Combining its more than 20 years of experience as a highly successful CBA provider and capacity building specialist with its unparalleled expertise as a trailblazing grassroots HIV service and clinical provider focused on underserved populations, the San Francisco Community Health Center (SFCHC) - together with our project partners the Pacific AIDS Education and Training Center (PAETC), Black AIDS Institute (BAI), and Bienestar Human Services - proposes to provide high-quality clinical HIV prevention capacity-building services under Component # 2 of CDC RFA # PS19-1904 through Track A: Clinical HIV Testing and Prevention with HIV-Negative Persons for the West Region, encompassing 19 US states and territories. Over a 5-year project period from April 1, 2019 through March 31, 2024, Project WATCH (West Area TA and Capacity-Building for HIV) will provide culturally competent, cost-effective CBA services in the areas of clinical HIV testing; linkage to, re-engagement, and retention in HIV medical care; early ART initiation and adherence; HIP behavioral interventions for persons newly and previously diagnosed with HIV; perinatal HIV prevention and essential support services for PLWH. To achieve the project’s capacity-building goals, SFCHC will partner with the CDC and other CBA funded providers to conduct an initial 6-month planning process in which we will collaboratively develop both a Regional CBA Plan describing clinical HIV TA, education, and support needs in the West region along with a series of Jurisdictional CBA Plans for each CDC-funded agency and state health department. All project plans will be updated on an annual basis, incorporating information, new data, and feedback obtained during the previous project year. SFCHC and its partners will also deliver high-quality, cost-effective, and collaborative capacity-building services to enhance clinical HIV testing and prevention services for persons living with HIV across the West region. Overa
ll, we are projecting to provide a total of at least 180 TA, education, and support interventions on the HIV clinical prevention topics covered by the CDC NOFO over the course of the 5-year the project while developing and disseminating at least 35 new CBA Resources on these topics. Additionally, Project WATCH will also apply a new multidisciplinary clinical process to conduct in-depth clinical capacity assessments and develop integrated HIV clinical enhancement plans for at least 25 separate regions, jurisdictions, and programs - processes which are tied to the CBA’s annual jurisdictional planning process. These clinical enhancement plans will include unique opportunities for agencies with complementary skills to meet with and learn from one another in order to mutually enhance HIV clinical quality in a given region. Project WATCH will also develop a process to more intensively assess the impact of project services on regional prevention quality through a new HIV clinical capacity assessment process which takes place 6 months following the completion of specific courses of TA service. Project WATCH will also ensure an ongoing approach in which the consideration and incorporation of cultural perspectives is infused into all aspects of the program. Project WATCH will partner with Black AIDS Institute and Bienestar Human Services to ensure culturally relevant input into project services and materials. SFCHC will also convene a new, multidisciplinary Clinical Care and Cultural Competency Intersectionality Work Group that will discuss best practices that are at the crossing point of HIV clinical care and effective cultural responses. SFCHC will also convene 3 consumer input groups that includes participants from throughout the West, including groups comprised on transgender clients and persons living with HIV.