The evolution of the CDC HIV prevention capacity-building assistance initiative.
As the HIV/AIDS epidemic neared the end of its first decade in the late 1980s, the US Centers for Disease Control and Prevention (CDC) recognized the disparate impact on racial and ethnic minority communities. In response, a program was initiated to build capacity to prevent the further spread of HIV and other STDs in these communities. Since that time, the program has expanded in scope, intensity of efforts, and funding. Today, the CDC's Capacity Building Assistance (CBA) Initiative serves communities across the nation by building community, organizational, and HIV prevention program/intervention capacity designed to reduce the number of new HIV infections among at-risk populations. This article focuses on the history and evolution of these efforts, lessons learned, and how these were used to develop the current, more responsive system. A conceptual framework is presented that describes the taxonomy of CBA services designed to (1) enhance organizational infrastructure; (2) enhance HIV prevention interventions; (3) strengthen community capacity; and (4) strengthen community planning. It includes language and definitions, approaches and mechanisms for delivering capacity-building services, and a Web-based request-and-referral system that serves as the foundation for tracking, monitoring, and ensuring the delivery of appropriate, efficient, and culturally competent CBA.
Taveras
Samuel
S
Coordinating Center for Infectious Disease, National Center for HIV, Viral Hepatitis, and STD, TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. Staveras@cdc.gov
Duncan
Ted
T
Gentry
Daniel
D
Gilliam
Aisha
A
Kimbrough
Ivory
I
Minaya
Jasmin
J
D002487:Centers for Disease Control and Prevention, U.S. / Q000639:trends*; D018672:Community Health Planning / Q000458:organization & administration*; D005380:Financing, Government; D015658:HIV Infections / Q000191:economics / Q000208:ethnology / Q000517:prevention & control*; D006284:Health Plan Implementation; D006290:Health Planning Technical Assistance; D006801:Humans; D009937:Organizational Objectives; D011314:Preventive Health Services / Q000458:organization & administration*; D011635:Public Health Administration / Q000639:trends*; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology