This resource brief provides a selection of current, high-quality resources to support the new Ending the HIV Epidemic: A Plan for America, a ten-year initiative beginning in FY 2020 to achieve the important goal of reducing new HIV infections to less than 3,000 per year by 2030. HRSA’s Ryan White HIV/AIDS Program and Health Center Program will play a leading role in helping diagnose, treat, prevent, and respond to end the HIV epidemic. Topics in this brief range from the need for screening and treatment to special focuses on how to conduct successful outreach to special and vulnerable populations.
New Resource: Ending the HIV Epidemic (EHE)-Primary Care HIV Prevention (PCHP): Training and Technical Assistance Resources for PCHP Awardees. This new resource from HRSA BPHC provides training and technical assistance (T/TA) materials developed by BPHC-supported T/TA Partners and curated by BPHC to address the following top four TA areas requested in the FY 2021 PCHP applications. Also included are links to more general BPHC-supported and Federal EHE resources.
About the Issue
According to the latest available data, in 2017, 38,739 people received an HIV diagnosis in the United States. That annual number of new diagnoses has remained essentially stable since 2013. Further, approximately 15% (or 1 in 7) of the estimated 1.1 million people with HIV in the U.S. don’t know they have it. These data make clear that not all people who need them are benefitting from the powerful HIV prevention and treatment tools currently available. Specifically, certain populations and geographic areas continue to bear a disproportionate burden of HIV disease, requiring us to sharpen the focus of our collective prevention efforts on: gay and bisexual men, African Americans and Hispanics/Latinos, and U.S. residents of southern states (HIV.gov, Status of HIV in America).
HRSA Ending the HIV Epidemic Initiative Strategies and Resources
HRSA’s efforts will focus on four key strategies that together can end the HIV epidemic in the U.S.:
Diagnosis. HRSA’s Health Center Program will increase HIV testing in high impacted areas by conducting expanded outreach within their communities and increasing routine and risk-based HIV testing of health center patients.
HIV Care and Treatment. If HRSA’s Ryan White HIV/AIDS Program receives funding and flexibility to direct the funding to the identified jurisdictions for the Ending the HIV Epidemic initiative, HRSA will focus on linking people living with HIV who are either newly diagnosed, or are diagnosed but currently not in care, to the essential HIV care and treatment and support services needed to help them achieve an undetectable viral load.
Prevention. An estimated 1.2 million Americans are at high risk for HIV infection, but fewer than 10 percent use PrEP. HRSA plans to focus on key geographic areas and expand access to PrEP for health center patients who are at highest risk of acquiring HIV infection. This will include receiving referrals from community-based programs and providing PrEP for those who are at high risk.
Response. HRSA’s Ryan White HIV/AIDS Program and Health Center Program will support these transmission-ending strategies by providing HIV care and treatment (RWHAP) and PrEP (CHC) to those identified through cluster detection activities.
Highlighted Resources from the Clearinghouse
- Benefits of Oral HIV Testing in the Dental Chair – 2011 NNOHA Promising Practice
Mobile Patients from the Migrant Clinicians Network (MCN):
- Approaches for Establishing a PCMH for Mobile Patients – Streamline newsletter article (discusses HIV illness among others as an appropriate use of Health Network)
- James and His Brother: A Health Network Case Study on TB and HIV Co-Infection – blog post
- Structuring HIV Care for Mobile HIV Patient – webinar
Patient navigation and case management. MCN has provided patient navigation and case management to 28 HIV/AIDS patients since 2000 and continue working with 7 HIV/AIDS patients whose cases are still ongoing.
Contact. Karen Mountain, MCN’s CEO, serves on the Steering Committee for the South Central AIDS Education and Training Center, representing FQHCs and special populations. This is the Committee’s contact information:
Henry Pacheco, MD
South Central AIDS Education & Training Center
Parkland Health & Hospital System
8435 N. Stemmons Frwy., 11th Floor, Suite 1125
Dallas, Texas 75247
Webinars (most recent to oldest)
- HIV and STI Prevention among LGBTQ People – November 2018
- What’s new in STI epidemiology, prevention, and treatment for Men Who Have Sex With Men (MSM)? – April 2018
- Pre-Exposure Prophylaxis (PrEP) for HIV: The Basics and Beyond – October 2017
- Black MSM and PrEP: Challenges and Opportunities – March 2017
- Current Topics in HIV Pre-exposure Prophylaxis (PrEP) – August 2016
- Preventing HIV with PrEP: A Clinical Update – April 2016
- Addressing HIV Disparities among Men Who Have Sex with Men –January 2016
- Can we end the epidemic? An update on HIV screening, prevention, and treatment – September 2015
- Implementing PrEP for HIV Prevention: State-wide Initiatives and Provider Experiences – June 2015
- Care of the Older Adult with HIV Infection – October 2015
- Understanding the 2015 STD Treatment Guidelines for LGBT People – June 2015
- PrEP for HIV Prevention: Real World Clinical Case Studies – April 2015
- Current Progress in PrEP and other HIV Prevention Technologies – January 2015
- Pre-Exposure Prophylaxis to Prevent HIV Transmission – May 2014
- Rural Latino LGBT HIV Prevention: Community Building and Access to Care – January 2014
- Recent Breakthroughs in HIV Prevention for Transgender People and Men who Have Sex with Men – May 2013
TransTalks (from Advancing Excellence in Transgender Health Conference)
- PrEP and Transgender Communities: Evidence Informed Practices (2018)
- Transgender People and HIV (2016)
- Pre-exposure Prophylaxis for HIV Prevention: Clinical Cases
- Getting to Zero: Reducing HIV Incidence through Screening, Treatment, and Prevention
- Best Practices in HIV Prevention: Translating Innovation into Action
- HIV Prevention in the South: Reducing Stigma, Increasing Access
- Providing Trauma-Informed Care at Health Centers for HIV-Positive Men Who Have Sex with Men
- Transgender Women and Pre-exposure Prophylaxis for HIV Prevention: What We Know and What We Still Need to Know
All Resources from the Clearinghouse
The clearinghouse actively collects focused resources on this topic. You can view all resources within the clearinghouse related to the HIV epidemic here. Many of the resources located at this link were developed by the National LGBT Health Education Center.