This session explores how cultural competency and community-based participatory practice (CBPP) models are being implemented to center community voices and ensure public health interventions are both relevant and affirming. Strategies include peer-led engagement, wellness-themed mini-balls, and house-based dialogues that allow for honest conversations around HIV, stigma, and care. Participants will be introduced to the CBPP model and the Cultural Competence Continuum as guiding frameworks for equity-driven outreach.

This session will provide creative ways to go beyond the clinic walls to reach the underserved population. To teach individuals "Out of the box thinking" to get them introduced to PreP and HIV treatment.

This session explores how sex-positive, pleasure-centered approaches enhance HIV and STI prevention – especially for people living with HIV and communities greatly impacted by HIV. We discuss the benefits of this approach and highlight an innovative initiative based in community voices and engagement: San Francisco Department of Public Health (SFDPH)’s Have Good Sex campaign, which promotes sexual empowerment, inclusivity, and self-directed care through home-based testing. Centering the needs of communities disproportionately impacted by HIV, this program affirms sexual health and well-being through messaging that centers pleasure and autonomy.

This session will share retrospective results from SHIF’s 8 Year history, as well as SHIF’s community engagement strategies, developed to intentionally address the common mismatch between public health programs and community needs that often hamper impact. This session will both describe SHIF’s robust community engagement strategies, as well as recommendations to adapt such strategies for similar programming.

This presentation will provide an in-depth overview of our agency’s innovative street outreach strategies for HIV prevention and treatment across Texas. We focus on connecting with populations often labeled as “hard to reach” through a combination of trauma-informed care and peer navigation, designed to foster trust and engagement. Our approach prioritizes immediacy—once we identify individuals in need, we work to link them to HIV care or initiate PrEP within 24 hours, and often on the same day. We are leading the effort for prompt diagnosis and linkage to care in Texas when individuals in many areas have to wait days, even weeks, for a doctor's appointment.

To address the intersecting epidemics of HIV, Hepatitis C (HCV), and syphilis in Miami-Dade County, Baptist Health South Florida (BHSF) expanded its innovative Electronic Health Record (EHR) syndemic screening model across multiple emergency departments in 2024. Building on the success of Homestead Hospital (HH) and West Kendall Baptist Hospital’s (WKBH) routine HIV/HCV screening program, Baptist Main Hospital (BMH) and South Miami Hospital (SMH) implemented scalable workflows and smart syphilis screening algorithms into their EHR. This expansion was supported by strategic public-private partnerships with hospital leadership and the Florida Department of Health in Miami-Dade County (DOH-Miami-Dade) which provided a dedicated Disease Intervention Specialists (DIS) to ensure timely linkage to care and prevention services.

Participants will learn “how-to” techniques for initiating and guiding conversations about sexual history through a lens of prevention, risk reduction, and patient-centered care. The presentation will emphasize creating a safe, respectful, and non-judgmental environment that encourages patients to ask questions and engage openly. Special attention will be given to the unique challenges faced in rural communities, where stigma, limited resources, and lack of formal education can further inhibit discussions about sexual health.

StayWell Health Center serves as a leading responder to the overlapping syndemics of HIV, hepatitis C, STIs, and social determinants of health in the Waterbury, Connecticut metro area. Through a status-neutral approach, StayWell ensures that all individuals—regardless of HIV status—are connected to comprehensive prevention or treatment services without stigma or delay.

In 2022 in Alabama, youth age 13-24 made up the majority of chlamydia and gonorrhea cases, and nearly a quarter of new HIV diagnoses, illustrating the need for STI prevention efforts aimed at this population. Incarcerated youth represent a group more vulnerable to HIV/STI infection than youth in general. The UAB Family Clinic has partnered with the Alabama Department of Youth Services to provide HIV/STI education confidential HIV testing to youth held in detention facilities across the state of Alabama. In 2024, the UAB Family Clinic provided comprehensive HIV/STI education to approximately 350 youth across 3 sites, 268 of whom opted to be tested for HIV.