The purpose of this section is to make explicit the critical attributes of
the community planning objectives. These attributes were developed through
a collaborative process that has included input
from a variety of prevention partners including community and health department
co-chairs, community planning technical assistance providers, the National
Alliance of State and Territorial AIDS Directors,
and CDC staff.
This Appendix groups attributes according to the objectives of community
planning. If the designated attributes of an objective for a given jurisdiction
are present
in a community planning process, then one
may with some level of confidence say that this objective is being met.
For evaluation purposes, designated indicators
(Section
VI: Accountability)
have been explicitly developed based on these attributes. It is important
to note that jurisdictions are
not required
to
individually report on each attribute listed here. However, in the case
of a letter of nonconcurrence, programmatic reviews conducted by CDC or
a jurisdiction
identified as having significant community
planning challenges, the jurisdiction may be asked to provide evidence
of applicable attributes.
Objective
A: Implement an open recruitment process
(outreach,
nominations, and
selection) for CPG membership. The presence of the following attributes
are critical to achieving this Objective:
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Attribute
1 (Nominations):
Presence of written procedures for nominations
to the CPG.
Attribute
2 (Nominations):
Evidence that written procedures
(above) were used for
nominations to the CPG.
Attribute
3 (Nominations):
Evidence that a nominations committee
has been established.
Attribute
4 (Nominations):
Evidence that nominations targeted
membership gaps as
identified by the community planning group
Attribute
5 (Selection):
Evidence that membership decisions involve
more than the health department staff.
Attribute
6 (Selection):
Written documentation of the process for selection
of CPG members.
Attribute
7 (Selection):
Evidence that the process (above) was used
in selection of CPG members.
Objective
B: Ensure that the CPG(s) membership is representative of the
diversity of populations most at risk for HIV infection and community
characteristics in the
jurisdiction, and includes key professional expertise and representation
from key governmental and non-governmental agencies.
The presence of the
following attributes
are critical to achieving this Objective:
|
Attribute
8 (Representation):
CPG includes: (a) members who represent populations
most at risk for HIV infection as reflected in the current
and projected epidemic, as
documented in the prior year’s epidemiologic profile, and (b) persons
living with HIV/AIDS.
Attribute
9 (Representation):
CPG membership includes
members who represent the
affected community in terms of race/ethnicity, gender/gender identity,
sexual orientation, and geographic distribution.
Attribute
10 (Representation):
CPG membership includes, or has access
to, professional expertise in behavioral/social science, epidemiology,
evaluation, and service provision.
Attribute
11 (Representation):
CPG membership includes, or has access
to, key government agencies, including: health department HIV/AIDS program
and the state/local
health department STD program staff.
Attribute
12 (Representation):
CPG membership includes, or has access
to, key governmental and non-governmental agencies with expertise in factors
and issues relative to
HIV prevention.
Objective
C: Foster a community planning process that encourages inclusion
and
parity among community planning members.
The presence of the following
attributes are
critical to achieving this Objective:
|
Attribute
13 (Inclusion):
Evidence of that to gain input from representatives
of marginalized groups, who would be hard to recruit and/or retain as CPG
members, the CPG convened ad
hoc committees, panels, and/or focus groups.
Attribute
14 (Inclusion):
Evidence that efforts were undertaken to accommodate
or facilitate members who face challenging barriers (e.g., health care
or economic needs) to their
continued participation in the CPG.
Attribute
15 (Inclusion):
Evidence of a clear decision-making process, including
conflict of interest rules.
Attribute
16 (Inclusion):
Evidence of an orientation, mentoring or training
process for new
CPG members.
Attribute
17 (Inclusion):
Evidence that CPG meetings are open to the public
and allow
time for public comment.
Attribute
18 (Parity):
Evidence of ongoing training process for all CPG members.
Objective D: Carry
out a logical, evidence-based process to determine the highest
priority, population-specific prevention needs in the jurisdiction. The
presence of the
following attributes are critical to achieving this Objective:
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Attribute
19 (Epidemiologic Profile):
The epidemiologic profile provides
information
about defined populations at high risk for HIV infection for the CPG to consider
in the
prioritization process.
Attribute
20 (Epidemiologic Profile):
Strengths and limitations of data sources
used in the
epidemiologic profile are described (general issues and jurisdiction-specific
issues).
Attribute
21 (Epidemiologic Profile):
Data gaps are explicitly identified
in the
epidemiologic profile.
Attribute
22 (Epidemiologic Profile):
The epidemiologic profile contains
a narrative
interpretation of data presented.
Attribute
23 (Epidemiologic Profile):
Evidence that the epidemiologic profile
was
presented to the CPG members prior to the prioritization process.
Attribute
24 (Community Services Assessment):
The Community Services Assessment
(CSA) focuses on one or more high priority populations (i.e., substantially
contributing to new HIV infections in a jurisdiction) identified in the epidemiologic profile.
