How can Pre-Exposure Prophylaxis (PrEP) help in HIV prevention?
Prepared by Pamela DeCarlo and Kimberly Koester, CAPS/PRC/CHPRC Community Engagement (CE) Core | May 2017
The Ryan White HIV/AIDS Treatment Modernization Act (a reauthorization of the original Ryan White CARE Act) changed the formulas used to distribute funding to states and cities in the US. The case counts used to allocate the awards shifted from using only AIDS cases to using both HIV (non-AIDS) and AIDS cases. In addition, federal agencies have been charged with developing a Severity of Need Index, which eventually may be used in formula award allocations to weight HIV/AIDS case data by factors thought to impact the variable cost of treatment around the nation.
UCSF, the San Francisco AIDS Foundation (SFAF), and Project Inform have created an AIDS Policy Research Center (APRC) to conduct timely research to help policymakers, planning councils and community organizations address the HIV epidemic in the State of California. The center is supported with funds from the California HIV/AIDS Research Program (CHRP).
There are more than two million adults incarcerated in the US and four million more on probation or parole. Rates of HIV are 8 to 10 times higher for incarcerated persons than for the general US population, hepatitis C rates are 9 to 10 times higher, and sexually transmitted disease (STD) rates among men entering jails are as high as 35%. Because many prisoners are serving short sentences for parole violation, and return to prison is common, at-risk individuals move frequently between prisons and their home communities.
CAPS and Centerforce, a community-based organization that has been providing services to prisoners and their families for thirty years, have been collaborating since 1993 to design and evaluate HIV prevention interventions for incarcerated men and their female partners.
In this project, funded as a community collaborative by the California HIV/AIDS Research Program (CHRP), CAPS and the San Francisco AIDS Foundation (SFAF) seek to evaluate Magnet, a clinic and community center located in the Castro District of San Francisco, the City’s primary gay and lesbian neighborhood. The primary study will consist of a large survey of gay men in San Francisco.