How Australia Could Almost Eradicate H.I.V. Transmissions

Disseminating correct HIV information to the public can be difficult but an HIV prevention program for the homeless has used artificial intelligence to select 'influencers' who are more likely to spread information. These individuals help to extend information through their social networks, resulting in more and accurate information reaching the public.

Multi-faceted efforts are being used by Chicago health providers to raise HPV vaccination rates. In the primary care practice, providers are using workflow tools such as flagging patient records in the appropriate age range when they come to the office and having multiple providers remind patients and families about vaccination. School-based clinics are taking advantage of being geographically co-located with their patients by texting students to make sure they come to the clinic for their vaccinations. Additionally, an awareness campaign was launched on radio and TV.

Research, and the evidence from global development campaigns in multiple countries, shows that cash transfers to women can help women to gain more freedom in choosing sexual partners, decrease HIV transmission, and decrease domestic violence. However, the short term cash transfers show proof of short term impact -- for longer term success, greater amounts that allow for greater investment might be necessary.

People with HIV/AIDS don't always know where to go for help or don't feel empowered to return when psychiatrists or doctors seem unwelcoming. Organizations throughout Washington, D.C. are working against perception by providing comprehensive approaches to health care services.

In 2001, facing a 20-year opioid epidemic, Portugal decriminalized all personal drug use, meaning people carrying drugs for personal use could no longer face prosecution or jail. The approach, met with public support, offered people access to services like safe injection sites and counseling and showed demonstrable success in declining opioid related deaths, the spread of infectious diseases, and drug use all together. As the rest of the world faces a similar crisis, Portugal could be a model response.

Two of America’s largest cities, New York City and San Francisco, are working to reduce HIV rates by bringing better health care options closer to the communities and connecting individuals with resources such as insurance and payment methods. Although the two cities are using different approaches, both are seeing early success in fighting against the epidemic.

Sharing stories about addiction brings stakeholders together. With the cost of prevention being much lower than the cost of treating outbreaks disease and overdoses, advocates for needle exchanges have sought to open more centers in Kentucky. Despite initial opposition from the Bourbon County community, groups like the Recovery Warriors have succeeded, by holding meetings and sharing experiences, to ultimately pass a motion to open the county’s first needle exchange.

Improving outcomes in addressing HIV requires reducing stigma. In Atlanta, Georgia, faith-based communities are embracing HIV prevention campaigns and courses. Bible Way Ministries provides HIV testing at community events and offers awareness campaigns aimed at reducing stigma. In Philadelphia, Faith in Action similarly recruits religious communities to increase HIV awareness.

The HIV/AIDS clinical trial network’s 30 sites have spent years building trust among historical marginalized communities so that more clinical trial participants come from communities of color. Educational outreach, awareness-raising efforts, and one-on-one conversations are among the strategies used to make the scientific process more transparent. The engagement model is upfront about abuses from the past and uses straightforward explanations with no medical jargon. Infectious disease experts are using the trust-building model to increase the racial diversity of participants in COVID-19 vaccine trials.

The Asian Pacific AIDS Intervention Team (APAIT) works to positively impact the quality of life for medically underserved communities — particularly people of color within the LGBTQ+ community. APAIT’s primary focus is helping those with behavioral health challenges, housing insecurity, and who are at risk for HIV/AIDS, but has recently expanded its services to include helping those who are victims of sex trafficking.