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Publication Profiles

Five point initiative: a community-informed bundled implementation strategy to address HIV in Black communities

Citation

Dale SK, Etienne K, Hall S, et al. Five point initiative: a community-informed bundled implementation strategy to address HIV in Black communities. BMC Public Health. 2023;23(1):1625. doi:10.1186/s12889-023-16525-7

Implementation stage:

Implementation

Implementation outcomes reported:

Acceptability, Feasibility, Penetration

Continuum target addressed:

HIV testing, Linkage to preventative care

Geography:

Miami-Dade County-FL

Study Participant Classification:

Community member(s)

Plain Language Objectives

The researchers piloted an HIV-prevention approach that partnered with trusted neighborhood businesses and health organizations in Black Miami communities. They wanted to see whether the model could reach residents, provide prevention information and supplies, offer testing, and be acceptable and practical.

Plain Language Abstract

Structural inequities and historical oppression limit access to HIV prevention in Black communities, so services need community-informed delivery. The Five Point Initiative partnered with community advisers, 13 neighborhood businesses, five health organizations, an academic team, and residents in heavily affected Miami ZIP codes. Between September 2019 and March 2020, the initiative held 10 outreach events and engaged 677 residents. It distributed 12,434 condoms, shared information about pre-exposure prophylaxis, and offered voluntary HIV testing; 131 people completed tests. Survey data showed that 68.8% had never heard of PrEP, 8% had never tested for HIV, and 65.9% lacked a primary care provider. Feedback was favorable: 70% were very satisfied and 21% satisfied, while 87% agreed or strongly agreed they would participate again. Interviews with businesses also supported acceptability and feasibility. This small, nonrandomized pilot demonstrates early reach and community acceptance. It does not establish that the bundled strategy reduced HIV infections or outperformed other outreach approaches.

Key Takeaways

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