Proven Scientific Evidence Based Implementation Strategies-

• duals #GOMOJO has been seeking vending machines and now has resolved the dream come true coming to anywhere alcohol is served. , 3) communities at greatest risk for HIV infection, especially those marginalized by social, economic, or other structural conditions, or 4) the general population within jurisdictions with high HIV incidence.
• Supplement the CD program with more intense risk reduction interventions or other prevention or health services for individuals at highest risk. Integrate CD program activities within other community-level intervention approaches to promote condom use and other risk reduction behaviors.
• Establish organizational support for condom distribution and promotion activities in traditional and non-traditional venues.
• Conduct community-wide mobilization efforts to support and encourage condom use.
• Important issues to consider while planning and designing a CD program are:Develop a process for identifying and engaging appropriate community partners.- #GOMOJO is the paved map to going wherever the virus goes and that was is and will always be the best part of MOJO goes wherever people party, play, live, learn, travel to, relax, worship, hike, bike, Everywhere I go and see a young black male I would pull out a mojo bag full of condoms and discuss the HIV/AIDS epidemic and we would talk about our family members who are and have silently lived the same thing. These kids are scared and amazing and change is here kids.
• Identify who plans, implements, manages, and provides resources to support a CD program. CHECK, CHECK CHECK, CHECK
• Identify obstacles to reaching members of vulnerable or hard-to-reach populations and strategies to overcome them. CHECK, GOMOJO GOES WHEREVER PEOPLE GO.
• Calculate the costs and determine the scale of a CD program.
• Identify the laws, policies, or practices that may support or hinder a CD program.
• Define programmatic objectives, key indicators for measuring performance, and how these data will be collected. Key indicators to consider are:
  • Number of condoms distributed
  • Number of agencies, venues, or settings where free condoms are distributed
  • Estimated number of audience impressions from campaign messages

Snapshots of Existing CD Programs

MOJO LIFESAVERS N ew York City Department of Health & Mental Hygiene (NYC DOHMH)

• The NYC DOHMH distributes free condoms and water-based lubricants to partnering organizations through their Web site.
• Partners include traditional public health agencies (e.g. clinics, hospitals, CBOs, shelters), schools, and businesses (e.g. health clubs, bars, barbershops, clothing stores, hotels).
• Distribution grew from 5.8 million free condoms in 2004 to 17.3 million in 2006 to 41.5 million in 2009.
• Since 2007, DOHMH has branded, packaged, and distributed its own “NYC Condom” to appeal to the local community.
• Social marketing campaigns are conducted annually and include TV and subway ads, web banners, and posters. Ad designs are tailored to particular communities within NYC.
• Social media are being used to promote condom use.
• The Web site also provides information on free condoms by zipcode and borough, correct condom usage, and other HIV/STD resources in the city.

District of Columbia (DC) Department of Health: HIV/AIDS, Hepatitis, STD, & TB Administration (HAHSTA)

• HAHSTA distributes free condoms and lubricants to partnering organizations and to any DC resident through their Web site.
• More than 300 traditional partners and hundreds of other local businesses (e.g. clubs, laundromats, convenience stores, beauty shops, nail salons, barber shops, liquor stores) provide free condoms to the community.
• Distribution grew from 500,000 free condoms in 2007 to 3.5 million in 2009.
• The social marketing campaign includes customized condom packages, dispensers, information cards, stickers, t-shirts, and posters/decals to promote condom use and emphasize condom availability at participating locations.
• The Web site provides information on where to obtain free condoms and correct condom usage.
• Youth-specific condom promotion and education campaigns have been developed to work with youth-serving CBOs and schools.
• Social media are being used to promote condom use and to identify locations that provide free condoms by zip code.

Next Steps

CDC has identified additional examples of condom distribution programs implemented in various settings that may be useful to agencies interested in initiating or augmenting their condom distribution programs. Those examples, along with additional resources, will be included in a Condom Distribution Toolkit that CDC intends to publish in early 2011.

Highlights from the UNAIDS Position Statement on Condoms and HIV Prevention

• Condom use is a critical element in a comprehensive, effective and sustainable approach to HIV prevention and treatment.

• The male latex condom is the single, most efficient, available technology to reduce the sexual transmission of HIV and other sexually transmitted infections.

• Condoms must be readily available universally, either free or at low cost, and promoted in ways that help overcome social and personal obstacles to their use.

• HIV prevention education and condom promotion must overcome the challenges of complex gender and cultural factors.

• Condoms have played a decisive role in HIV prevention efforts in many countries.

• Increased access to antiretroviral treatment creates the need and the opportunity for accelerated condom promotion.

Here is a study done by the http://www.cdc.gov/hiv/resources/factsheets/condom_distribution.htm