142nd APHA Annual Meeting and Exposition

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Community involvement in HIV-related policy initiatives: History, experiences, and next steps

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Jason D. Daniel-Ulloa, PhD, MPH , College of Public Health, Community and Behavioral Health, University of Iowa, Iowa City, IA
Briana Woods-Jaeger, PhD , Community & Behavioral Health, University of Iowa, College of Public Health, Iowa City, IA
Melvin Jackson, MSPH , Strengthening The Black Family, Inc., Raleigh, NC
Dominica Rehbien, BA , Department of Health Management and Policy, University of Iowa, Iowa City
Alexandra Lightfoot, EdD , Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, NC
Linda Riggins, BA , Strengthening The Black Family, Inc., Raleigh, NC
Robert Aronson, DrPH , Public Health Program, Taylor University, Upland, IN
Scott Rhodes, PhD, MPH, CHES, FAAHB , Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Issue: Despite the undeniable role of policy initiatives in the HIV epidemic, little research has been conducted to evaluate HIV-related policy initiatives that involve partnerships among community members; representatives from community-based organizations, government agencies, and businesses; and academic researchers.

Description: We review five policy change frameworks and the processes of community engagement and partnership development. We provide rationale for the application of community engagement and partnership and community-based participatory research (CBPR) in HIV-related policy initiatives, providing examples of policy initiatives and learnings from such efforts.

Lessons Learned: Policies developed in partnership with community members, particularly if that partnership is equitable, are more likely to be welcomed, effective, enforced, and sustainable compared to policies made without community insight and involvement.  To effectively promote policy change there must be broad community involvement, mutual trust, ongoing relationships, and communication with people and institutions capable of making the recommended policy and enforcement changes.

Recommendations: We propose a 13-step health-related and community-engaged framework that is informed by existing policy change frameworks and experiences with policy initiatives that harnessed the strengths of partnerships that included community members; representatives from community-based organizations, government agencies, and businesses; and academic researchers.

Learning Areas:

Public health or related public policy

Learning Objectives:
Discuss the importance of including community in HIV policy development and implementation. Describe several key processes in working with communities to develop, implement, and evaluate HIV policies.

Keyword(s): Community-Based Partnership & Collaboration, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a PhD in Health Behavior Science, A MPH in Health Promotion and am in the 2nd year of a CBPR based postdoc. I have worked on HIV and sexual health research and collaboration for much of my academic career and have delivered live training webinars for the CDC on this type of content
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 2033.0: Community-Based HIV Prevention