National training and technical assistance - despite significant efforts to ending the HIV epidemic (EHE), declines in HIV incidence remain slow, particularly in populations of color

The EHE initiative is not on track to meet its 2025 target of reducing HIV incidence by 75%. Even with evidence-based approaches preventing and stopping the spread of HIV. Key populations, such as black CIS-gender women black and hispanic/latino men who have SEX with men and transgender women of color continue to experience poor HIV outcomes, including high incidence rates. Jurisdictions prioritized as part of the EHE initiative faces significant implementation barriers in providing adequate diagnostic, treatment, prevention, and response resources for those groups that need them the most, among those in the highest need. There remains an unmet need for building capacity and providing technical support to ensure that jurisdictions with the highest HIV burden implement and execute approaches that will lead to the national HIV/aids strategy goal to reduce new infections by 90% by 2030. Georgetown university center for global health practice and impact, in partnership with boston university school of public health, ABT global, and consultants from the mayo clinic, have created a technical assistance provider (GU TAP) team in response to this nofo hrsa 25-064. GU TAP proposes an evidence-based framework to foster collaboration and innovation within and across jurisdictions to accelerate improvement in high-need jurisdictions. The team has three main goals, first, to enhance technical capacity and assist hrsa 25-063 recipients with the implementation of proposed prevention and intervention strategies through the provision of innovative approaches, public health and clinical expertise, the integration of technology, building unique interagency networks, and creating strong resources. Second, institutionalize a quality improvement practice to address bottlenecks impeding project implementation and, third, establish a structured process for disseminating lessons learned and best practices to allow for replication in EHE jurisdictions. The GU TAP approach will address challenges and build on existing opportunities, like (1) the breadth and depth of current or previous collaboration between EHE jurisdictions and current and proposed interventions, (2) barriers and limitations to implementing or expanding strategies related to HIV clinical care, (3) perceived benefits to collaborating between programs (4) HIV data collection, use, and quality concerns, (5) opportunities to enhance information sharing and utilization for overall improvement of HIV client care provision and outcomes. With our combined expertise, the GU TAP team will provide exceptional technical assistance to hrsa 25-063 recipients, mainly through learning collaboratives, communities of practice, technical working groups, curricula development, and the application of implementation science frameworks.