No Turning Back
Addressing the HIV Crisis Among Men Who Have Sex with Men
Helping Communities Fight HIV
CDC provides local communities with extensive financial support and technical guidance to implement effective strategies to prevent HIV transmission. In 2000, the agency provided more than $300 million in funding for HIV prevention activities in communities throughout the country. This funding enables community-based groups to provide targeted, culturally appropriate, science-based prevention programs for populations at greatest risk of HIV infection.
State and Local Programs
The largest single share of CDC's HIV prevention funding -- $262.5 million in 2000 -- flows to state and local health departments. Health departments fund local prevention programs through the "community planning" process. Under this approach, special committees, comprised of health department and community representatives, collaborate to determine local priorities for HIV prevention based on data on the local epidemic, existing community resources, and science on the most effective prevention interventions.
CDC monitors spending by state and local health department grantees to ensure that prevention funding is allocated appropriately, according to the best available epidemiologic evidence. The agency is working with state and local health departments to address shortfalls in prevention funding for MSM at the community level.
Direct Funding of Community Organizations
Although community planning is the principal route of funding for community-based HIV prevention efforts, CDC also provided $46.7 million in 2000 in direct support for community-based organizations for HIV prevention activities to address any gaps in prevention not addressed through 21 community planning. Overall in 2000, CDC provided over $19 million in direct funding to community-based organizations delivering HIV prevention programs targeting MSM, with the majority of these organizations serving MSM of color. To expand these prevention efforts for young MSM of color, in 2001, CDC provided an additional $7.5 million in support to community-based organizations to develop and implement programs tailored to the needs of these populations.
Strengthening Local Organizations
In many minority communities, effective delivery of HIV prevention services is impeded by a lack of adequate infrastructure. In particular, more organizations run by and for MSM of color -- operating with greater support and resources -- are needed to address the HIV crisis in that population.
This article was provided by U.S. Centers for Disease Control and Prevention. Visit the CDC's website to find out more about their activities, publications and services.