
collection and evaluation.

89. QUESTIONS?
Ability to Delegate
Strong
Communication
Skills
Confidence
Commitment
Keeping a Positive
Attitude
Creativity
Intuition
Ability to Inspire
Having a Sense of
Humor