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Richard H. Needle, PhD, Robert T. Trotter, II, PhD, Merrill Singer, PhD, Christopher Bates, PhD, J. Bryan Page, PhD, David Metzger, PhD and Louis H. Marcelin, PhD

Richard H. Needle is with the GAP program, Centers for Disease Control, Atlanta. Robert T. Trotter II is with the Department of Anthropology, Northern Arizona University, Flagstaff. Christopher Bates is with the Office of HIV/AIDS Policy, US Dept of Health and Human Services, Washington, DC. Merrill Singer is with the Hispanic Health Council, Hartford, Conn. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla. David Metzger is with the Center for Studies of Addiction, University of Pennsylvania, Philadelphia. Louis H. Marcelin is with the Center for Haitian Studies, University of Miami.

Correspondence: Requests for reprints should be sent to Robert T. Trotter II, Department of Anthropology, Northern Arizona University, Campus Box 15200, Flagstaff, AZ 86011 (e-mail: robert.trotter{at}nau.edu).

Objectives. The US Department of Health and Human Services, in collaboration with the Congressional Black Caucus, created a new initiative to address the disproportionate ongoing HIV/AIDS crisis in racial/ethnic minority populations.

Methods. This initiative included deploying technical assistance teams through the Office of HIV/AIDS Policy. The teams introduced rapid assessment and response methodologies and trained minority communities in their use.

Results. The first 3 eligible cities (Detroit, Miami, and Philadelphia) focused assessments in small geographic areas, using multiple methodologies to obtain data.

Conclusions. Data from the first 3 eligible cities provided critical information about changing the dynamics of the HIV/AIDS epidemic at the local level, including program and policy changes and infrastructure redeployment targeted at the most serious social and environmental conditions.

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