Adapting CDC DEBI list for target audiences is a major issue among CBOs. Translation changes can affect funding.

State and federal funding already was tight, and now it has become tighter for prevention work since most funding sources are requiring HIV organizations to follow strict guidelines regarding the use of evidence-based HIV prevention interventions. So far, the CDC has a list of 12 evidence-based interventions that include training materials for sites that desire to replicate them, but this limited list does not meet all of the target population needs. So behavior scientists say the interventions often need extensive adaptation, which is both expensive and difficult.