African Americans in the southern United States continue to be disproportionately affected by HIV. Although faith-based organizations (FBOs) play important roles in the social fabric of African American communities, few HIV screening, care, and PrEP promotion efforts harness the power of FBOs. We conducted 11 focus groups among 57 prominent African American clergy from Arkansas, Mississippi, and Alabama. We explored clergy knowledge about the Ending the HIV Epidemic: A Plan for America (EHE); normative recommendations for how clergy can contribute to EHE; and how clergy can enhance the HIV care continua and PrEP. We explored how clergy have responded to the COVID-19 crisis, and lessons learned from pandemic experiences that are relevant for HIV programs. Clergy reported a moral obligation to participate in the response to the HIV epidemic and were willing to support efforts to expand HIV screening, treatment, PrEP and HIV care. Few clergy were familiar with EHE, U = U and TasP. Many suggested developing culturally tailored messages and were willing to lend their voices to social marketing efforts to destigmatize HIV and promote uptake of biomedical interventions. Nearly all clergy believed technical assistance with biomedical HIV prevention and care interventions would enhance their ability to create partnerships with local community health centers. Partnering with FBOs presents important and unique opportunities to reduce HIV disparities. Clergy want to participate in the EHE movement and need federal resources and technical assistance to support their efforts to bridge community activities with biomedical prevention and care programs related to HIV. The COVID-19 pandemic presents opportunities to build important infrastructure related to these goals.

中文翻译：

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非洲裔美国神职人员关于加强结束艾滋病毒流行的联邦计划的建议：一项定性研究。

美国南部的非裔美国人继续不成比例地受到艾滋病毒的影响。尽管基于信仰的组织 (FBO) 在非裔美国人社区的社会结构中发挥着重要作用，但很少有 HIV 筛查、护理和 PrEP 推广工作利用 FBO 的力量。我们对来自阿肯色州、密西西比州和阿拉巴马州的 57 名著名非裔美国神职人员进行了 11 次焦点小组讨论。我们探索了神职人员关于终结艾滋病流行的知识：美国计划 (EHE)；关于神职人员如何为 EHE 做出贡献的规范性建议；以及神职人员如何加强 HIV 护理连续体和 PrEP。我们探讨了神职人员如何应对 COVID-19 危机，以及从与 HIV 项目相关的大流行经验中吸取的教训。神职人员报告了参与应对 HIV 流行病的道德义务，并愿意支持扩大 HIV 筛查、治疗、PrEP 和 HIV 护理的努力。很少有神职人员熟悉 EHE、U = U 和 TasP。许多人建议制定符合文化的信息，并愿意为社会营销努力发声，以消除艾滋病毒的污名化并促进生物医学干预措施的采用。几乎所有神职人员都认为，在生物医学 HIV 预防和护理干预方面的技术援助将增强他们与当地社区卫生中心建立伙伴关系的能力。与宗教组织合作为减少艾滋病毒差异提供了重要而独特的机会。神职人员希望参与 EHE 运动，需要联邦资源和技术援助来支持他们将社区活动与 HIV 相关的生物医学预防和护理计划联系起来的努力。COVID-19 大流行病为建立与这些目标相关的重要基础设施提供了机会。