Mississippi's Ending The HIV Epidemic Plan
Mississippi’s Ending the HIV Epidemic PlanJanuary 2021
Table of ContentsExecutive SummaryPage 3Community EngagementPage 6Situational AnalysisPage 15EHE Plan ActivitiesPage 26Letter of ConcurrencePage 45AppendicesAppendix A – Mississippi HIV Planning Council Membership DirectoryAppendix B – Ending the HIV Epidemic Task Force RosterAppendix C – BAI & NCSD Community Engagement ReportAppendix D – BAI Interview GuideAppendix E – BAI Focus Group MaterialsAppendix F – Additional Sample Meeting AgendasPage 46Page 49Page 52Page 69Page 76Page 87
Executive SummaryIn January 2019, the White House announced Ending the HIV Epidemic: A Plan for America(EHE). The plan focuses on 57 jurisdictions – 50 counties and 7 states with the highest rates ofHIV, including Mississippi as one of those states. The plan sets ambitious goals – achieving a75% decrease in new HIV infections by 2025 and seeing at least a 90% reduction in 2030.The first phase of the federal EHE plan involves jurisdictions creating and submitting plans forEnding the HIV Epidemic in their communities. In October 2019, the Centers for Disease Controland Prevention (CDC) awarded start-up funds to the 57 Phase 1 jurisdictions to accelerate stateand local planning to end the HIV epidemic. Mississippi was awarded 390,981. In July 2020CDC awarded Mississippi 2.08 million through the “Integrated HIV Programs for HealthDepartments to Support Ending the HIV Epidemic in the United States (PS20-2010).” Thisfunding will allow Mississippi to implement many priorities detailed in the activities section ofthis document, hire critical staff positions to meet the goals of EHE in Mississippi, and continueto engage with Mississippians, particularly key populations in the planning, development, andimplementation of activities.The federal EHE plan uses four key strategies that, when fully implemented and integrated canEnd the Epidemic in the United States (U.S.) and MS.The four strategies are: Diagnose all people with HIV as early as possible Treat people with HIV rapidly and effectively to reach sustained viral suppression Prevent new HIV transmissions by using proven interventions, including pre-exposureprophylaxis (PrEP) and syringe services programs (SSPs) Respond quickly to potential HIV outbreaks to get needed prevention and treatmentservices to people who need themWhile these strategies are critical to addressing HIV in Mississippi, the community raisedbarriers and challenges to Ending the Epidemic in MS that didn’t fit neatly into those fourstrategies or warranted a different framework for inclusion in the Mississippi plan. Therefore,Mississippi’s plan also includes four additional strategies that will allow the state to implementjustice-oriented, whole-health foundational activities.The four additional strategies are: Increase access to effective and comprehensive care across the state Decrease stigma and provide life-affirming messaging and care Identify, address, and reduce health disparities Increase MSDH capacity to develop new, innovative partnerships that are responsive tothe needs of the individuals most at risk for acquiring HIV in MSThe Mississippi Ending the HIV Epidemic Plan (referred to in this document as the EtHE Plan)builds upon the state’s Integrated HIV Prevention and Care Plan for 2017 – 2021, submitted in3
September of 2016. The EtHE plan aims to further integrate HIV prevention and care servicesalongside strengthening services aimed at addressing social determinants of health includingsubstance use and behavioral health services, housing, and food insecurity, among others. Andthe plan recognizes and seeks to build upon the high-quality care offered through Mississippi’snetwork of Ryan White funded providers and Federally Qualified Health Centers (FQHCs).Overview of EtHE DevelopmentThe Mississippi State Department of Health (MSDH) has employed multiple subcontractors towork on this plan, with Black AIDS Institute leading the community engagement portion withthe assistance of the MHPC and the MS EtHE/ETE Task Force. The MSDH engaged with severalnational organizations to assist in ensuring widespread outreach was conducted and all relevantnotes were included for developing the EtHE Plan. MSDH contracted with the Black AIDSInstitute (BAI) to lead engagement efforts and the National Coalition of STD Directors (NCSD) toassist and ensure that issues regarding STIs, and Disease Intervention Specialists (DIS) werecaptured and included in the EtHE Plan. AIDS United (AU) was hired as a consultant on theproject to assist in ensuring all messages and feedback heard via the various communityengagement activities were captured in the final Mississippi EtHE Plan. The University ofWashington, has worked with the MSDH for many years on surveillance and epidemiologyissues, was engaged to develop the metrics and epidemiological profile included in the MS EtHEPlan.MSDH Ending the HIV Epidemic ContractorsThe Black AIDS Institute: