Management and Operational Impacts of HIV Prevention Community Planning. LessonsLearned at Mid-Course and Implications for Future Activities

摘要

HIV Prevention Community Planning, implemented in January 1994, represented amajor policy change in Centers for Disease Control and Prevention (CDC) funding policy. Prior to that time, state, territorial, and local health department grantees of prevention funds were required to spend most of their cooperative agreement funds on counseling and testing services. A new emphasis on planning through HIV Prevention Community Planning requires grantees to set their own HIV prevention priorities locally through a process that emphasizes input from the affected communities and relevant technical experts. This project broadly evaluated the policy impact of this new planning process on grantees' HIV prevention programs as demonstrated by budgetary and operational indicators. This is an issue of national importance, as the HIV prevention community planning process affects over $200 million dollars in HIV prevention funds across the countries. This first phase of two-phase project ascertained how community planning is confirming, enhancing, and changing HIV prevention programs. A methodology for obtaining information on the indicators for a retrospective study was also developed and piloted during this phase of the study.