Pillar One:


This strategy aims to diagnose all PWH as early as possible. Strategies discussed during interviews included expanding HIV testing to reach priority populations, using data to better understand who is unknowingly living with HIV, identifying at-risk social networks and their locations, and focusing interventions in those populations and locations. We also assessed perceptions of opt-out testing and HIV self-testing to improve testing uptake.

Partner with local universities/colleges to support HIV testing for student orientation, start of each semester, and homecoming events; share information with campus health clinic and student organizations (e.g., student government association, Greek-letter fraternities/sororities). Use technology by enlisting university students to create an app to locate testing facilities and linkage to care (link to hotline), and put QR codes on home mail-in test kits to provide instructions.
Incorporate Headliners’ Community Advisory Board (sexual minority youth and young adult) events to support Social Network Strategy. Create a social media campaign using local celebrities and spokespersons to recruit people for testing.
Encourage members of local HIV-servicing clinics to participate in local advocacy groups to modernize state HIV laws. Provide training to legislatures on decriminalizing HIV diagnosis.
Include 3-site testing for Gonorrhea and Chlamydia. Initiate STI Rapid Start treatment on indication of STI. Create Spanish-speaking “telenovelas”/ PSAs
Disseminate information about End HIV 901 and PrEP to youth through social media. Hire a centralized social media manager who partners with all involved organizations to create, compile, post, and analyze social media data.
Create standard process for HIV testing during regular doctor office visits to help normalize testing. Offer continuing education units to train physicians to implement universal testing.
Use media to maintain awareness of where to go for testing. Establish a resource hotline for HIV prevention and care resources (website, counselor, health department) that will be displayed throughout the city (bus stops, digital billboards, etc.).
Create guide for all local providers on how to report new HIV cases. Review with laboratories the Shelby County Health Department (SCHD) reporting requirements (explained by an epidemiologist).
Promote available testing agencies and modalities to all communities so that clients can identify the best for them, with more frequent efforts in the most at-risk communities. Implement ARTAS (Anti-Retroviral Treatment and Access to Services) training for those who are doing HIV testing.