Effective Interventions

Effective Interventions

High Impact Prevention

Video Opportunities for Innovative Condom Education & Safer Sex: A group-level, single-session video-based intervention designed to increase condom use among heterosexual African American and Latino men and women who visit STD clinics.

Important CDC Update: 

The CDC’s strategy for High Impact HIV Prevention involves prioritizing and implementing an optimal combination of cost-effective, scalable interventions based on the current state of the science.  This shift should help improve the effectiveness of HIV prevention efforts, reduce HIV incidence, and ultimately increase the possibility of achieving an AIDS-free America.  In its ongoing effort to align HIV prevention resources with current surveillance data and this strategy, the Division of HIV/AIDS Prevention (DHAP) at CDC will not offer trainings or capacity building assistance on the following evidence-based interventions (EBIs): AIM, ¡Cuídate!, Focus on Youth, MIP, Nia, RAPP, Safety Counts, SHIELD, SIHLE, SISTA, Street Smart, RESPECT and VOICES/VOCES (except when used with MSM). The Division also will not offer trainings or capacity building assistance on some new EBIs, such as Healthy Love. Health departments or other funders may continue to support implementation of these EBIs, and the implementation materials for all these interventions will remain on this site and be available for download. If you have additional questions about this issue, please contact interventions@danya.com.

CDC’s Division of Reproductive Health (DRH) will provide support to their grantees on AIM, ¡Cuídate!, and SIHLE. For further information on DRH’s efforts, please contact Trisha Mueller at czj5@cdc.gov

General Training Information (training supported by CDC for use with MSM)

VOICES / VOCES training imageWe strongly recommend that 2-3 staff members per organization attend a VOICES/VOCES training:

Staff Required to Attend:
Group facilitators (or any staff)
who will facilitate the VOICES/VOCES sessions.

Staff Recommended to Attend:
Program Coordinators who provide oversight or supervision to the Group Facilitators and are responsible for coordination of the VOICES/VOCES intervention.


Program Manager or Executive Director to facilitate agency internal capacity building and commitment to the VOICES/VOCES intervention.

Participants, grouped by gender and ethnicity, view an English or Spanish video on HIV risk behaviors and condom use and take part in a facilitated discussion.

The VOICES/VOCES program targets African-American and Latino adult men and women clinic clients.

Become a VOICES/VOCES facilitator online!

This e-Course is great for both new and experienced VOICES/VOCES facilitators. In this course, you can:
  • Watch master trainers lead a single-session group discussion, while ensuring core elements are maintained
  • Learn how to avoid common mistakes facilitating a VOICES/VOCES session
  • Learn how to use VOICES/VOCES videos to lead gender-specific group discussions on condom negotiation skills
  • Improve and refresh your facilitation skills
  • Access a rich resource library

After completing the course online, you will have the option to purchase the VOICES/VOCES Implementation Kit for $130 from EDC (a link is available at the end of the course). The kit contains materials needed to facilitate the intervention, including: a documentation CD, 5 DVDs, bilingual Condom Features Poster Board, penile model, sample condoms and lubricant, and a small carrying bag.

Register for VOICES/VOCES eLearning 
HIP e-Learning Center Logo

Already a VOICES/VOCES facilitator and need to order the implementation kit?

You may visit the Education Development Center's (EDC) site for information on how to purchase the kit. Should you have questions about ordering the VOICES/VOCES implementation kit, please contact Shannon Cassidy - scassidy@edc.org.

VOICES/VOCES Videos (Available): including supplemental videos


VOICES/VOCES Videos & Video Guide:

The Centers for Disease Control and Prevention (CDC) and the Educational Development Center (EDC), with assistance from the Academy for Educational Development (AED), held three one-hour VOICES/VOCES Net Meetings during June - August 2009. The net meetings served as an orientation to four VOICES/VOCES videos: 

  • Do it Right (for African American heterosexual adults)
  • Se Trata de Ti (entirely in Spanish for Latino heterosexual adults)
  • It's About You (the English version of Se Trata de Ti)
  • Safe in the City (for adults at risk for HIV/STDs)

There were discussions around several of the scenes in the videos to demonstrate how to use each video and how to trigger discussions during small-group facilitation. The presenters provided on-the-spot technical assistance to implementers and answered questions about the intervention.

