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Critical Reflections From the Black Women First Initiative.

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The Black Women First initiative aimed to address health disparities for Black women with HIV. Future efforts must dismantle systemic racism, not just address race, to improve HIV care and treatment outcomes.

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Area of Science:

  • Public Health
  • Health Equity
  • Racial Justice in Health

Background:

  • The HIV epidemic disproportionately affects Black women.
  • The Black Women First initiative was launched in 2020, the first focused on Black women in 40 years.
  • Addressing health and social needs is crucial for Black women in HIV care.

Purpose of the Study:

  • To critically discuss the Black Women First initiative using critical reflexivity and Public Health Critical Race praxis.
  • To examine factors contributing to the initiative's successes and challenges.
  • To provide recommendations for future efforts focused on dismantling racism in HIV care for Black women.

Main Methods:

  • Critical reflexivity was employed.
  • Public Health Critical Race praxis was utilized.
  • Analysis of the initiative's framing, components, successes, challenges, and opportunities.

Main Results:

  • The initiative involved Black women with lived experiences and racial justice organizations, challenging racism.
  • Racism, not race, is identified as the root cause of the disproportionate HIV burden.
  • While racism was not the initiative's focus, it was challenged through engagement.

Conclusions:

  • Advancing health for Black women with HIV requires a comprehensive approach that directly addresses racism.
  • Future efforts must change intervention funding, service delivery, and success measurement to dismantle systemic racism.
  • Focusing on dismantling racism is essential for effective HIV care and treatment for Black women.