SOMOS Alianza: Developing a Strategic Alliance across Three HIV Epicenters to Achieve Ending the HIV Epidemic Goals among Latino MSM

项目摘要 佛罗里达（FL）和波多黎各（PR）是七个司法管辖区中的两个，占全国增长的84%。 2010-2014年拉丁裔男男性行为者的艾滋病毒感染率。助长这一问题的是，以证据为基础的艾滋病毒预防和 在这两个区域，终止艾滋病毒流行的治疗干预措施的规模都没有得到充分扩大。为 例如，在PR中，只有5.7%的PrEP合格的拉丁裔MSM正在服用它。除了佛罗里达州的类似差异外， 和PR HIV震中（即，迈阿密戴德县/MDC、奥兰多/橙子县、圣胡安市）， 这些震中之间的重大迁移，表明形成战略联盟和共享的效用 各司法管辖区的干预措施和实施战略，以实现EHE目标。因此， 目标1：在三个EHE管辖区之间建立战略联盟， 移民和LMSM经历艾滋病毒的差异。我们将形成战略联盟- SOMOS 联盟-之间的争取民主变革运动，橙子县，和圣胡安。这一伙伴关系的重要性突出体现在： (1)所有管辖区都是EHE优先事项，（2）所有管辖区的LMSM之间存在类似的艾滋病毒差异，以及（3） 司法管辖区之间的移民。目标1将涉及建立、参与和监测 联盟参与活动将包括由网络编织（一个 实施战略）来设定目标，确定每个管辖区可以转化的资产和优势 其他司法管辖区，并加快网络/配对，以促进联系，扩大创新， 开发新的实施研究和实践项目。我们将监督联盟的结果 会员资格该联盟将包括实施（例如，佛罗里达DOH、波多黎各GCAP和HHC）， 社区（有生活经验的个人）和科学合作伙伴。目标2：利用战略联盟 调整我们的执行战略（JUNTOS转介网络），以扩大艾滋病毒预防工作， 向两个新的司法管辖区提供LMSM治疗服务。我们将利用目标1的战略联盟， 调整我们正在为MDC开发的JUNTOS转介网络，使其在圣胡安和橙子可用 县也是。我们将使用ADAPT-ITT 1，2进行自适应。通过剧场测试，我们将展示联盟 来自圣胡安和橙子县的成员参加了JUNTOS的MDC原型。他们将描述修改 使JUNTOS在San Francisco的使用是可接受的、适当的和可行的（普罗克特的实施结果） 胡安和橙子郡。他们的反馈意见将为经过修改的陆地观测联合会原型提供信息。总体而言，目标1和2 将通过以下方式增加价值：（1）在EHE优先管辖区之间建立战略联盟，以实现EHE目标， (2)为一个具体的适应项目利用联盟。这些活动将进一步推动EHE目标， 为多中心R 01实施科学研究奠定基础， JUNTOS旨在改善艾滋病毒预防和治疗的执行情况并增加LMSM对艾滋病毒预防和治疗的需求 服务，与EHE优先事项保持一致。

Project Summary Florida (FL) and Puerto Rico (PR) were two of seven jurisdictions accounting for 84% of the national increase in HIV incidence among Latino MSM from 2010-2014. Fueling the problem, evidence-based HIV-prevention and treatment interventions for Ending the HIV Epidemic (EHE) are insufficiently scaled up in both regions. For example, in PR, only 5.7% of PrEP eligible Latino MSM were taking it. In addition to similar disparities across FL and PR HIV epicenters (i.e., Miami Dade County/MDC, Orlando/Orange County, San Juan Municipio), there is significant migration between these epicenters, suggesting the utility of forming a strategic alliance and sharing interventions and implementation strategies across jurisdictions to achieve EHE goals. Accordingly, the aims of this project are as follows: Aim 1: Form a strategic alliance between three EHE jurisdictions tied by migration and within which LMSM experience HIV disparities. We will form a strategic alliance – SOMOS Alianza – between MDC, Orange County, and San Juan. The significance of this partnership is underscored by (1) all jurisdictions being EHE priorities, (2) similar HIV disparities among LMSM in all jurisdictions, and (3) migration between jurisdictions. Aim 1 will involve establishing, engaging, and monitoring outcomes of the alliance. Engagement activities will involve in-person and virtual meetings guided by network weaving (an implementation strategy) to set goals, identify assets and strengths in each jurisdiction that could be translated to other jurisdictions, and speed networking/matchmaking to promote connections, scaling out innovations, and developing new implementation research and practice projects. We will monitor outcomes of alliance membership. The alliance will include implementation (e.g., Florida DOH, Puerto Rico GCAP, and FQHCs), community (individuals with lived experience), and scientific partners. Aim 2: Leverage the strategic alliance to adapt our implementation strategy (JUNTOS Referral Network) for scaling up HIV-prevention and treatment services to LMSM to two new jurisdictions. We will leverage the strategic alliance from Aim 1 to adapt the JUNTOS Referral Network which we are developing for MDC, to be usable in San Juan and Orange County as well. We will use ADAPT-ITT1,2 to carry out the adaptation. Using theater testing, we will show alliance members from San Juan and Orange County the MDC prototype of JUNTOS. They will describe modifications to make JUNTOS acceptable, appropriate, and feasible (Proctor's implementation outcomes) for use in San Juan and Orange County. Their feedback will inform adapted prototypes of JUNTOS. Collectively, Aims 1 and 2 will add value by (1) creating a strategic alliance between EHE priority jurisdictions to achieve EHE goals and (2) leveraging the alliance for one specific adaptation project. These activities will further EHE goals as well as lay the foundation for a multi-site R01 implementation-science focused research study testing the utility of JUNTOS for improving implementation and increasing LMSM demand for HIV-prevention and treatment services, aligned with EHE priorities.