Treatment Leads with Race
We are investing in health equity through the expansion of our HIV health literacy agenda– with an acute focus on biomedical prevention, effective treatment options, cure advocacy, and healthcare access and engagement activities in communities of color. We promote the idea that good health and quality healthcare are a right, not a privilege. We continue to support a scientific agenda buttressed by research, data, and smart policies. The Treatment division goes where the virus is, therefore our resources and programs target service providers that directly work with highly impacted and HIV-vulnerable communities. As long as the data supports it, we will prioritize providing capacity building and technical assistance to organizations that work directly with gay and bisexual men and transgender women of color in the South and major metropolitan areas.
NMAC Treatment Division Programs
As the PrEP landscape begins to shift, there is a need for clear and concise policies to allow us to provide guidance and set long-term standards. With the rise of HIV diagnoses among gay men of color, it is crucial to educate not only young Black and Latino MSM but also health navigators and service providers. They must learn about policies that facilitate access to PrEP, related services, cost, and access points. Cost, service and access issues vary at the local, state and federal level. In order to address these issues, NMAC has brought stakeholders together to combine their resources and help implement a set of plans and community goals. In 2018, we shall release a best practices guide as it relates to PrEP deliver in communities of color.
More than half of all the people living with HIV in the US are over 50 years old. The majority are long-term survivors that were active taking care of their communities during the early days of the epidemic. When new treatments became available and HIV turned into a chronic but manageable condition, life expectancy for PLWH became almost normal and they found themselves confronted by new issues related to aging. This program aims to promote awareness among service and healthcare providers about the issues people living with HIV face as they age. We also offer full scholarships for PLWH over 50 to attend USCA, as well as small grants, allowing scholars to be directly involved and participate in the implementation of their own educational and advocacy programs in their respective communities.
Strong Communities is a multi-year program designed to increase the individual and collective capacity of community-based organizations and community health centers to combat HIV and related conditions in populations hardest hit by the epidemic. In 2018, NMAC’s Treatment Division will develop and implement the next phase of Strong Communities programming. The main goal is to promote intentional discussions about the social drivers of HIV in communities of color while leveraging the community strengths and resilience that have historically allowed oppressed communities to overcome what might otherwise appear to be insurmountable obstacles.
NMAC defines social drivers as factors outside of an individual that directly or indirectly influence an individual’s risk of being exposed to HIV and/or the negative health outcomes of those people already living with HIV. These forces are often applied at a community level and propelled by structural factors. This means that interventions must occur at the community and structural levels to impact individuals in the population. In this phase, NMAC takes a holistic approach to the realities of people’s lives and integrates their concerns with our urgency to end the HIV epidemic in communities of color.
NMAC Treatment Division Policy Work
In 2018, NMAC’s Treatment Division is committed to pursuing the following policy priorities:
To garner support for our policy priorities, NMAC’s Treatment Division also communicates directly with federal legislators in the U.S. Senate and U.S. House of Representatives. While we are willing and able to assist constituents with communicating to whomever their elected official may be, NMAC’s treatment division intentionally reaches out to the following legislative committees who work directly on HIV-related issues:
NMAC’s Treatment Division also engages with several federal administrative agencies to convey the policy and programmatic needs of communities of color living with or affected by HIV:
Department of Health and Human Services
- Centers for Disease Control (CDC)
- Health Resources Services Administration (HRSA)
- Substance Abuse and Mental Health Services Agency (SAMHSA)
- National Institutes of Health (NIH)
Department of Defense (DOD)
Department of Housing and Urban Development (HUD)
Office of Management and Budget (OMB)
Department of Labor (DoL)
Veterans Affairs (VA)
NMAC Treatment Division Conferences Work
National Biomedical HIV Prevention Summit
The 2018 National Biomedical HIV Prevention Summit will highlight the need to focus on biomedical prevention, including treatment as prevention (TasP). The National Biomedical HIV Prevention Summit intends to reconnect scientist, advocates, health departments, community based organizations (CBO’s), industry, insurance providers, health centers, medical providers, and people at risk for HIV infection. The goal of the National Biomedical HIV Prevention is to increase knowledge, build strength, enhance capacity and develop synergy for the implementation of PrEP, PEP and TasP and the role of condom use in communities of color.
NMAC Treatment Division Resources
|PrEPare for Life is NMAC’s PrEP Education and Awareness program. PrEP, or Pre-Exposure Prophylaxis, is the strategy of taking a pill every day to prevent HIV. The exciting new program intends to inform and increase awareness on PrEP, provide education about the benefits and risks of PrEP, and how to access it, and improve understanding of PrEP as part of a comprehensive HIV prevention strategy.
There are two distinct elements of the program, PrEP Community trainings and the creation of peer based educational videos. The program’s target audience is young gay men, in particular Black and Latino gay men aged 18-25 years old. The PrEP Community trainings allow for community-based organizations to enhance their capacity to engage and educate their constituents. Critical issues that the trainings explore include: PrEP facts, comprehensive prevention, access, stigma, and community engagement.