How to request the VOICES/VOCES Videos & Video Guide:

The videos & video guide are available for preview, download and order from this site. However, only agencies that have participated in a CDC-sponsored VOICES/VOCES training and are currently implementing the VOICES/VOCES intervention are eligible to receive the original videos & video guide through the mail. As of April 2009, we have responded to more than 500 agencies implementing VOICES/VOCES.

If you are currently implementing the intervention and your agency has not received a mailer with the four VOICES/VOCES videos, please complete the VOICES/VOCES Video Request Form and include the date and location of the VOICES/VOCES training that you attended. Due to anticipated heavy volume of emails, please allow 2-3 weeks to receive the mailer.

Supplemental VOICES/VOCES Videos:

Eight Supplemental VOICES/VOCES Videos have been approved by the CDC for use as alternative videos for the V/V Intervention. The videos were developed by the Miami-Dade County Health Department, Schwab Rehabilitation Hospital, Broward County Health Department and Northwest Portland Area Indian Health Board to target specific populations in addition to those addressed in the original V/V videos. The eight supplemental videos are:

  • Es tu vida, cuidate (for heterosexual Latino men and women)
    (Developed by Miami-Dade County HD)
  • Paisanos (for Latino migrant farm workers)
    (Developed by Miami-Dade County HD/EMS)
  • Quien te protégé te merecee (for Hispanic MSMs)
    (Developed by Miami-Dade County HD)
  • Love Exchange II (for heterosexual African American men and women)
    (Developed by Florida Dept. of Health, Bureau of HIV/AIDS Prevention Section)
  • Second Chances (for African American re-entry populations)
    (Developed by Broward County Health Department with SAMHSA funds--produced by MiaVision)
  • Poukisa? Paske! (for Haitian heterosexual men and women)
    (Developed by Miami-Dade County HD)
  • POP(Put on Protection) Guys (for disabled persons)
    (Developed by the Schwab Rehabilitation Hospital & Robinson Films, Inc.)
  • Native VOICES (for AI/AN teens and young adults)
    (Developed by Northwest Portland Area Indian Health Board)

How to request the Supplemental VOICES/VOCES Videos:

The supplemental videos are available for preview and download from this site. You may also order 1 copy of each video. All agencies are eligible to receive the supplemental videos. You may reproduce additional copies, as needed. To request a copy of the VOICES Supplemental Videos, complete the Supplemental VOICES/VOCES Videos Request Form. Allow 2-3 weeks to receive the mailer.

Please note: To order the Native VOICES video, please contact native@npaihb.org and put "REQUEST Native VOICES Video" in the subject line of your email. In the body of the email, include your name, mailing address and telephone number. For information about Native VOICES, including how to request additional resources for implementation, visit the Native VOICES Intervention webpage.  

If you have any questions about the VOICES/VOCES intervention or videos, please contact the HIP Project - interventions@danya.com.

Research and Development

O'Donnell, C.R., O'Donnell, L., San Doval, A., Duran, R., Labes, K. (1998). Reductions in STD Infections Subsequent to an STD Clinic Visit: Using Video-based Patient Education to Supplement Provider Interactions. Sexually Transmitted Diseases, 25 (3), 161 – 168.

CDC Policy on Youth Peer Outreach Workers

CDC funded (directly or indirectly) agencies using youth (either paid or volunteer) in program outreach activities, it is very important that said organizations use caution and judgment in the venues/situations where youth workers are placed. Agencies should give careful consideration to the "age appropriateness" of the activity or venue. Additionally, agencies should comply with all relevant laws and regulations regarding entrance into adult establishments/environments. Laws and curfews should be clearly outlined in required safety protocols developed and implemented by agencies directly and indirectly funded by CDC.

If you have specific questions, please contact your CDC project officer.

More Info

VOICES/VOCES Core Elements

  • Viewing culturally-specific videos portraying condom negotiation
  • Conducting small group skill-building sessions to work on overcoming barriers to condom use
  • Educating program participants about different types of condoms and their features
  • Distributing samples of condoms identified by participants as best meeting their needs

The materials on this site are designed for HIV/AIDS prevention with persons at risk for acquiring or transmitting HIV. They are meant to be resources used by HIV prevention providers such as health departments and community-based organizations so as to provide the best evidence-based HIV prevention services. These materials are not meant for the general public. They are not meant for children. They are not school-based HIV prevention strategies.