We’ll be starting in just a few minutes. Please put your phone on mute

1. Welcome! We’ll be starting in just a few minutes. Please put your phone on mute by hitting *6 on your phone. Also, take a moment to ensure that you see a phone icon next to your name. If you do not see a phone icon, please click on the “Communication” menu, select “Teleconference” then “Join Teleconference” and input the number to the phone you’d like to use for this conference. [numbers only, no characters, no extensions, i.e., 9164495926, NOT (916)449-5926] If you encounter any technical difficulties, please contact Fidel Encarnacion at (916) 893 - 9933 or email Fidel.Encarnacion@cdph.ca.gov

2. Presentation w/participants on mute (*6) • Questions may be submitted via chat throughout webinar and will be answered after the presentation • Use the chat feature to introduce yourself and your organization • Discussion & Q/A • We will read questions submitted via chat • You may unmute your phone by pressing *6 to ask questions after the presentation • Recorded Webinar will be posted on OA’s website • Questions will be added to FAQ • If you encounter any technical difficulties, please contact: Fidel Encarnacion(916) 893-9933 or email Fidel.Encarnacion@cdph.ca.gov Welcome

3. Tier II Activities

4. Tier II activities are optional. • You must demonstrate that all Tier I activities are being implemented before you can fund Tier II activities. • Tier I activities can be funded by any resource. • The CDC restricts OA to spending no more than 25% of our budget on Tier II activities. Key Information

5. Hepatitis C Testing • Integrated HIV, Hepatitis, TB & STD Screening • Behavioral Interventions for High-Risk Negative People • Social Marketing, Media & Mobilization • Pre-Exposure Prophylaxis (PrEP) planning and/or delivery Optional Activities

6. Hepatitis C testing can continue as it does now. • Can be done even if all Tier I activities are not initiated. Hepatitis C Testing

7. LHJs may consider planning, coordination and/or expanding clinical services so that HIV, Hepatitis, TB and/or STD screening may be offered together. Integrated HIV, Hepatitis, TB & STD Screening

8. The national strategy, CDC PS 12-1201 and OA recognize the continual need to target high-risk people. • Behavioral interventions with PLW-HIV/AIDS also benefits negative people. • Ongoing need to raise the quality and effectiveness of behavioral interventions. Behavioral Interventions for High-Risk Negative People

9. In calendar year 2010, OA funded LHJ’s, excluding SF and LA, served: Behavioral Interventions for High-Risk Negative People

10. The 2008 National Behavioral Health Survey recently shared findings on MSM that included: • High rates of unprotected anal sex, • prevalent alcohol and non-injection drug use, • lack of participation in behavior change programs/interventions, • unknown HIV status of sex partners (37%), and • low rates of recent HIV (62%) and syphilis (35%) testing. Behavioral Interventions for High-Risk Negative People

11. Interventions must be evidence-based. • Locally developed interventions will require submission of a curriculum for each session of the intervention, defined goals for the intervention and the evaluation tools used with the intervention. Behavioral Interventions for High-Risk Negative People

12. You can use existing social marketing campaigns and educational materials to supplement your Tier I activities (e.g. PWP, Partner Services, HIV testing, etc.) • Messages of social marketing campaign should be focused on: • Benefits of early detection of HIV infection • Need for routine and regular HIV health care • Benefits of ART for health of people living with HIV • Role of suppressed viral load in reducing HIV transmission • Benefits of integrated screening for HIV, TB, STDs & Hepatitis • Value of initial and ongoing partner services • Information about Community Viral Load • Emerging messages from CDC or OA Social Marketing, Media & Mobilization

13. Designing and developing a full social marketing/media campaign would be a Tier II activity. Given limited resources, use of existing social marketing campaigns rather than developing new ones is preferred. • Designing and developing educational videos, pamphlets, brochures and posters based on local needs to promote HIV awareness, ending HIV stigma, and/or encouraging HIV risk-reduction to targeted populations and communities. Social Marketing, Media & Mobilization

14. Must be part of comprehensive PrEP program • Funds may be used for planning, assessment, educational/promotional materials and personnel • Funds may not be used for medical care reimbursement or purchase of medications Pre-Exposure Prophylaxis (PrEP) planning and/or delivery

15. MSM is only population approved for PrEP prevention programs • Must be in agreement with CDC’s Interim Guidance: PrEP for Prevention of HIV among MSM • http://www.cdph.ca.gov/programs/aids/Pages/OAPREP.aspx • OA will monitor CDC’s guidance for expansion to other populations Pre-Exposure Prophylaxis (PrEP) planning and/or delivery

16. Poll Question…

17. Questions? Comments?

18. December8 – Putting it all Together One More Webinar!

19. If you have any questions or feedback at any time before or after the webinars please send them to: OAFeedback@cdph.ca.gov