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Overview of DHAP’s Branches

DHAP Behavioral and Clinical Surveillance Branch (BCSB)

Mission Statement

The mission of the Behavioral and Clinical Surveillance Branch (BCSB) is to implement scientifically rigorous HIV research studies and surveillance systems that meet critical local, state, and national HIV prevention needs, in order to characterize persons at risk for HIV infection, who recently acquired HIV, or who have HIV-related morbidities. BCSB works to develop and demonstrate best practices of laboratory and prevention technologies so that these technologies move efficiently from development into public health practice.

Key Activities

Behavioral Surveillance Team National

  • HIV Behavioral Surveillance (NHBS)

    The National HIV Behavioral Surveillance System (NHBS) is CDC’s most comprehensive system for conducting behavioral surveillance among persons at highest risk for HIV infection in the United States. The overall strategy for NHBS involves conducting rotating annual cycles of surveillance in three different populations at high risk for HIV: men who have sex with men (MSM), injection drug users (IDU), and heterosexuals at risk (HET). Surveillance is conducted in >20 cities in the United States which have high AIDS prevalence. Project Lead: Amy Lansky

  • HIV Behavioral Surveillance Pilot Study Among Transgender Persons

    The purpose of this project is to develop and pilot test a questionnaire to capture accurate epidemiologic and behavioral data specific to racial and ethnic minority transgender persons. The data to be collected by the questionnaire are for the purposes of (1) monitoring behavioral risks and (2) designing and evaluating evidence-based HIV prevention programs for these populations. Project Lead: Teresa Finlayson

Clinical Outcomes Team

  • Medical Monitoring Project

    The Medical Monitoring Project (MMP) is a new, national population-based surveillance project that collects information on clinical outcomes and behaviors of HIV-infected persons receiving care in the United States. Collection of data from interviews with HIV-infected patients provides information on the current levels of behaviors that may facilitate HIV transmission; patients’ access to, use of, and barriers to HIV-related secondary prevention services; utilization of HIV-related medical services; and adherence to drug regimens. In combination with data collected from the abstraction of medical records, MMP also provides information on clinical conditions that occur in HIV-infected persons as a result of their disease or the medications they take, as well as the HIV care and support services being received by these patients, and the quality of these services. Project Lead: A.D. McNaghten

  • Never in Care (NIC) Project

    NIC is a new project being piloted in 5 areas that identifies, locates, and interviews persons with diagnosed HIV who have not received care within 3 months of their diagnosis. The interview collects information on HIV testing history, health seeking behaviors, and access and barriers to health care. Blood samples are obtained and tested for CD4 and HIV viral load to determine participants' care needs. Information collected will be used to understand reasons HIV infected persons are not in care and to assist in the development of appropriate interventions to get persons into care in a timely manner. Project Lead: Jeanne Bertolli DHAP

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DHAP Capacity Building Branch (CBB)

Mission Statement

The mission of the Capacity Building Branch (CBB) is to strengthen the capability of the HIV prevention workforce to implement and sustain effective HIV prevention practice. To accomplish this, CBB provides national leadership, supports partnerships, and provides funding, to ensure the availability of scientific and culturally based capacity building assistance for individuals, organizations, and communities to plan, coordinate, implement and evaluate effective and efficient HIV prevention services.

CBB provides capacity building assistance (CBA) in four areas: (1) Organizational infrastructure, (2) Intervention design, development, implementation, and evaluation; (3) Community access to and utilization of HIV prevention services, and (4) Community planning for HIV prevention. CBA generally refers to the skills, infrastructure, and resources of organizations and communities that are necessary to effect and maintain behavior change, thus reducing the level of risk for disease, disability, and injury.

Key Activities

CBB Program Announcements

  • NEW Announcement Number PS09-906:
    Capacity Building Assistance (CBA) To Improve the Delivery and Effectiveness of Human Immunodeficiency Virus (HIV) Prevention Services for High-risk and/or Racial/Ethnic Minority Populations
  • Announcement Number 06608: Capacity-Building Assistance to Improve the Delivery and Effectiveness of Human Immunodeficiency Virus (HIV) Prevention Interventions for Individuals with Known HIV-Positive Serostatus and their Partners.
  • Announcement Number 04019: Capacity Building Assistance Initiative to Improve the Delivery and Effectiveness of HIV Prevention Services for Racial and Ethnic Minority Populations - Prevention Program Branch.
  • Announcement Number 05051: Capacity Building Assistance to Improve the Delivery and Effectiveness of Human Immunodeficiency Virus (HIV) Prevention Interventions for High-Risk Racial/Ethnic Minority Subpopulations.

