Journal of Religion and Health

, Volume 54, Issue 1, pp 122–133 | Cite as

A Faith-Based Community Partnership to Address HIV/AIDS in the Southern United States: Implementation, Challenges, and Lessons Learned

  • Winston Abara
  • Jason D. Coleman
  • Amanda Fairchild
  • Bambi Gaddist
  • Jacob White
Original Paper

Abstract

Though race and region are not by themselves risk factors for HIV infection, regional and racial disparities exist in the burden of HIV/AIDS in the US. Specifically, African Americans in the southern US appear to bear the brunt of this burden due to a complex set of upstream factors like structural and cultural influences that do not facilitate HIV/AIDS awareness, HIV testing, or sexual risk-reduction techniques while perpetuating HIV/AIDS-related stigma. Strategies proposed to mitigate the burden among this population have included establishing partnerships and collaborations with non-traditional entities like African American churches and other faith-based organizations. Though efforts to partner with the African American church are not necessarily novel, most of these efforts do not present a model that focuses on building the capacity of the African American church to address these upstream factors and sustain these interventions. This article will describe Project Fostering AIDS Initiatives That Heal (F.A.I.T.H), a faith-based model for successfully developing, implementing, and sustaining locally developed HIV/AIDS prevention interventions in African American churches in South Carolina. This was achieved by engaging the faith community and the provision of technical assistance, grant funding and training for project personnel. Elements of success, challenges, and lessons learned during this process will also be discussed.

Keywords

Faith-based HIV/AIDS prevention programs Community partnerships HIV/AIDS Racial disparities Health promotion Sexual health Organizational capacity 

