Table 4.

Recommendations for Messaging and Dissemination

Recommendation	Theme
Establish closed loop communication with primary care providers regarding HIV case reports	Theme 1: Context Matters
Provide information about MHS to a variety of interventionists and public health service workers	Theme 1: Context Matters
Avoid the word "surveillance" in public messaging campaigns regarding MHS and CDR	Theme 2: Making Sense of MHS
Messaging should be developed specific to various populations’ needs	Theme 3: Messaging, Equity, and Resource Prioritization
Make information about health departments’ use of MHS data widely available to community members and accessible at a diversity of sites and locations (e.g., community meetings, via homeless health care advocates, needle exchange sites, shelters, clinics, and routine HIV testing sites)	Theme 3: Messaging, Equity, and Resource Prioritization
Prioritize community education regarding the use of MHS data prior to intervention	Theme 3: Messaging, Equity, and Resource Prioritization
Utilize peer educators to share information about MHS	Theme 4: Operationalizing Confidentiality
Disease intervention specialists should focus on providing information about the confidential nature of contact with potential cluster members	Theme 4: Operationalizing Confidentiality
Share information about the use of biospecimens in the context of MHS at the time of blood draw	Theme 4: Operationalizing Confidentiality
Address concerns about unwanted disclosure of one’s HIV status and safety	Theme 5: Stigma, Vulnerability, and Power

Note. CDR = cluster detection and response; MHS = molecular HIV surveillance.