Culturally competent HIV prevention for African, Caribbean, and Black communities and Indigenous Peoples

Key take-home messages

• Developing culturally sensitive approaches and materials helps ensure HIV prevention interventions are relevant, acceptable, and responsive to the needs of the intended population groups.

• Close collaboration with target communities is essential to the development of culturally grounded and culturally safe programs. For example, the inclusion of a community specific advisory board (such as an Indigenous advisory board) can guide the successful adaptation of an existing intervention, ensuring that its content reflects the practices, worldviews, and experiences of the service recipients.

• Culturally competent interventions and strategies that affirm individuals’ racial, ethnic, and sexual identities are especially needed. Culturally safe services that are appropriately tailored and co-developed with communities are highly valued.

• The culturally informed client-centered care coordination model (C4™) for HIV pre-exposure prophylaxis (PrEP) among Black men who have sex with men is a successful example of a culturally competent HIV prevention strategy.

• Epidemiology and Determinants of Health
  • Determinants of Health
• Determinants of Health
  • Social support
  • Health services
  • Stigma/discrimination
• Population(s)
  • Indigenous communities
  • Ethnoracial communities
  • General HIV- population
• Prevention, Engagement and Care Cascade
  • Prevention
• Prevention
  • Sexual risk behaviour
  • Biomedical interventions
  • Education/media campaigns
• Health Systems
  • Governance arrangements
  • Delivery arrangements