Founded in 1999, BAI is a leader in ending HIV in BlackAmerica by using Black leaders and communities across the country to providecapacity building, mobilization, policy & advocacy work.National Coalition of STD Directors: NCSD is a public health membership organizationrepresenting health department STD directors, their support staff, and communitybased partners across 50 states, 7 large cities and 5 US territories.AIDS United: AIDS United is a grant-making and policy and advocacy focusedorganization supporting community-driven responses to the HIV epidemic around thenation.University of Washington: UW is one of the largest institutions of higher education onthe West Coast ( 45,000 students) and is recognized for the excellence of its academicprograms, research contributions, and public service. University of Washington, hasworked with the MSDH for many years on surveillance and epidemiology issues, wasengaged to develop the metrics and epidemiological profile included in the MS EtHEPlan.4
The scope of work laid out for the four organizations are as follows.AIDS United (AU): Met with MSDH representatives to formalize and finalize the plan andprocess for creation of the jurisdictional plan for Ending the Epidemic (the initiative); work withMSDH to develop and execute a detailed process and plan for project start up and launch, withcorresponding workplan and timeline; provide MSDH with invoicing and payment schedules;provided MSDH with detailed summary of reporting requirements as needed under thisinitiative; designated key staff member to serve as AU lead for this initiative; designated keylocal representative (AU staff or designated consultant) to serve as ground-level liaison andlocal resources throughout the duration of this initiative; work with MSDH to plan andcoordinate routine communication mechanisms among all collaborators and partners underthis initiative; led the design and execution of the jurisdictional plan development strategy,including project workplan and timeline to support successful launch and implementation; ledthe planning, coordination and logistical activities related to this initiative, and attendedcommunity stakeholder groups meetings in representative geographic areas; finaldetermination of geographic areas that were covered were made in collaboration with MSDH.These convenings will serve as information gathering and sharing opportunities to betterinform Mississippians most at risk needs, concerns, priorities, and actions required for plandevelopment; worked with MSDH and local organizations in the further design and adaptationof structure and core components of the plan; delivered, per agreed upon schedule, the draftand final versions of the jurisdictional plan for review, feedback, and finalization.Black AIDS Institute (BAI): Conducted Community Engagement Sessions, of which eachcommunity engagement session consisted of three components: 1. HIV services (HIVprevention, treatment, and care) 2. Social determinants of health 3. Community needs,advocacy, and mobilization.National Coalition of Sexually Transmitted Diseases Directors (NCSD): Participated in planningcouncil, and other, meetings around Ending the HIV Epidemic, recorded recommendations, andused those to inform plan development; developed and wrote the MS Ending the HIV EpidemicPlan; provided unique STD perspective to ensure that STDs are represented in creative wayswithin the plan; identified best practices from other jurisdictions and shared/use in Mississippi’splan development; provided STD clinic specific support and shared data collected via our STDclinic survey; in partnership with our national partners help identify additional communitypartners for engagement in the development of the EtHE plan; and will use the soon to belaunched coalition toolkit to support the health department in identifying and convening acommittee or council to support the planning of activities in response to need.University of Washington (U of W): Developed HIV/AIDS epidemiologic profile for MississippiState Department of Health (MSDH), Developed a dashboard to track progress toward EtHEgoals, wrote a summary of new data collection activities to include in the final EtHE plan,developed the final HIV/AIDS Epidemiology Report, hosted regular Zoom videoconferencemeetings with MSDH team, and conducted In-person meetings as needed.5
