Health Services Center, Inc. (HSC) has been the sole provider of HIV services in its services area for over 30 years. HSC provides HIV outreach, counseling, testing, and referral services (CTR), linkage to care and partner services, HIV education and prevention, HIV medical care, case management, STI services, and supportive HIV services in a one-stop-shop approach. HSC's 9,000 square mile service area includes 14 counties from Alabama Department of Public Health's (ADPH) Northeastern and East Central Districts (collectively Blount, Calhoun, Chambers, Cherokee, Clay, Cleburne, Coosa, Dekalb, Etowah, Randolph, Shelby, St. Clair, Tallapoosa, and Talladega counties, Alabama). The service area population is largely rural/non-urban, geographically dispersed, and medically underserved. The area experiences poverty and low educational attainment at much higher rates than the national average. Discrimination and isolation remain challenges for persons in this area who are living with HIV. Project Engaged for Community HIV Outcomes (ECHO) prioritizes services to high-risk African American heterosexuals. "Diagnose" core activities (annually) include providing 500 HIV tests, 24 community HIV events, increased provision of integrated HIV screenings (HIV and STI/HCV) in traditional and non-traditional settings, and increased identification of newly diagnosed persons with HIV (8 annually). "Treat" core activities will increase receipt of HIV medical care and ART among persons newly diagnosed with HIV and persons out-of-care for HIV, increase access to partner services, and increase access to HIV navigation, supportive services, and viral suppression services using the evidence-based practice "Stay Connected" and "Taking Care of Me". Additional activities include assisting with cluster detection and response activities, distribution of printed prevention educational materials (5,000 annually) and safer sex supp
lies (25,000 annually), linkage activities for out-of-care person with HIV, individual level community outreach (5,000 annually), community awareness events (24 annually), community safe space, mobile testing van, CDC social media campaigns, and a community engagement group (minimum 6 members, minimum 4 meetings per annually).