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National-level Capacity-building Assistance Model to Enhance HIV Prevention for Asian & Pacific Islander Communities

Sheth, Lina MPH; Operario, Don PhD; Latham, Nancy PhD; Sheoran, Bhupendra MD

Journal of Public Health Management and Practice: January 2007 - Volume 13 - Issue - p S40–S48
Original Article

Objectives Asian & Pacific Islander (A&PI) communities in the United States face increasing risk for HIV, yet have limited access to US culturally competent HIV prevention services. We describe a national HIV prevention capacity-building program for A&PI communities using a multitiered approach addressing systems, institutional, and individual level outcomes.

Methods The program developed a national network of A&PI HIV and health-focused institutions, and conducts regional-level replication and dissemination of this model to support four areas of capacity building. This network is led by two national organizations coordinating the planning, implementation, and evaluation of the National Capacity-Building Assistance Program.

Results Baseline data are compared with the last 2 years of preliminary data that show increased capacity among community-based organizations and health departments to strengthen culturally competent models of HIV prevention. Systems-level outcomes so far show enhanced leadership skills for HIV-related advocacy efforts, increased ability to leverage the media, and stronger partnerships between peer providers, health departments, and community leaders.

Conclusion This program model preliminarily demonstrates that national capacity-building initiatives can foster coalition development, replication of program models, materials sharing, and new leadership that improve HIV-related prevention services for A&PI communities.

Lina Sheth, MPH, is Director of Research and Technical Assistance, Asian & Pacific Islander Wellness Center, San Francisco, California.

Don Operario, PhD, is Professor, Department of Social Policy & Social Work, University of Oxford, Oxford, UK.

Nancy Latham, PhD, is Director of Research and Evaluation, LaFrance Associates, San Francisco, California.

Bhupendra Sheoran, MD, is HIV National Program Manager, Asian & Pacific Islander Wellness Center, San Francisco, California.

Corresponding author: Lina Sheth, MPH, Asian & Pacific Islander Wellness Center, 730 Polk St, 4th Floor, San Francisco, CA 94109 (e-mail: lina@apiwellness.org).

This article was based on a report by Nancy Latham and Michael Lee (LaFrance Associates) prepared for the Asian & Pacific Islander Wellness Center and the Asian Pacific Islander American Health Forum entitled “Evaluation of the HIV/AIDS Capacity-Building Assistance Program” and “Year One and Two Evaluation Reports” (June 2004 and March 2006). We extend our appreciation to colleagues at the Asian Pacific Islander American Health Forum (San Francisco, California), Asian Pacific Islander AIDS Intervention Team (Los Angeles, California), Asian and Pacific Islander Coalition on HIV/AIDS (New York), Asian Health Coalition of Illinois (Chicago, Illinois), Life Foundation (Honolulu, Hawaii), and Massachusetts Asians & Pacific Islanders for Health (Boston, Massachusetts), and all community-based organizations and health departments that share a commitment to work in A&PI communities.

© 2007 Lippincott Williams & Wilkins, Inc.