Over the past year, the contractors and the MSDH have met regularly to develop the plan. Anengagement plan was developed to expand opportunities for the community to provide theirexperiences and to influence the MS EtHE Plan. In 2019 and 2020, over 7 events were held toengage communities and discuss specific strategies and communities. Plans to engage thecommunity were altered and delayed due to COVID-19 and its subsequent staff deploymentsand shifting or priorities. However, the MS Ending the HIV Epidemic/The Epidemic Task Forcewas developed to ensure that effective community engagement was conducted among targetpopulations most at risk for acquiring HIV/AIDS in MS on an ongoing basis.The MS EtHE Plan is an ambitious plan and acknowledges the challenges seen in Mississippi andthe strengths identified through sessions with impacted populations. Over the past severalyears, Mississippi has worked with federal partners, health clinics, Community-BasedOrganizations, and community members to build its foundation to provide high-quality HIVprevention and care services throughout the state. The EtHE Plan is a culmination of that workand an acknowledgement of the intense work needed to End the HIV Epidemic in Mississippi.Priority PopulationsIn consultation with the state’s planning bodies and led by the data, several populations wereindicated as priority for EtHE. The MSDH has committed that resources will be dedicated tosupporting locally- and community-led planning for each of these populations and developingprogramming specific to these populations. The priority populations for the EtHE plan includeSame Gender Loving Black and Latino Men, Black Women, Transgender, and Gender NonConforming (TGNC) individuals, and Latinx individuals, and anyone having sex. The plan’sactivities speak to these populations specifically and consider the specific needs of thesepriority populations during the development and implementation phases.In Mississippi, the burden of HIV is disproportionately high for Men of Color who have Sex withMen (MSM). Among men whose risk factor for HIV is known, 84 percent of men reportedhaving male-to-male sexual contact. Young adults aged 20-29 are the leading age group fornewly diagnosed cases. Older people in Mississippi are more likely than younger people to havelate-stage HIV infection at the time of diagnosis. People aged 50 and older may start treatmentlate, which may put this population at risk of more immune system damage. Therefore,increasing the number of individuals who receive Rapid ART is a priority of the MS EtHE Planand activities.Community EngagementCentral to the EtHE Plan is engagement with individuals most at risk for acquiring HIV across thestate about the barriers and opportunities to End the HIV Epidemic in MS. HHS describes EHE asa whole-of-society initiative: “in addition to the coordination across federal agencies, thesuccess of this initiative will also depend on dedicated partners working at all sectors of society,including people with HIV (PWH) or at risk for acquiring HIV; local, tribal, and state healthdepartments and other agencies; local clinics and healthcare facilities; healthcare providers;providers of medication-assisted treatment for opioid use disorder; professional associations;6
advocates; community- and faith-based organizations; and academic and research institutions,among others.”1The Mississippi HIV Planning CouncilMississippi developed several avenues to meaningfully engage with individuals and groupsabout HIV and the EtHE Plan in Mississippi. The Mississippi HIV Planning Council (MHPC) is along-standing planning body and has assisted the MSDH to develop the Integrated Preventionand Care plan as required by CDC and the Health Resources and Services Administration(HRSA). The MHPC regularly assesses the extent and impact of HIV on Mississippi's populationand determines the needs for HIV prevention and treatment-related services. It ensures thatHIV prevention and care resources target priority populations and are congruous withinterventions outlined in the comprehensive plan. Membership of the MHPC consists ofrepresentatives from state and local agencies, Community-Based Organizations (CBO), healthcare providers, community leaders, and individuals with, or affected by HIV/AIDS. Additionally,the Council may advise MSDH about urgent issues as they arise.The Mississippi Ending the HIV Epidemic Task ForceThe MSDH acknowledged that the current planning structure was insufficient to meet therequirements and goals of the EtHE planning process. To better engage a broader audienceand new voices to inform this process and initiative activities, the MSDH established the MSEnding the HIV Epidemic/The Epidemic Task Force in the spring of 2020. The Task Forceregularly assesses the extent and impact of HIV on Mississippi's population and determines theneeds for HIV prevention and treatment-related services for this and other HIV/AIDS relatedinitiatives within MSDH. It ensures that effective community engagement is conducted amongtarget populations most at risk for acquiring HIV/AIDS in MS. It also ensures that HIVprevention and care resources target priority populations and are responsive to the needs ofthe individuals most at risk for acquiring HIV/AIDs in MS. Membership consists ofrepresentatives from state and local health and social services agencies, community-basedorganizations, health care providers, community leaders, and members of various vulnerablepopulations most at risk for acquiring HIV and include individuals with or affected by HIV/AIDS.The Task Force will also advise MSDH