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CDC Home > HIV/AIDS > Guidelines > HIV Health Education and Risk Reduction Guidelines
HIV Health Education and Risk Reduction Guidelines
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arrow Acknowledgements
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arrow General Considerations Regarding Health Education & Risk Reduction Activities
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arrow Health Education and Risk Reduction Activities
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arrow Public Information
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arrow Resources and References
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arrow Appendices
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Appendix A: Example of Completed Form
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Street Outreach Activity Report

MSM's Client Group 4/22/92 Date
Southside Location    A.M. X P.M.    Evening
35 Total # of Contacts AMR/JAV Team
Demographics of Contacts
30 # Male  5 # Female
21 # African American   9 # Latino  1 # White  2 # Native American
  2 # Asian/ Pacific Islander   0 Other
Materials Distributed To Individuals Referrals for Services
105 # of Condoms Distributed   3 # STD Clinic
    2 # of Bleach Kits Distributed      # HIV C/T Site
  35 # of Safer Sex Kits Distributed   0 # TB Clinic
  29 # of Brochures Distributed         3 # Drug Treatment
    1 # of Other poster   0 # Family Planning
Materials Drop-off Sites
Type of Site: Materials Distributed:
Al's Place (bar) 100 condoms, 200 brochures, 1 poster
Midtown Adult Book Store 200 condoms, 200 safer sex cards
St. Mary's Homeless Shelter 2 posters, 100 condoms, 50 bleach kits
Hair Unlimited (beauty shop) 100 condoms, 50 brochures, 2 posters

Go to Appendix B

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Last Modified: April 17, 2007
Last Reviewed: April 17, 2007
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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