Eliminating racism to achieve racial equity is certainly a grand challenge. America was built on racism, white supremacy, and colonization; so, understanding history and context are essential to progress. The Grand Challenge to Eliminate Racism calls for the social work profession to focus on the centrality of racism, both within society and the profession. We reflect on the profession’s racist history and examine social work’s current positionality by reviewing the inclusion of race and racism across all grand challenges. Efforts to eliminate racism and white supremacy must focus on evidence and practice-based research that cultivate innovation to improve the conditions of daily life for all and facilitate change at the individual, organizational, community, professional, and societal levels. We prioritize personal awareness, antiracism workforce development that advances community empowerment, revision of social work education, and policy agendas that eliminate racism and white supremacy from organizations and include continuous evaluation with accountability.

Woman to Woman (W2W) is a novel adaptation of the Sisters Informing Sisters about Topics on AIDS (SISTA) HIV prevention program. This article describes the process of adapting and piloting W2W based on recommendations from existing HIV prevention research. Six older women, all of whom had histories of homelessness and the majority of whom identified as African American, enrolled in the study, which piloted the adapted intervention and materials, evaluated the acceptability of the program, and assessed the measures related to the intervention. Participants described satisfaction with the program and had high rates of attendance; observations regarding the measures suggest the need to further develop assessments of HIV knowledge, condom use self-efficacy, and risk behaviors in this context.

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