Welcome!

News Feed Item

CDC Locks Out Black Providers in New AIDS Technical Assistance Announcement, Says the Black AIDS Institute

LOS ANGELES, April 2, 2014 /PRNewswire-USNewswire/ -- On March 19 the Centers for Disease Control and Prevention (CDC) awarded $115 million over five years to 21 organizations to provide technical assistance to health departments and organizations implementing CDC's new prevention strategies and improving health outcomes for people living with HIV/AIDS. Not one of these organizations is a Black organization. The effect of this decision is that Black organizations have been locked out of leading technical assistance and capacity building in this country for the next five years.

This should be an issue of concern for Black people, the public at large and anyone who is interested in ending America's AIDS epidemic. Let's look at the numbers: There are about 1.2 million Americans living with HIV today. Nearly 50 percent of them are Black. Of women living with HIV in the U.S., nearly 64 percent are Black; among gay and bisexual men, 32 percent are Black.

At a time when Black Americans are more likely to be diagnosed late in their disease, less likely to be in care, have poorer clinical outcomes and die quicker than any other racial or ethnic group, the decision not to fund any Black organizations in this program further dismantles what little infrastructure exists in Black communities to address HIV/AIDS. Health departments and organizations that desperately need technical assistance to respond to a rapidly changing health-care environment will be unable to turn to an organization grounded in the experience of Black communities.

And over the last few years, a number of Black AIDS organizations have had to close because of lack of funding. Both CDC and Black AIDS Service Organizations (ASOs) will offer various reasons. The CDC might maintain that the pool of Black applicants was small and that some did not demonstrate sufficient programmatic capacity, had administrative challenges or were eliminated for technical reasons.

The Black organizations might counter by saying that the process completely disregards the value of cultural competency, denies Black organizations opportunities to focus on their strengths, and inherently advantages larger organizations that can farm out their grant writing over smaller organizations that are better equipped to deliver services.

The CDC appears to be more obsessed with having a pristine grant-making process than with making sure the outcomes of that process reflect the communities most at risk for HIV. Many Black AIDS organizations have prioritized cultural competency and resisted retooling themselves in order to respond to the changing HIV/AIDS landscape.

There is plenty of blame and finger-pointing to go around, but it all misses the point.  We are failing in our fight to end the AIDS epidemic in Black America.  Indeed, in some areas we are losing ground.

Nearly 64 percent of newly diagnosed women, nearly 67 percent of newly diagnosed youth (ages 13-19) and 36 percent of newly diagnosed gay bisexual men in America are Black.

Here's the question: Is it in the interest of ending the AIDS epidemic—and particularly of ending the epidemic in Black communities—to have a service delivery network that is void of Black providers?

The CDC's decision basically creates a technical assistance elite that perpetuates a notion that outside technical assistance providers can parachute in to rescue communities, and violates the notion that (properly supported) communities have both the responsibility and the capacity to save themselves. As Calvin Rolark, the founder of the United Black Fund, said, "Nobody can save us . . . but us."

Whatever the reasons, it's imperative that communities, AIDS organizations and government agencies like the CDC work together to make sure that we have a geographically and racially diverse HIV service-delivery system.—And that all HIV service providers have both the cultural and subject-matter competency and the administrative bandwidth to deliver the services that our communities need and deserve.

Both the message and the messenger matter. Unless we are explicitly included, we are implicitly excluded. In order to end the AIDS epidemic in Black communities, the AIDS service-delivery system must reflect the communities most at risk. Unless Black people see themselves at every level of the care-delivery system and every point of the treatment cascade, we will continue to see the unacceptable outcomes that currently exist in Black communities.

In the interest of disclosure, the Black AIDS Institute is a small subcontractor to one of the CDC grantees.

