Abstract
The Centers for Disease Control and Prevention (CDC), in coordination with 65 states, cities, and territories, implemented HIV prevention community planning beginning in 1994. This large scale innovation in public health planning has involved tens of thousands of professionals and community residents. Though a single case study, Michigan provides a strong test of the implementation of this national prevention planning model because of the state's decentralized approach to HIV prevention community planning involving several hundred residents. A decentralized approach to community planning promises to maximize participation and the sharing of leadership as well as obstacles to community planning. Here, the CDC Guidance for community planning is contrasted with empirical observation of implementation in Michigan. We conclude that the high expectations for a decentralized approach to HIV prevention community planning can be best achieved when a distinction is drawn between information-seeking tasks and decision-making tasks. We recommend that information-seeking tasks be centrally coordinated, and that decision-making tasks be decentralized, to most fully achieve the potential of HIV prevention community planning.
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References
Valdiserri RO, Aultman TV, and Curran JW. Community planning: A national strategy to improve HIV prevention programs. J Community Health 1995; 20:87-100.
U.S. Centers for Disease Control and Prevention. Supplemental Guidance on HIV Prevention Community Planning for Noncompeting Continuation of Cooperative Agreements for HIV Prevention Projects. Atlanta: U.S. Centers for Disease Control and Prevention, 1993.
Green LW and Kreuter MW. Health promotion as a public health strategy for the 1990s. Ann Rev of Public Health 1990; 11:319-334.
Aggleton P, O'Reilly K, Slutkin G, and Davies P. Risking everything? Risk behavior, behavior change, and AIDS. Science 1994; 265:341-345.
Dearing JW, Rogers EM, Meyer G, et al. Social marketing and diffusion-based strategies for communicating with unique populations:: HIV prevention in San Francisco. J of Health Communication 1996; 1:343-363.
Federal Facility Environmental Restoration Dialogue Committee. Final Report of the Federal Facilities Environmental Restoration Dialogue Committee: Consensus Principles and Recommendations for Improving Federal Facilities Cleanup. Keystone, CO: The Keystone Center, 1996.
Rogers EM. Re-invention during the innovation process. Presented at the Workshop on Assessment of Current Development s on the Diffusion of Innovations, Northwestern University. November 15-16, 1978.
Rice RE and Rogers EM. Reinvention in the innovation process. Knowledge: Creation, Diffusion, Utilization 1980; 1:499-514.
Eveland JD. Diffusion, technology transfer, and implementation. Knowledge: Creation, Diffusion, Utilization 1987; 8:303-322.
Dearing JW and Rogers EM. Agenda-Setting. Thousand Oaks, CA: Sage, 1996.
AIDS Action Foundation and AIDS Action Council. Blueprint for HIV Prevention. Washington, DC: AIDS Action Foundation, 1993.
U.S. Centers for Disease Control and Prevention Advisory Committee on the Prevention of HIV Infection. External Review of CDC's HIV Prevention Strategies. Atlanta: U.S. Centers for Disease Control and Prevention, 1994.
Association of State and Territorial Health Officials, National Alliance of State and Territorial AIDS Directors, and Council of State and Territorial Epidemiologists. State Health Agency Vision for HIV Prevention. Washington, DC: 1993.
Nancy Pelosi. House of Representatives 1538: Comprehensive HIV Prevention Act of 1993. Washington, DC: U.S. Congress, 1993.
Valdiserri RO and West GR. Barriers to the assessment of unmet need in planning HIV/AIDS prevention programs. Public Administration Rev 1994; 54:25-30.
U.S. Centers for Disease Control and Prevention. Supplemental Guidance on HIV Prevention Community Planning for Noncompeting Continuation of Cooperative Agreements for HIV Prevention Projects. Atlanta: U.S. Centers for Disease Control and Prevention, 1993.
Academy for Educational Development. Handbook for HIV Prevention Community Planning. Washington, D.C.: Academy for Educational Development, 1994.
Holtgrave DR. Setting priorities and community planning for HIV-prevention programs. AIDS & Public Policy J 1994; 9:145-151.
U.S. Council of Mayors. HIV Prevention Community Planning Profiles: Assessing Year One. Washington, DC: U.S. Council of Mayors, 1995.
U.S. Council of Mayors. HIV Prevention Community Planning Profiles: Assessing the Impact. Washington, DC: U.S. Council of Mayors, 1996.
Academy for Educational Development and National Alliance of State and Territorial AIDS Directors, HIV Prevention Priorities: How Community Planning Groups Decide. Atlanta: U.S. Centers for Disease Control and Prevention, 1996.
Shadish Jr WR, Cook TD, and Leviton LC. Foundations of Program Evaluation. Thousand Oaks, CA: Sage, 1991.
Valdiserri RO and West GR. Barriers to the assessment of unmet need in planning HIV/AIDS prevention programs. Public Administration Rev 1994; 54:25-30.
Siegel LM, Attkisson CC, and Carson LG. Need identification and program planning in the community context. In FM Cox, JL Erlich, J Rothman, and JE Tropmen, (Eds), Strategies of Community Organization. Itasca, IL: FE Peacock, 1987, pp.71-97.
von Winterfeldt D, and Edwards W. Decision Analysis and Behavioral Research. New York: Cambridge University Press, 1986.
Bosin MR. Priority setting in government. Evaluation and Program Planning 1992; 15:33-43.
Holtgrave DR. Setting priorities and community planning for HIV-prevention programs. AIDS & Public Policy J 1994; 9:145-151.
Applied Research. Evaluation of the 1995 Michigan HIV Prevention Community Planning Process. Report prepared under contract to the HIV/AIDS Prevention and Intervention Section, Michigan Department of Public Health, 1995.
Valdiserri RO, and West GR. Barriers to the assessment of unmet need in planning HIV/AIDS prevention programs. Public Administration Rev 1994; 54:25-30.
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Dearing, J.W., Larson, R.S., Randall, L.M. et al. Local Reinvention of the CDC HIV Prevention Community Planning Initiative. Journal of Community Health 23, 113–126 (1998). https://doi.org/10.1023/A:1018709423879
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DOI: https://doi.org/10.1023/A:1018709423879