about urgent issues as they arise.The MS EtHE Task Force leadership decided that working groups needed to be implementedas an integral part of the Task Force to fully engage and be responsive to the needs of prioritypopulations and implementers of the MS EtHE Initiative moving forward. Task Force membersrecruited new members and will continue to recruit new members ongoing statewide to assistin efforts to assess need, identify/eliminate barriers, gaps in service, and ensure that all MSEtHE activities are responsive to the needs of individuals most at risk for acquiring STD/HIV/AIDS in MS. Leadership Collaborative Work Groups will continue to develop and conductcommunity listening sessions/town halls with target populations and ensure that all program1About Ending the HIV Epidemic: A Plan for America, Overview, HIV.gov webpage, -epidemic/overview, updated July 2, 2020.7
activities employed are evidence-based and responsive to the needs of vulnerablepopulations most at risk for acquiring HIV in MS.All collaboratives were developed to ensure that all ETHE/ETE activities and awards areinformed by and for groups most at risk for acquiring STD/HIV in MS. The work groups will workto develop policies, practices and actions that will affirm the holistic health care and well-beingof Mississippians focused on their priority population. Learning Collaboratives will meetmonthly and quarterly Town Halls to hear for impacted communities. The MS EtHE Task ForceLeadership Collaborative Work Groups include: PWH/Advocates for PWH Leadership Collaborative - to provide a safe and supportiveenvironment statewide for PWH and advocates that support PWH to develop andimplement activities that are responsive to the needs of PWH and their communities. Black Same Gender Loving Men Leadership Collaborative - to provide a safe andsupportive environment statewide for Black Same Gender Loving Men to develop,implement activities that are responsive to the needs of Black same gender loving menwho are at higher at risk for acquiring HIV and other STDs in Mississippi. Black Women Leadership Collaborative - to provide a safe and supportive environmentstatewide for Mississippians that are Black Women to develop, implement and sustainMS ETHE/ETE activities that are responsive to the needs of Black women who are athigher risk for acquiring HIV and other STDs in Mississippi. LGBQIA Leadership Collaborative - to provide a safe and supportive environmentstatewide for Mississippians that are LGBQIA to develop and implement activities thatare responsive to the needs of LGBQIA. Latinx Leadership Collaborative - to provide a safe and supportive environmentstatewide for Latinx Mississippians to develop and implement activities that areresponsive to the needs of Latinx Mississippians. Black Transgender and Gender Non-Conformant Leadership Collaborative - to provide asafe and supportive environment statewide for Black transgender and gender nonconforming Mississippians to develop and implement activities that are responsive tothe needs of Black Transgender and Gender Non-Conforming Mississippians who are athigher risk for acquiring HIV and other STDs in Mississippi. Transgender and GenderNon-Conformant Leadership Collaborative - to provide a safe and supportiveenvironment statewide for transgender and gender non-conforming Mississippiansstatewide to develop and implement activities that are responsive to the needs ofTransgender and Gender Non-Conforming individuals who are at higher risk foracquiring HIV and other STDs in Mississippi. Men and Women of Color Leadership Collaborative - to provide a safe and supportiveenvironment statewide for Mississippians that are LGBQIA to develop, implementactivities and actions that are responsive to the needs of LGBQIA who are at higher riskfor acquiring HIV and other STDs in Mississippi. Community of Faith Leadership Collaborative - to provide a safe and supportiveenvironment/network statewide for Communities of Faith in Mississippi to develop,implement, and sustain MS ETHE/ETE activities that are responsive to the needs of8
individuals most at risk for acquiring HIV and other STDs who are members of variouscommunities of faith.Survival Worker Leadership Collaborative - to provide a safe and supportiveenvironment/network statewide for Survival Workers to develop and implementactivities that are responsive to the needs of Mississippians that are survival workerswho are at higher risk of acquiring HIV and other STDs. This work group will work todevelop policies, practices and actions that will affirm the holistic health care and wellbeing of Mississippians that are Survival Workers.Transitional Support Leadership Collaborative to address and eliminate laws andpractices that criminalize PWH and to provide a safe and supportive environment forindividuals transitioning out of incarceration/imprisonment back into society to develop.Determinants of Health Leadership Collaborative - to provide an environment to identifysocial