SOURCE Black AIDS Institute

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
Mobile device usage has increased exponentially during the past several years, as consumers rely on handhelds for everything from news and weather to banking and purchases. What can we expect in the next few years? The way in which we interact with our devices will fundamentally change, as businesses leverage Artificial Intelligence. We already see this taking shape as businesses leverage AI for cost savings and customer responsiveness. This trend will continue, as AI is used for more sophistica...
Nordstrom is transforming the way that they do business and the cloud is the key to enabling speed and hyper personalized customer experiences. In his session at 21st Cloud Expo, Ken Schow, VP of Engineering at Nordstrom, discussed some of the key learnings and common pitfalls of large enterprises moving to the cloud. This includes strategies around choosing a cloud provider(s), architecture, and lessons learned. In addition, he covered some of the best practices for structured team migration an...
Most technology leaders, contemporary and from the hardware era, are reshaping their businesses to do software. They hope to capture value from emerging technologies such as IoT, SDN, and AI. Ultimately, irrespective of the vertical, it is about deriving value from independent software applications participating in an ecosystem as one comprehensive solution. In his session at @ThingsExpo, Kausik Sridhar, founder and CTO of Pulzze Systems, discussed how given the magnitude of today's application ...
Recently, REAN Cloud built a digital concierge for a North Carolina hospital that had observed that most patient call button questions were repetitive. In addition, the paper-based process used to measure patient health metrics was laborious, not in real-time and sometimes error-prone. In their session at 21st Cloud Expo, Sean Finnerty, Executive Director, Practice Lead, Health Care & Life Science at REAN Cloud, and Dr. S.P.T. Krishnan, Principal Architect at REAN Cloud, discussed how they built...
In his session at 21st Cloud Expo, Raju Shreewastava, founder of Big Data Trunk, provided a fun and simple way to introduce Machine Leaning to anyone and everyone. He solved a machine learning problem and demonstrated an easy way to be able to do machine learning without even coding. Raju Shreewastava is the founder of Big Data Trunk (www.BigDataTrunk.com), a Big Data Training and consulting firm with offices in the United States. He previously led the data warehouse/business intelligence and B...
The “Digital Era” is forcing us to engage with new methods to build, operate and maintain applications. This transformation also implies an evolution to more and more intelligent applications to better engage with the customers, while creating significant market differentiators. In both cases, the cloud has become a key enabler to embrace this digital revolution. So, moving to the cloud is no longer the question; the new questions are HOW and WHEN. To make this equation even more complex, most ...
As you move to the cloud, your network should be efficient, secure, and easy to manage. An enterprise adopting a hybrid or public cloud needs systems and tools that provide: Agility: ability to deliver applications and services faster, even in complex hybrid environments Easier manageability: enable reliable connectivity with complete oversight as the data center network evolves Greater efficiency: eliminate wasted effort while reducing errors and optimize asset utilization Security: imple...
In his Opening Keynote at 21st Cloud Expo, John Considine, General Manager of IBM Cloud Infrastructure, led attendees through the exciting evolution of the cloud. He looked at this major disruption from the perspective of technology, business models, and what this means for enterprises of all sizes. John Considine is General Manager of Cloud Infrastructure Services at IBM. In that role he is responsible for leading IBM’s public cloud infrastructure including strategy, development, and offering m...
With tough new regulations coming to Europe on data privacy in May 2018, Calligo will explain why in reality the effect is global and transforms how you consider critical data. EU GDPR fundamentally rewrites the rules for cloud, Big Data and IoT. In his session at 21st Cloud Expo, Adam Ryan, Vice President and General Manager EMEA at Calligo, examined the regulations and provided insight on how it affects technology, challenges the established rules and will usher in new levels of diligence arou...
The past few years have brought a sea change in the way applications are architected, developed, and consumed—increasing both the complexity of testing and the business impact of software failures. How can software testing professionals keep pace with modern application delivery, given the trends that impact both architectures (cloud, microservices, and APIs) and processes (DevOps, agile, and continuous delivery)? This is where continuous testing comes in. D
Modern software design has fundamentally changed how we manage applications, causing many to turn to containers as the new virtual machine for resource management. As container adoption grows beyond stateless applications to stateful workloads, the need for persistent storage is foundational - something customers routinely cite as a top pain point. In his session at @DevOpsSummit at 21st Cloud Expo, Bill Borsari, Head of Systems Engineering at Datera, explored how organizations can reap the bene...
Digital transformation is about embracing digital technologies into a company's culture to better connect with its customers, automate processes, create better tools, enter new markets, etc. Such a transformation requires continuous orchestration across teams and an environment based on open collaboration and daily experiments. In his session at 21st Cloud Expo, Alex Casalboni, Technical (Cloud) Evangelist at Cloud Academy, explored and discussed the most urgent unsolved challenges to achieve f...
The dynamic nature of the cloud means that change is a constant when it comes to modern cloud-based infrastructure. Delivering modern applications to end users, therefore, is a constantly shifting challenge. Delivery automation helps IT Ops teams ensure that apps are providing an optimal end user experience over hybrid-cloud and multi-cloud environments, no matter what the current state of the infrastructure is. To employ a delivery automation strategy that reflects your business rules, making r...
The 22nd International Cloud Expo | 1st DXWorld Expo has announced that its Call for Papers is open. Cloud Expo | DXWorld Expo, to be held June 5-7, 2018, at the Javits Center in New York, NY, brings together Cloud Computing, Digital Transformation, Big Data, Internet of Things, DevOps, Machine Learning and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding busin...
In a recent survey, Sumo Logic surveyed 1,500 customers who employ cloud services such as Amazon Web Services (AWS), Microsoft Azure, and Google Cloud Platform (GCP). According to the survey, a quarter of the respondents have already deployed Docker containers and nearly as many (23 percent) are employing the AWS Lambda serverless computing framework. It’s clear: serverless is here to stay. The adoption does come with some needed changes, within both application development and operations. Tha...