Attribute
25 (Community Services Assessment):
Data are gathered that define populations’ needs
in terms of knowledge, skills, attitudes, and norms.
Attribute
26 (Community Services Assessment):
Data are gathered that define populations’ needs
in terms of access to services.
Attribute
27 (Community Services Assessment):
The CSA details the target populations
being served.
Attribute
28 (Community Services Assessment):
The CSA details the interventions
provided to each target population.
Attribute
29 (Community Services Assessment):
The CSA describes the geographic
coverage of interventions or programs.
Attribute
30 (Community Services Assessment):
The CSA was utilized in demonstrating
linkages between the application and funded interventions.
Attribute
31 (Community Services Assessment):
Evidence that prior to the prioritization
process, the CPG was provided with a summary of the CSA.
Attribute
32 (Gap Analysis):
The gap analysis includes data from the epidemiologic profile
and CSA.
Attribute
33 (Gap Analysis):
A gap analysis specifically identifies both met and unmet
needs.
Attribute
34 (Gap Analysis):
The gap analysis identifies the portion of needs being met
with CDC funds.
Attribute
35 (Gap Analysis):
Evidence that prior to the prioritization process, the CPG
was provided with a summary of the gap analysis findings.
Attribute
36 (Gap Analysis):
The gap analysis was utilized by the CPG in demonstrating
linkages between the application and funded interventions
Objective
E: Ensure that priority target populations are based on an epidemiologic
profile and a community services assessment.
The presence of the following attributes are
critical to achieving this Objective:
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Attribute
37 (Target Populations):
Evidence that the size of at-risk populations was
considered in setting priorities for target populations.
Attribute
38 (Target Populations):
Evidence that a measurement of the percentage of
HIV morbidity (i.e., HIV/AIDS incidence or prevalence), if available, was considered in setting
priorities for target populations.
Attribute
39 (Target Populations):
Evidence that the prevalence of risky behaviors in the
population was considered in setting priorities for target populations.
Attribute
40 (Target Populations):
Target populations are defined by transmission risk,
gender, age, race/ethnicity, HIV status, and geographic location.
Attribute
41 (Target Populations):
Target populations are rank ordered by priority, in
terms of their contribution to new HIV infections.
Objective
F: Ensure that prevention activities/interventions for identified priority
target populations are based on behavioral and social science, outcome effectiveness,
and/or have been adequately tested with intended consumers for cultural
appropriateness, relevance, and acceptability.
The presence of the following attributes are
critical to achieving this Objective:
|
Attribute
42 (Prevention Activities/Interventions):
Demonstrated application of existing
behavioral and social science, and pre- and post-test outcome evidence (including evaluation
date, when available) to show effectiveness in averting or reducing high-risk behavior within the
target population.
Attribute
43 (Prevention Activities/Interventions):
Evidence that the prevention
activity/intervention is acceptable to the target population (e.g., testing, focus groups, etc.).
Attribute
44 (Prevention Activities/Interventions):
Evidence that the prevention
activity/intervention is feasible to implement for the intended population in the intended setting.
Attribute
45 (Prevention Activities/Interventions):
Evidence that the prevention
activity/intervention was developed by or with input from the target population.
Attribute
46 (Prevention Activities/Interventions):
Prevention activities/interventions are
characterized by focus, level, factors expected to affect risk, setting, and frequency/duration.
Attribute
47 (Prevention Activities/Interventions):
Each prevention activity/intervention
is also characterized by scale and significance.
Attribute
48 (Prevention Activities/Interventions):
Prevention activities/interventions are
prioritized by risk population and their ability to have the greatest impact on decreasing new
infections.
Objective G:
Demonstrate a direct relationship between the Comprehensive HIV Prevention
Plan and
the Health Department Application for federal HIV prevention
funding.
The presence of the following attributes are critical to achieving this
Objective:
|
Attribute
49 (Comprehensive Plan):
Explicit demonstration of linkages between the
comprehensive HIV prevention plan and the health department application to CDC for federal
funding.
Attribute
50 (Comprehensive Plan):
Letter of Concurrence.
Objective
A: Implement an open recruitment process
(outreach,
nominations, and
selection) for CPG membership. The presence of the following attributes
are critical to achieving this Objective:
|
Objective H: Demonstrate
a direct relationship between the Comprehensive HIV Prevention Plan and
funded interventions.
The presence of the following
attributes are
critical to achieving this Objective:
Attribute
51 (Comprehensive Plan):
Explicit demonstration of linkages between the
comprehensive HIV prevention plan and funded interventions.
Attribute
52 (Community Services Assessment):
Explicit demonstration that the CPG
has used the CSA to determine whether interventions were funded according to the
comprehensive HIV prevention plan. |