determinants of health most impacting people at risk of acquiring HIV and PWHand identify innovative programming and best practices that can be scaled-up aroundthe state.Leadership Collaboratives will expand efforts to include expanded Strengths, Weaknesses,Opportunities, and Threats (SWOT) analyses for respective target population to measure theeffectiveness of planned activities. Each respective leadership collaborative will work to: Empower targeted community members to dismantle practices, systems, andinstitutions that endanger the health and well-being of Mississippians who are most atrisk for acquiring STD/HIV and undermine an effective, equitable response to HIV inMississippi.Ensure that Mississippians most at risk are provided with resources and services thataddress their fullness, richness, potential, and expertise.Mitigate social and structural factors that worsen health outcomes in Mississippi forindividuals most at risk.Empower individuals most at risk to work together with MSDH to ensure universalaccess to and robust utilization of high quality, comprehensive, affordable, andculturally- and gender- affirming healthcare to enable Mississippians most at risk to livehealthy lives in full dignity.Advocate for capacity building opportunities to improve the quality of life and servicesresidents most at risk receive.Advocate for greater flexibility for Mississippians who are most at risk to design anddirect MS ETHE/ETE approaches that best meet their needs.Advocate for ongoing inclusion of new, diverse partners in MS ETHE/ETE planningactivities.Ensure that the MS ETHE/ETE activities place a greater emphasis on supporting bold,innovative efforts that overcome barriers to HIV prevention, testing, and treatment.Ensure that the MS ETHE/ETE activities build upon community experience to developpositive outcomes and sustainable results for the MS ETHE/ETE Initiative.Ensure that all EtHE/ETE activities are responsive to individuals most at risk for acquiringHIV/AIDS needs and requests.9
Both the MHPC and the MS EtHE/ETE Task Force serve as advisory groups in the developmentand finalization of the MS EtHE Jurisdictional Plan, Epi Profile, and the MS EtHE/ETE activitiesand review each annually to propose amendments that are responsive to individuals most atrisk needs. They will also be engaged in the implementation of all activities in the plan and willbe asked regularly to provide input on the development of new programs to meet the goals ofthe EHE/ETE in Mississippi. Membership rosters for both planning bodies can be found inAppendix B and C. Through the Task Force process many new groups were brought into theplanning process. New groups involved include: Black Treatment Advocates Network (BTAN) MS - ensure the EtHE plan is informed bypeople living with HIV, at risk for acquiring HIVMS AETC - capacity builder, technical assistance providerACLU MS - community engagement and legal expertiseBlack AIDS Institute “Blacker the Plan - partner for statewide virtual EHE Town HallsTransgender and Gender Non-Conforming Education and Advocacy Project (TEAP) MS Ensure EtHE Plan is Informed by Transgender and gender non-conforming Mississippiansand Responsive to Their Needs throughout the state of MSMississippi Center for Justice - support EtHE efforts to educate, empower variousvulnerable populations and work to ensure that HIV decriminalization is a priority in MSand that all legislative policy needs are metMississippians United to End Homelessness (MUTEH) - ensure EtHE Plan is informed byMississippians that are at risk for Becoming homeless/HomelessJackson Revival Center Church - community of faith champion; ensure expandededucation and services in communities of faith throughout MSWorking Together MSImmigrant Alliance for Justice and Equity - Ensure EtHE Plan is informed byMississippians who are immigrantsMS Immigration Coalition - Ensure the EtHE Plan is informed by Mississippians who areimmigrants or of Latinx descentMSDH Office of Preventive Health and Health Equity - provides additional support toensure efforts are equitable, diverse, and responsive to community needCommunity Health Centers Association of MS - development/coordination of MS EHEStatewide HIV Cluster Detection and Response Team/PlanCommunity Health Workers Network of MS - expanded workforce developmentthroughout MS to increase the number of workers from priority populations to assist inefforts to eliminate stigma associated with HIV and diversity to expand access toculturally and linguistically appropriate, affirming healthcare servicesCity of Jackson, MS Mayor’s Health Task ForceJackson-UCSF (HRSA) Planning Group - capacity builder, technical assistanceGilead Science - uptake on PrEP/PEP Education/ SupportMS in Action - focus on women of color, primarily Black women)MS Faith in Action – focus on communities of faith10