Key CBB Program Initiatives

  • Diffusion of Effective Behavioral Interventions (DEBIs) Project
    The Diffusion of Effective Behavioral Interventions (DEBI) project was designed to bring science-based, community-and group-level HIV prevention interventions to community-based service providers and state and local health departments. The goal is to enhance the capacity to implement effective interventions at the state and local levels, to reduce the spread of HIV and STDs, and to promote healthy behaviors.
  • Diffusion of Effective HIV Prevention and Public Health Strategies
    The diffusion of effective HIV prevention and public health strategies such as Partner Counseling and Referral Services (PCRS), Comprehensive Risk Counseling and Services (CRCS), and Counseling, Testing and Referrals (CTR) is designed to primarily train and support health department trainers and managers in the development of their knowledge and skills so that they can train on and support these activities in their own jurisdictions.

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DHAP Epidemiology Branch (EB)

Mission Statement

The mission of the Epidemiology Branch is to conduct biomedical and behavioral epidemiologic research to reduce HIV infection and disease progression. Its projects include microbicide and antiretroviral prophylaxis, African-American and Hispanic research initiatives, vaccine research, mother-child transmission, and testing guidelines.

Research Approach

A multidisciplinary approach to HIV epidemiologic research is encouraged, and is facilitated by the great diversity of professional backgrounds amongst our staff; this includes staff with graduate-level training in epidemiology, clinical medicine (including internal medicine, pediatrics, obstetrics and gynecology, and family medicine), behavioral science (including clinical psychology, community psychology, sociology, and anthropology), pharmacology, public health, health services research, informatics, nursing, virology, laboratory science, and management. Domestically, the Epidemiology Branch is currently collaborating with partners throughout the United States

Key Activities

  • HIV Outpatient Study (HOPS)

    HOPS describes and monitors trends in the demographics, symptoms, diagnoses, and treatments in a large population of HIV-infected outpatients across the United States; and watches for factors associated with clinical, immunologic, and virologic successes.

  • NNRTI Response Study

    An observational study of treatment effectiveness and resistance patterns among women examining the response to highly active antiretroviral therapy that includes a nonnucleoside reverse transcriptase inhibitor (NNRTI), nevirapine (NVP) or efavirenz (EFZ) among women who have been exposed to prior single-dose NVP for prevention of mother to child HIV transmission as compared to those who have not.

  • Tenofovir Disoproxil Fumarate (TDF)/Truvada Trials

    Clinical trials in the US, Botswana, and Thailand to evaluate the extended safety, tolerability, and efficacy TDF and Truvada among HIV-negative men who have sex with men, heterosexual male and females, and male and female intravenous drug users.

  • Minority HIV/AIDS Research Initiative

    MARI was created to build HIV prevention research capacity in Black and Hispanic communities by partnering with new investigators from these communities to address scientific gaps in HIV/AIDS epidemiologic and prevention research. This process provides research opportunities and career development for new investigators from Black and Hispanic communities through collaboration with the Division of HIV/ AIDS Prevention at CDC.

  • AntiRetroviral Treatment Access Study II

    ARTAS II is a demonstration project for the purpose of determining the effectiveness and feasibility of ARTAS linkage case management (ALCM) in non-research settings-- health departments and community-based organizations. The goal of ALCM is to facilitate involvement with medical care for persons living with HIV, so that recently diagnosed HIV-infected persons are linked to an HIV care provider.

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DHAP Prevention Program Branch (PPB)

Mission Statement

The mission of the Prevention Program Branch (PPB) is to work with public and private partners to strengthen science-based HIV prevention efforts in states (Health Departments) and local communities (Community-Based Organizations).

