Nou La We are Here Biomedical Prevention for People of Haitian Descent

项目概要-努拉（我们在这里）：为海地人后裔提供生物医学预防 根据“结束艾滋病毒流行计划”，佛罗里达州的迈阿密被认为是美国的艾滋病毒中心。1在迈阿密， 佛罗里达的海地裔人受到艾滋病毒的严重影响。 艾滋病毒感染率为5.5%，艾滋病诊断率为9%。2该规划项目将制定一项实施方案， 战略“L 'Union Fait La Force or（Unity Makes Strength）：增加PrEP覆盖面”，我们将 与海地社区已经信任和利用的当地组织合作， PrEP获取的新机会。该项目的目标是： 目标1：确定PrEP实施的知识和组织决定因素的特征和优先顺序 在迈阿密为海地人后裔服务的社区组织和诊所。理由： 制定相关的实施方法，克服目前在以下人群中PrEP吸收方面的差距： 海地血统，我们将专注于PrEP知识和交付的背景下，可以提供 药物，但目前没有这样做，并优先考虑步骤，以实现PrEP交付。方法：我们将合作 社区健康和赋权网络（CHE）和Selest健康中心。我们将进行两次 在每个站点与关键利益相关者（供应商、领导者、管理人员和员工）进行焦点小组讨论， 与客户进行访谈（每个地点15个），访谈将使用半结构化访谈指南（与 海地美国专业人员联盟），并将使用快速定性分析进行分析。结果：从 为了实现这一目标，我们将更好地了解PrEP教育需求和提供的关键要素， 为海地社区成员提供服务的机构。 目标2：采用社区参与的方法，设计一项实施战略，以增加PrEP 摄取。理由：了解障碍，促进者，PrEP知识和交付需求， 执行工作对于在社区场所制定与文化相关的干预措施至关重要。方法：使用 根据Bon Sante研究的结果和目标1，我们将通过与研究中心合作伙伴的讨论反复开展工作 制定切实可行的战略，解决主要个人（客户）和服务组织对PrEP的障碍 吸收和交付。结果：通过这个过程，我们将设计一个可接受的和可测试的实现 战略 目标3：测试海地人民实施PrEP战略的可接受性和可行性 血统.理由：为了使干预措施有效，干预措施必须是可接受的。 方法：我们将对每个研究中心的5名参与者（n =10）进行调查和离职面谈，这些参与者接受 PrEP和每个研究中心的4名关键利益相关者（n= 8）。我们也会记录提供信息的人数 关于提供的PrEP和启动PrEP的人数。结果：通过这一过程，我们将 衡量在合作伙伴中增加PrEP吸收的方法的可接受性和可行性 网站.

PROJECT SUMMARY- Nou La (We’re Here): Biomedical Prevention for People of Haitian Descent According to the Ending the HIV Epidemic Plan, Miami, Florida is considered a US HIV epicenter.1 In Miami, Florida people of Haitian descent have been disproportionately affected by HIV.2 Haitian-born people had an incidence of 5.5% of HIV and 9% of AIDS diagnoses.2 This planning project will develop an implementation strategy “L’Union Fait La Force or (Unity Makes Strength): Increasing PrEP Reach” in which we will partner with local organizations already trusted and utilized by the Haitian community to collaborate and create new opportunities for PrEP access. The aims of this project are: Aim 1: To characterize and prioritize knowledge and organizational determinants of PrEP implementation at community-based organizations and clinics serving people of Haitian descent in Miami. Rationale: To develop a relevant implementation approach that overcomes the current gap in PrEP uptake among people of Haitian descent we will focus on the context of PrEP knowledge and delivery at sites that could provide the medication but are not currently doing so and prioritize steps to achieve PrEP delivery. Approach: We will partner with the Community Health and Empowerment Network (CHE), and Selest Health Center. We will conduct two focus group discussions at each site with key stakeholders (providers, leaders, managers, and staff) and 30 interviews with clients (15 at each site) which will use semi-structured interview guides (developed with the Haitian American Professionals Coalition) and will be analyzed using rapid qualitative analysis. Outcome: From this aim, we will have a better understanding of PrEP educational needs and key elements for delivery from those offering services to members of the Haitian community. Aim 2: Using a community engaged approach design an implementation strategy to increase PrEP uptake. Rationale: Understanding barriers, facilitators, PrEP knowledge and the delivery needs for implementation is essential to develop culturally relevant interventions at community sites. Approach: Using findings from the Bon Sante study and aim 1, we will iteratively work through discussions with study site partners to develop a practical strategy that addresses leading individual (client) and service organization barriers to PrEP uptake and delivery. Outcome: Through this process we will design an acceptable and testable implementation strategy. Aim 3: Test the acceptability and feasibility of a PrEP implementation strategy for people of Haitian descent. Rationale: In order for interventions to be effective, it is important that they are acceptable. Approach: We will conduct a survey and exit interviews with 5 participants from each site (n =10) who receive PrEP and 4 key stakeholders from each site (n= 8). We will also record the number of people given information regarding offered PrEP and the number of people who initiate PrEP. Outcome: Through this process, we will have a measure of the acceptability and feasibility of the approaches to increase uptake of PrEP at the partner sites.