The Capacity Building Assistance Provider Network serves 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 to reduce HIV infections and HIV-related morbidity, mortality, and health disparities across the United States and its territories. The CPN has six components to sustaining high-impact HIV prevention (HIP) interventions and strategies.
Click on a component below to see a detailed list of issues related to that component.
CBA for HIV Testing includes training, technical assistance, and information that addresses a range of issues, including:
- Integration of new HIV testing efforts into existing services to increase the number of persons diagnosed with HIV in non-healthcare and healthcare settings.
- Incorporation of new testing technologies to optimize accuracy of test results and contain costs.
- HIV screening and other screening as indicated by risk in non-healthcare settings to identify undiagnosed HIV infection using strategies and the most current recommendations for HIV testing and linkage to care.
- Routine, early HIV screening for all pregnant women, according to current CDC recommendations.
- Screening for other STDs, HBV, HCV, and TB, in conjunction with HIV testing, including referral and linkage to appropriate services.
- Establishment of new or leveraging existing third-party systems for reimbursement of costs associated with eligible HIV testing services.
- Laboratories providing tests of adequate quality, reporting findings promptly to surveillance programs, and participating in a laboratory performance evaluation program for testing.
- Delivery of high quality HIV testing services in all settings and meeting or exceeding program performance standards for provision of test results, linkage to care, provision of partner services, and referral to prevention services.
See the CBA Providers funded for HIV Testing
CBA for Prevention with HIV-Positive Persons includes training, technical assistance, and information that addresses a range of issues, including:
- Behavioral risk screening for transmitting HIV.
- Prevention of perinatal transmission.
- Behavioral, structural, and/or biomedical interventions (including interventions focused on treatment adherence) for HIV-positive persons and HIV-positive persons in HIV-discordant couples at risk for transmitting HIV to an uninfected partner.
- Linkage to HIV care, treatment, and prevention services for those persons testing HIV positive or currently living with HIV/AIDS.
- Partner services for HIV-positive persons and their partners.
- Re-engagement in care for HIV-positive persons.
- Retention in care for HIV-positive persons.
- Referral and linkage to other medical and social services to address mental health, substance abuse, housing, safety/domestic violence, corrections, legal protections, income generation, and other issues as needed for HIV- positive persons.
- Integration of hepatitis, TB, and STD screening and partner services for HIV-infected persons, according to existing guidelines.
- Expand use of antiretroviral therapy (ART).
- Establish new or leverage existing third-party systems, determining services eligible for reimbursement, appropriate billing codes for reimbursement of costs associated with eligible HIV, STD, viral hepatitis, and TB prevention services.
- Reporting of CD4 and viral load results to health departments and use of these data to improve linkage and retention in care, community viral load, quality of care, creating HIV/AIDS treatment cascades, and providing feedback of results to providers and patients, as deemed appropriate.
See the CBA Providers funded for Prevention with HIV-Positive Persons
CBA for Prevention with High-Risk HIV-Negative Persons includes training, technical assistance, and information that addresses a range of issues, including:
- Behavioral risk screening for acquiring HIV.
- Behavioral, structural, and/or biomedical interventions for high-risk HIV-negative persons (including pre-exposure and non-occupational post-exposure prophylaxis) and HIV-negative persons in HIV-discordant couples at risk for acquiring HIV from an infected partner.
- Referral and linkage to other medical and social services to address mental health, substance abuse, housing, safety/domestic violence, corrections, legal protections, income generation, and other issues as needed for HIV-negative persons.
- Establish new, or leverage existing third-party systems, determining services eligible for reimbursement, appropriate billing codes for reimbursement of costs associated with eligible HIV, STD, viral hepatitis, and TB prevention services.
See the CBA Providers funded for Prevention with High-Risk HIV-Negative Persons
CBA for condom distribution includes training, technical assistance, and information that addresses a range of issues, including:
- Targeting HIV-positive persons, HIV-discordant couples, and HIV-negative persons at highest risk of acquiring HIV infection and other STDs.
- Best practices to plan, implement, evaluate, and sustain condom distribution programs.
See the CBA Providers funded for Condom Distribution
CBA for Organizational Development and Management includes training, technical assistance, and information that addresses a range of issues, including:
- Organizational needs assessments and capacity building planning.
- Strategic planning and change management.
- Strategic partnership development and management.
- Human resource development and management.
- Recruiting, cross-training, and retaining staff.
- Professional development of mid-level program managers.
- Fiscal resource development and management.
- Third-party billing systems for HIV prevention programs and services.
- Assisting programs in determining potential returns resulting from billing, in capitalizing on other billing efforts potentially already underway, and providing technical assistance in developing/expanding billing activities.
- Providing technical assistance related to working with payers to secure reimbursement for all eligible services.
- Allocation of HIV prevention fiscal resources (e.g., mathematical modeling and other strategies)
- Use of surveillance and program monitoring and evaluation data to improve the efficiency, effectiveness, and outcomes of program activities and achieve program goals.
See the CBA Providers funded for Organizational Development & Management
CBA for Policy includes training, technical assistance, and information that addresses a range of issues, including:
Efforts to align resources, structures, policies, and regulations in the jurisdiction with optimal HIV prevention, care, and treatment including but not limited to:
- strategies for implementing the Affordable Care Act
- addressing availability of condoms, drug treatment, and pre- and post-exposure prophylaxis or other prevention strategies and interventions;
- how to ensure policies are supportive of CDC and U.S. Prevention Services Task Force recommendations for HIV testing recommendations or viral load reporting;
- collecting and using data to improve patient prevention, care, and treatment; assessing and updating policies and regulations to facilitate the use and sharing of identifiable surveillance data across health department programs for public health action;
- developing strategies to better align prevention and care planning efforts, especially for underserved population, for example utilizing evidence-based resource allocation models and;
- other efforts to create an enabling environment for HIV prevention efforts.
- Multi-sectorial partnerships (e.g., health, justice, labor, housing) to address HIV-related social determinants of health.
- HIV planning:
- Strategies to align planning processes with the National HIV/AIDS Strategy and the CDC HIV Planning Guidance.
- Strategies to encourage and implement planning processes for program collaboration and service integration (PCSI).
- Using the HIV treatment cascade as a construct for planning, coordination, collaboration, and communication among HIV prevention, treatment, and linkage to care.
- Strategies to integrate HIV prevention and care planning bodies.
- Supporting strategic planning efforts to change existing structures, policies, and regulations that are barriers for optimal HIV prevention, care, and treatment.
- Analyzing epidemiological, behavioral, and other relevant data such as HIV-related syndemics and social determinants of health to support HIV prevention program implementation.
- Jurisdictional plan development, implementation, and monitoring.
- Implementing parliamentary procedures, meeting processes, and group and meeting facilitation.
- Stakeholder identification to ensure parity, inclusion, and representation (PIR) for high-risk, racial, and ethnic minority populations.
- Understanding public health delivery systems.
- Developing leadership regarding co-chair roles and responsibilities.
- Facilitating a formal process to broker peer-to-peer mentorship for, and in support of, health departments and HIV Planning Groups (HPGs) to share lessons learned and best practices in HIV planning.
- Social marketing, media, and community mobilization to effect structural improvements or transformation.
See the CBA Providers funded for Policy