Key Activities

PPB Program Announcements Program Announcements (PA) for Community Based Organizations (CBOs)

  • 04064—Human Immunodeficiency Virus (HIV) Prevention Projects for Community-Based Organizations.
  • 06618—Human Immunodeficiency Virus (HIV) Prevention Projects for Young Men of Color Who Have Sex with Men and Young Transgender Persons of Color
  • 08803—HIV Community Based Prevention Projects for the Commonwealth of Puerto Rico and the United States Virgin Islands

Program Announcements (PA) for Health Departments/Jurisdictions (HDs)

  • 04012—HIV Prevention Projects for state and local Health Departments

  • 04069—HIV Prevention Projects for the Pacific Islands

  • 07768—Expanded and Integrated Human Immunodeficiency-Virus (HIV) Testing for Populations Disproportionately Affected by HIV, Primarily African Americans

  • 08870—HIV Prevention Projects for Health Departments in accordance with Section 2625 of the Public Health Service Act

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DHAP Prevention Research Branch (PRB)

Mission Statement

TThe Prevention Research Branch (PRB) mission is to conduct behavioral and operational research to develop, test, synthesize, and package sustainable interventions to prevent HIV transmission. PRB is made up of three teams: the Operational Research Team (ORT), Intervention Research Team (IRT), and Research Synthesis and Translation Team (RSTT).

Key Activities

  • Research Synthesis
  • Formative Research
  • Phase 1, 2, and 3 Intervention Research
  • Operational and Effectiveness Research
  • Technology Transfer (packaging interventions)

Examples of Projects

Formative Research:

Conducted to learn more about the intervention needs of new or understudied populations or to learn more about the use of a novel intervention methods or modalities:

  • Toward a better understanding of sexual risk of non-addicted, meth-using ng MSM in Atlanta
  • Use of Respondent Driven Sampling (RDS) to Reach Bisexually-active MSM
  • Formative Internet-based Intervention Research for HIV+ Persons
  • Microfinance as HIV prevention project
  • Development of Science-based HIV/AIDS Serial Dramatic Narratives for Airing in Urban Public Transit Vehicles

Phase 1 Intervention Research

Small, single arm studies (n = 50-80) designed to test the intervention acceptability and feasibility, and participant knowledge, attitudes, intentions, and behaviors in a pre-post design:

  • Reducing Sexual Risk for HIV Transmission among Meth-Using MSM Who Are Not Currently in Substance Abuse Treatment
  • Identifying “Ground Breaking” Behavioral Interventions to Prevent HIV Transmission in High-risk Groups—
  • HIV/AIDS Risk Reduction Interventions for African American Heterosexual Men—“PATHH4Men”—

Phase 2/3 Intervention Research

Small, randomized studies (n = 50-100/arm) designed to test participants’ knowledge, attitudes, intentions, and behaviors in a pre-post controlled design:

  • Latino and African American MSM project (LAAMP)
  • HIV Prevention Intervention Research with HIV-positive Incarcerated Populations
  • HIV Prevention Interventions for Bisexually-Active Black Men
  • Homegrown Interventions

Adaptation Research

  • Nurse-Delivered Intervention
  • Evaluation of an Effective Community-level Intervention
  • Evaluation of an Effective Community-level Intervention Adapted for Black MSM
  • ADAPT-2 Project: Adopting and Demonstrating the Adaptation of Prevention Techniques for Persons at Highest Risk of Acquiring or Transmitting Human Immunodeficiency Virus

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DHAP Program Evaluation Branch (PEB)

Mission Statement

The mission of the Program Evaluation Branch (PEB) is to evaluate processes, outcomes, and impacts of CDC HIV prevention programs, activities, and policies for their improvement and accountability; develop and enhance methods and systems; and serve as a resource for building evaluation capacity.

Within the framework of the Strategic Plan, this includes:

  • Implementing a continuum of evaluation efforts for improvement of programs and to provide accountability for funding.
  • Developing evaluation methodologies and data collection and analysis systems, including national systems for standardized data collection, to provide for national evaluation of CDC programs.
  • Enhancing the evaluation capacity of fellow DHAP branches, health departments, community-based organizations, community planning groups, and other stakeholders.

Key Activities

Data Systems Analysis Team (DSAT)

The Data Systems and Analysis Team processes and manages data collected by health departments and community-based organizations that are submitted to PEB as part of their cooperative agreements.

Evaluation Studies Team (EST)

The mission of the Evaluation Studies Team (EST) is to improve HIV prevention programs through targeted evaluations and the dissemination of evaluation findings.

National Monitoring and Evaluation Team (NMET)

The National Monitoring and Evaluation Team (NMET) is responsible for providing evaluation and monitoring support services to CDC-funded HIV prevention programs in state and local health departments and community-based organizations (CBOs).

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Last Modified: October 14, 2010
Last Reviewed: October 14, 2010
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

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