Some of the most important HIV prevention work in this country never happens in a clinic. It happens in barbershops and church basements, at ballroom houses and pride events, in mobile vans parked outside nightclubs at 1 a.m. Community-based organizations, CBOs, have been the front door of HIV prevention for decades, and a lot of that work has historically been supported with federal funding. A recent analysis from amfAR asked a straightforward question: what happens if that

Think about what daily oral PrEP actually demands: remember a pill every single day, keep the bottle somewhere safe, have an answer ready if someone asks what it's for. For young Black women in the South — who carry a heavy share of new HIV diagnoses — that's a lot to ask, and uptake shows it. So we asked 75 Black women, ages 18 to 34, in Atlanta, Baton Rouge, and Jackson: if you could prevent HIV without a daily pill, what would you pick? We walked them through three options

At one point we only had a pill that prevents HIV. Now we also have a long-acting shot. They work really well. Yet, not enough people take it — especially in the South, where the burden is heaviest. So our team asked a different question: what if the problem isn't just getting people to a pill or a shot, but the options themselves? What would people actually want to use? We sat down (virtually) with 98 Black, Latino, and White gay and bisexual men across the South — some alre