References

  1. Adimora, A., Schoenbach, V. J., & Doherty, I. (2006). HIV and African Americans in the southern United States: Sexual networks and social context. Sexually Transmitted Disease, 33, S39–S45.CrossRefGoogle Scholar
  2. Beatty, L. A., Wheeler, D., & Gaiter, J. (2004). HIV prevention research for African Americans: Current and future directions. Journal of Black Psychology, 30, 40–58.CrossRefGoogle Scholar
  3. Billingsley, A., & Caldwell, C. H. (1991). The church, the family, and the school in the African American community. Journal of Negro Education, 60, 427–440.CrossRefGoogle Scholar
  4. Centers for Disease Control and Prevention (CDCa). (2013). HIV and AIDS in the United States by geographic distribution. Available at http://www.cdc.gov/hiv/resources/factsheets/PDF/geographic.pdf. Accessed April 5, 2013.
  5. Centers for Disease Control and Prevention (CDCb). (2013). HIV among African Americans Available at http://www.cdc.gov/hiv/topics/aa/index.htm. Accessed April 5, 2013.
  6. Centers for Disease Control and Prevention (CDCc). (2013). Highlights of CDC activities addressing HIV prevention among African American gay, bisexual, and other men who have sex with men. Available at http://www.cdc.gov/hiv/topics/surveillance/resources/factsheets/pdf/highlights_CDC_Activities_July_2011.pdf. Accessed April 5, 2013.
  7. Centers for Disease Control and Prevention (CDCd). (2013). Morbidity and mortality weekly report 2003. HIPAA privacy rule and public health. Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/m2e411a1.htm. Accessed July 12, 2013.
  8. Coleman, J. D., Lindley, L. L., Annang, L., Saunders, R., & Gaddist, B. (2012). Development of a framework for HIV/AIDS prevention programs in African American churches. AIDS Patient Care & STDs, 26, 116–124.CrossRefGoogle Scholar
  9. Crepaz, N., Marshall, K. J., Aupont, L. W., et al. (2009). The efficacy of HIV/STI behavioral interventions for African American females in the United States: A meta-analysis. American Journal of Public Health, 99, 2069–2078.PubMedCentralPubMedCrossRefGoogle Scholar
  10. Darbes, L., Crepaz, N., Lyles, C., Kennedy, G., & Rutherford, G. (2008). The efficacy of behavioral interventions in reducing HIV risk behaviors and incident sexually transmitted diseases in heterosexual African Americans. AIDS, 22, 1177–1194.PubMedCentralPubMedCrossRefGoogle Scholar
  11. DiClemente, R. J., Salazar, L. F., Crosby, R. A., & Rosenthal, S. L. (2005). Prevention and control of sexually transmitted infections among adolescents: The importance of a socio-ecological perspective—a commentary. Public Health, 119, 825–836.PubMedCrossRefGoogle Scholar
  12. Dworkin, S. L., Pinto, R. M., Hunter, J., Rapkin, B., & Remien, R. H. (2008). Keeping the spirit of community partnerships alive in the scale up of HIV/AIDS prevention: Critical reflections on the roll out of DEBI (diffusion of effective behavioral interventions). American Journal of Community Psychology, 42, 51–59.PubMedCentralPubMedCrossRefGoogle Scholar
  13. Effective Interventions. (2013a). Effective interventions. Available at http://www.effectiveinterventions.org/en/HighImpactPrevention/Interventions.aspx. Accessed July 12, 2013.
  14. Effective Interventions. (2013b). Safety counts. Available at http://www.effectiveinterventions.org/en/HighImpactPrevention/Interventions/SafetyCounts.aspx. Accessed July 12, 2013.
  15. Elmore, K. A. (2006). Southern discomfort: AIDS stigmatization in Wilmington, North Carolina. Southeastern Geographer, 46, 215–230.CrossRefGoogle Scholar
  16. Francis, S. A., Lam, W. K., Cance, J. D., & Hogan, V. K. (2009). What’s the 411? Assessing the feasibility of providing African American adolescents with HIV/AIDS prevention education in a faith-based setting. Journal of Religion and Health, 48, 164–177.PubMedCrossRefGoogle Scholar
  17. Francis, A. S., & Liverpool, J. (2009). A review of faith-based HIV prevention programs. Journal of Religion and Health, 48, 6–15.PubMedCrossRefGoogle Scholar
  18. Kaplan, S. A., Calman, N. S., Golub, M., Ruddock, C., & Billings, J. (2006). The role of faith-based institutions in addressing health disparities: A case study of an initiative in the southwest Bronx. Journal of Healthcare for the Poor Underserved, 17, 9–19.CrossRefGoogle Scholar
  19. Lichtenstein, B. (2003). Stigma as a barrier to treatment of sexually transmitted infection in the American Deep South: Issues of race, gender and poverty. Social Science and Medicine, 57, 2435–2445.PubMedCrossRefGoogle Scholar
  20. Lindley, L. L., Coleman, J. D., Gaddist, B. W., & White, J. (2010). Informing faith-based HIV/AIDS interventions: HIV-related knowledge and stigmatizing attitudes at Project F.A.I.T.H churches in South Carolina. Public Health Reports, 125(S1), 12–20.PubMedCentralPubMedGoogle Scholar
  21. Matthews, A. K., Berrios, N., Darnell, J. S., & Calhoun, E. (2006). A qualitative evaluation of a faith-based breast and cervical cancer screening intervention for African American women. Health Education & Behavior, 33, 641–663.CrossRefGoogle Scholar
  22. McKnight, J., & Kretzmann, J. (1992). Mapping community capacity. Evanston, IL: Center for Urban Affairs and Policy, Northwestern University.Google Scholar
  23. Nunn, A., Cornwall, A., Chute, N., Sanders, J., et al. (2012). Keeping the faith: African American faith leaders’ perspectives and recommendations for reducing racial disparities in HIV/AIDS infection. PLoS ONE, 7(5), e36172.PubMedCentralPubMedCrossRefGoogle Scholar
  24. Purcell, D., & McCree, D. (2009). Recommendations from a research consultation to address intervention strategies for HIV/AIDS prevention focused on African Americans. American Journal of Public Health, 99, 1937–1940.PubMedCentralPubMedCrossRefGoogle Scholar
  25. Reif, S., Geonnotti, K. L., & Whetten, K. (2006). HIV infection and AIDS in the Deep South. American Journal of Public Health, 96, 970–973.PubMedCentralPubMedCrossRefGoogle Scholar
  26. Resnicow, K., Campbell, M. K., Carr, C., et al. (2004). Body and soul: A dietary intervention conducted through African-American churches. American Journal of Preventive Medicine, 27, 97–105.PubMedCrossRefGoogle Scholar
  27. Samuel-Hodge, C. D., Keyserling, T. C., France, R., et al. (2006). A church-based diabetes self-management education program for African Americans with type 2 diabetes. Preventing Chronic Disease, 3, A93.PubMedCentralPubMedGoogle Scholar
  28. Smith, J., Simmons, E., & Mayer, K. H. (2005). HIV/AIDS and the Black Church: What are the barriers to prevention services? Journal of the National Medical Association, 97, 1682–1685.PubMedCentralPubMedGoogle Scholar
  29. Taylor, R. J., Thornton, M. C., & Chatters, L. M. (1987). Black Americans’ perceptions of the socio-historical role of the church. Journal of Black Studies, 18, 123–138.CrossRefGoogle Scholar
  30. US Census Bureau. (2012). The black population. Available at http://www.census.gov/prod/cen2010/briefs/c2010br-06.pdf. Accessed December 28, 2012.
  31. US Department of Health and Human Services (USDHHS). Health Information Privacy. Available at http://www.hhs.gov/ocr/privacy/hipaa/administrative/index.html. Accessed July 12, 2013.
  32. Wandersman, A. (2003). Community science: Bridging the gap between science and practice with community-centered models. American Journal of Community Psychology, 31, 227–242.PubMedCrossRefGoogle Scholar
  33. Wilcox, S., Laken, M., Bopp, M., et al. (2007). Increasing physical activity among church members. American Journal of Preventive Medicine, 32, 131–138.PubMedCrossRefGoogle Scholar
  34. Wilton, L., Herbst, J. H., Coury-Doniger, P., Painter, T. M., English, G., Alvarez, M. E., et al. (2009). Efficacy of an HIV/STI prevention intervention for black men who have sex with men: Findings from the Many Men, Many Voices (3MV) project. AIDS and Behavior, 13(3), 532–544.PubMedCrossRefGoogle Scholar
  35. Yanek, L. R., Becker, D. M., Moy, T. F., Gittelsohn, J., & Koffman, D. M. (2001). Project Joy: Faith based cardiovascular health promotion for African American women. Public Health Reports, 116(S1), 68–81.PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Winston Abara
    • 1
    • 2
  • Jason D. Coleman
    • 3
  • Amanda Fairchild
    • 4
  • Bambi Gaddist
    • 5
  • Jacob White
    • 5
  1. 1.Satcher Health Leadership InstituteMorehouse School of MedicineAtlantaUSA
  2. 2.Department of Community Health and Preventive MedicineMorehouse School of MedicineAtlantaUSA
  3. 3.School of Health, Physical Education, and RecreationUniversity of NebraskaOmahaUSA
  4. 4.Department of PsychologyUniversity of South CarolinaColumbiaUSA
  5. 5.South Carolina HIV/AIDS CouncilColumbiaUSA

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