LIFE, Inc. – focus on LGBTQIA personsCH-PIER, Inc. – focus on men and women of Color and people living with HIVFABRIC, Inc. - focus on men and women of Color and people living with HIVPlan A Health, Inc. - Mobile Statewide One-Stop Shop Clinic1 Vision Solutions, LLC. – focus on men and women of color, primarily Black MSM)LOVEMEUNLIMITED4LIFE, Inc. - Black Transgender and Gender Non-ConformingMississippiansImmigrant Alliance for Justice and Equity IAJE-FB - Latinx MississippiansNASTAD - capacity builder, technical assistance providerInstitute for the Advancement of Minority Health - works to increase accessaccountability to Individuals Most at RiskMS Decriminalization Network – works to educate and empower community membersand lawmakers about the importance of HIV De-CriminalizationMallory Community Health Center – increase access, coverage in rural and hard to reachareas of the state.Jefferson Comprehensive Health Center– increase access, coverage in rural and hard toreach areas of the state.Jackson-Hinds Comprehensive Health Center– increase access, coverage in rural andhard to reach areas of the state.Five Horizons, Inc. – increase access, coverage in rural and hard to reach areas of thestate.Outreach Health Services, Inc. – increase access, coverage in rural and hard to reachareas of the state.JMW Consulting- contractor for statewide Community Engagement efforts11
Summary of Community Engagement Sessions and Lessons LearnedMississippi’s community engagement partners, BAI and NCSD, used similar methods to engagecommunities throughout the state. Significant efforts were made by BAI to engage with thepeople to Mississippi to better understand challenges, needs, and beliefs about how HIV andSTI prevention, care, and treatment services are being delivered in the state. Plans forcommunity engagement events included in-person interviews, focus groups, and communitytown halls in each region. However, the development of the COVID-19 epidemic made travelingand holding in-person events unsafe. The teams quickly pivoted to a remote process, ensuringinvolvement of priority populations. For more detailed reports from the communityengagement events please see Appendix C.Listening/Work Sessions and Town HallsEVENTMS HIV Cluster and Detection Response Team CHC Work SessionMSDH and MS Department of Corrections (MDOC) Incarcerated andTransitional Support Leadership Collaborative Work SessionBlack Treatment Advocacy Network (BTAN) MS Leadership CollaborativeWork SessionHRSA CBA Jackson Planning Group Work SessionCHC Work Session for Uptake on PrEPCity of Jackson Health Task Force Leadership Work SessionBTAN MS/BAI/MSDH: MS EtHE Statewide We the People Virtual Town HallCommunities of Faith: Jackson Revival Center Town HallBTAN MS Northern and Central MS Focus Group Work SessionMS EtHE Task Force Latinx Leadership Listening/Work SessionMS Community Health Worker (CHW) Expansion Work SessionBTAN MS/BAI/MSDH: MS EtHE Statewide We the People Virtual Town HallMS EtHE Task Force Latinx Leadership Listening/Work SessionMHPC/EtHE Task Force Strategy Meeting in Response to COVID-19MSDH MS HIV Cluster and Outbreak Detection and Response TeamStrategic Planning Meeting with CHC Association of MSMHPC Retreat and MS EtHE Task Force BriefingTransgender Education and Advocacy Project (TEAP) MS LeadershipListening/Work SessionMS EtHE Task Force EtHE Black Leader's Listening/Work SessionMSDH/MDOC EtHE Leadership Work Session on Support for Incarceratedand Transitional Support for Recently Released Individuals within MDOCMHPC Statewide Virtual MeetingCDC EHE Community Engagement Discussion: MississippiMS EtHE Task Force Transgender and Gender Non-Conforming (GNC)Leadership Work SessionBTAN MS/BAI/MSDH: MS EtHE Statewide We the 2
Virtual Elected Officials Town HallMS Ending the HIV Epidemic (EtHE) Initiative: Black Women/Women ofColor Leadership Work SessionMS Ending the HIV Epidemic (EtHE) Statewide CHC Partnership WorkSessionMS Ending the HIV Epidemic (EtHE) CBO Partnership Work SessionMS Ending the HIV Epidemic Task Force EtHE Jurisdictional Plan/Epi ProfileStatewide Virtual Public ReviewEnding the HIV/Epidemic Administrative CBO/CHC Proposal Review WorkSessionMHPC Vote of Concurrence on the MS EtHE Jurisdictional Plan and EpiProfileCDC/NASTAD Town Hall with Southern States onEtHE Community Engagement EffortsMS EtHE Task Force Communities of Faith Work SessionMHPC MeetingMS EtHE Task Force 13/2011/17/2011/18/2012/11/2012/14/20Ongoing Community Engagement ActivitiesThe variety of community engagement sessions with the highlighted several key themes:stigma; the need for government support of grassroots efforts; the importance of sustainedcommunity engagement in program design and implementation an
The first phase of the federal EHE plan involves jurisdictions creating and submitting plans for Ending the HIV Epidemic in their communities. In October 2019, the Centers for Disease Control and Prevention (CDC) awarded start-up funds to the 57 Phase 1 jurisdictions to accelerate state and local planning to end the HIV epidemic.
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