These dynamic peer based educational videos are meant to increase awareness and reduce stigma. They provide an opportunity for young gay men of color to speak for themselves, openly and honestly, about issues such as, access, knowledge, stigma, community, and sexuality.These videos can also be used as educational resources to enhance to activities of community based organizations as they engage the community about the vital issues surrounding PrEP. All the activities of the program will help educate the community about PrEP and what it means for improving gay men’s health and quality of life.
|PrEP AND SEX||PrEP GENERATIONS|
|PrEP AND EMPOWERMENT||PrEP AND ACCESS|
|PrEP AND QUALITY OF LIFE|
|HEALTH AND WELLNESS||STIGMA|
|SEX AND RELATIONSHIPS||PrEP AND ACCESS|
|A key part of our PrEP education and awareness project is our peer based educational videos. These videos provide an opportunity for young gay men of color to speak openly and honestly about PrEP. They share their experiences and perspectives so that they can lend their voice to the important discussion of HIV prevention and gay men’s health.
There are various ways the videos can be utilized. They can be used in conjunction with the PrEPare For Life manual as part of a community training. They can also be integrated into various existing educational programs as a way to help begin the conversation about PrEP among young gay men and they are a vehicle to help young gay men discuss issues of sex and prevention within their own networks.
There are numerous options for making use of these educational resources. We encourage you to think outside the box and to allow them to help you engage the communities that are severely impacted by HIV and can greatly benefit from the advancements in HIV prevention.
We also strongly encourage you to share these videos with your various networks on social media and other venues. Our goal is to provide young gay men of color with as much information as possible so they can make informed decisions about sexual health and prevention. When young gay men of color speak openly and honest about PrEP, sex, and HIV prevention they can reduce the stigma associated with gay sex, choosing multiple partners, or pursuing various options for pleasure and intimacy.
|Comunidad English Subtitles||Acceso English Subtitles|
|Sexualidad English Subtitles||Estigma English Subtitles|
|SaludYBienestar English Subtitles|
A key part of our PrEP education and awareness project is our peer-based educational videos. These videos provide an opportunity for gay men and bisexual men and transgender women of color to speak openly and honestly about PrEP. They share their experiences and perspectives so that they can lend their voice to the important discussion of HIV prevention and gay men’s health. There are eleven video is English and five in Spanish with English subtitles. Topics include: PrEP and Sex; PrEP Generations; PrEP and Empowerment; PrEP and Access; PrEP and Quality of Life; Health and Wellness; Stigma; Sex and Relationships; Community; Communities; Sexualidad; Estigma; Comunidad; Acceso; and Salud y Bienestar.
How to end AIDS in the United States: Community-oriented HIV service delivery, treatment education, and mobilization
In 2011 NMAC launched a new HIV treatment initiative to build community awareness, education, and mobilization. To guide their work, NMAC conducted extensive research and out of these findings developed a literature review of evidence based models of treatment education programs and a qualitative research report measuring levels of knowledge around HIV treatment and treatment as prevention. The review paper, titled “How to end AIDS in the United States: Community-oriented HIV service delivery, treatment education, and mobilization” provided NMAC with a better understanding of the structures that existed in support of HIV treatment education and best practices to move forward as we plan to end HIV in America. The qualitative research report provided an idea of the level of literacy among African American women and Latino MSM.
National Think Tank on HIV Treatment Education, Health Literacy, and Wellness
In April 2013, as part of an on-going HIV treatment education and mobilization initiative, NMAC convened a national think tank in Washington, DC bringing together 45 key HIV experts to review and discuss opportunities for HIV treatment education, health literacy, and wellness.
The following report summarizes the presentations and discussions at the April think tank, reviewing current priorities and efforts in HIV treatment education and health literacy and listing the main recommendations for communities, health service providers, government, and funders.
The discussions at the think tank meeting centered around two key themes, namely:
- A new wave of HIV treatment education and health literacy work is needed to clearly communicate that HIV treatments are safe and highly effective in ensuring health and reducing risk of onward transmission.
- This new health literacy work can and should be conducted in ways that use the power of community networks to address contexts of healthcare, wellness, and social determinants.
Continuing the Advance Against HIV/AIDS: A Community Driven Health Literacy and Wellness Agenda
In an effort to promote leadership in communities of color to end the HIV/ AIDS epidemic, NMAC developed the HIV Health Literacy and Wellness Initiative, designed to redefine the role of HIV treatment education in the context of new scientific advances, health care reform, and a national HIV/AIDS strategy. The initiative has proceeded in phases, building upon research on evidence-based treatment education programs, community and stakeholder consultations, program development, and the formulation of a community-driven HIV health literacy and wellness agenda.
The agenda provides a rationale and recommendations to support stakeholders in recognizing and promoting strong evidence-based health literacy among people living with HIV making it an essential strategy for achieving an end to the epidemic. The agenda is the result of community consultation, literature review, stakeholders’ think tank and targeted experts consultation.