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minority aids initiative

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minority aids initiative

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    1. Minority AIDS Initiative Targeting Communities of Color Toward Elimination of HIV/AIDS Health Disparities

    2. 2 A targeted initiative aimed at reducing the disproportionate impact of HIV/AIDS on racial and ethnic minorities, and part of the larger initiative to eliminate racial and ethnic disparities in health by the year 2010 History In March 1998, African American community leaders were briefed on HIV/AIDS data demonstrating the epidemic’s disproportionate impact on African Americans The African American leaders developed a Call to Action requesting the President and Surgeon General to declare HIV/AIDS a “state of emergency” in the African American community. They also testified before the Congressional Black Caucus urging support of their call for a state of emergency This slide describes at length the process through which the Minority AIDS Initiative came to exist as a critical tool for addressing the disproportionate impact of HIV/AIDS on communities of color. It was the Congressional Black Caucus who responded to the alarming statistics of incidence of HIV in the African American community, and together with the Clinton Administration announced the establishment of the Congressional Black Caucus Initiative, as it was named then, to be administered within the Department of Health and Human Services. When the Congressional Hispanic and Asian Pacific American Caucuses joined in supporting expansion of the Initiative, it was renamed the Minority AIDS Initiative.This slide describes at length the process through which the Minority AIDS Initiative came to exist as a critical tool for addressing the disproportionate impact of HIV/AIDS on communities of color. It was the Congressional Black Caucus who responded to the alarming statistics of incidence of HIV in the African American community, and together with the Clinton Administration announced the establishment of the Congressional Black Caucus Initiative, as it was named then, to be administered within the Department of Health and Human Services. When the Congressional Hispanic and Asian Pacific American Caucuses joined in supporting expansion of the Initiative, it was renamed the Minority AIDS Initiative.

    3. 3 Why is the Minority AIDS Initiative Important? The overall goal of the MAI Initiative is to address racial/ethnic disparities in HIV-related health outcomes, and expand community-based capacity to serve people of color living with HIV/AIDS. Because the dynamic nature of the HIV/AIDS epidemic presents so many complex challenges, it requires intensified efforts to respond effectively. This is why an initiative such as the MAI is so crucial for strengthening the capacity and infrastructure of communities that are most affected by the epidemic. Because the dynamic nature of the HIV/AIDS epidemic presents so many complex challenges, it requires intensified efforts to respond effectively. This is why an initiative such as the MAI is so crucial for strengthening the capacity and infrastructure of communities that are most affected by the epidemic.

    4. 4 Why is the Minority AIDS Initiative Important? The MAI supports key initiatives that directly benefit communities of color aimed at three specific goals: Increasing access to prevention, care and treatment services; Capacity building of health systems’ organizational infrastructure; and Building stronger community linkages to address HIV prevention and health care needs of racial/ethnic minority populations. Since the MAI was established in 1999, HRSA has examined HIV/AIDS care and support programs and levels of service available in communities of color, and through the MAI provided for targeted expansion and creation of new services to address gaps and weaknesses in serving these communities. These efforts fall within three goals: Increasing access to prevention, care and treatment services; Capacity building of health systems’ organizational infrastructure and Building stronger community linkages to address HIV prevention and health care needs of racial/ethnic minority populationsSince the MAI was established in 1999, HRSA has examined HIV/AIDS care and support programs and levels of service available in communities of color, and through the MAI provided for targeted expansion and creation of new services to address gaps and weaknesses in serving these communities. These efforts fall within three goals: Increasing access to prevention, care and treatment services; Capacity building of health systems’ organizational infrastructure and Building stronger community linkages to address HIV prevention and health care needs of racial/ethnic minority populations

    5. 5 How is the Minority AIDS Initiative Funded? Minority AIDS Initiative funding streams: 1. Annual Labor, Health, Human Services and Education Appropriations legislation 2. $50 million allocation to the Department of Health and Human Services known as the Secretary’s MAI Fund The MAI has two funding streams: A Congressional appropriation included in the annual Labor, Health, Human Services and Education Appropriations legislation and A $50 million allocation to the Department of Health and Human Services known as the Secretary’s MAI Fund.The MAI has two funding streams: A Congressional appropriation included in the annual Labor, Health, Human Services and Education Appropriations legislation and A $50 million allocation to the Department of Health and Human Services known as the Secretary’s MAI Fund.

    6. 6 How Is the Minority AIDS Initiative Funded? Funding Minority AIDS Initiative Fiscal Year 2006 This slide shows the distribution of MAI funds among Department of Health and Human Services agencies and offices in Fiscal Year 2006. The various offices in the Office of the Secretary that received MAI funds are the Office of HIV/AIDS Policy; the Office of Minority Health; the Office of Population Affairs and the Office of Women’s Health. This serves to demonstrate the wide scope of the MAI Initiative to serve communities of color.This slide shows the distribution of MAI funds among Department of Health and Human Services agencies and offices in Fiscal Year 2006. The various offices in the Office of the Secretary that received MAI funds are the Office of HIV/AIDS Policy; the Office of Minority Health; the Office of Population Affairs and the Office of Women’s Health. This serves to demonstrate the wide scope of the MAI Initiative to serve communities of color.

    7. 7 How is the Minority AIDS Initiative Funded? Percentage Distribution of Minority AIDS Initiative Funding Among Department of Health and Human Services Agencies Here we see the percentage distribution of MAI funds, which includes the congressional appropriation and the Secretary’s MAI Fund. HRSA receives 35%; SAMHSA 29%; CDC 27%; the Office of the Secretary 8% and the Indian Health Service 1%.Here we see the percentage distribution of MAI funds, which includes the congressional appropriation and the Secretary’s MAI Fund. HRSA receives 35%; SAMHSA 29%; CDC 27%; the Office of the Secretary 8% and the Indian Health Service 1%.

    8. 8 How is the Minority AIDS Initiative Funded? The Minority AIDS Initiative funds are a critical support to the portfolio of CARE Act programs under Titles I (Part A), II (Part B), III (Part C), IV (Part D), AIDS Education and Training Centers (AETCs), Special Projects of National Significance (SPNS), technical assistance and evaluation activities. The Minority AIDS Initiative funds are leveraged with and CARE Act program funds to support activities under Titles I, II, III and IV, the AIDS Education and Training Centers, the Special Projects of National Significance, and technical assistance and evaluation activities.The Minority AIDS Initiative funds are leveraged with and CARE Act program funds to support activities under Titles I, II, III and IV, the AIDS Education and Training Centers, the Special Projects of National Significance, and technical assistance and evaluation activities.

    9. 9 How is the Minority AIDS Initiative Funded? HRSA MAI Funding Fiscal Years (FY) 1999-06 Year Congressional Appropriation Secretary’s MAI Fund ($ millions) ($ millions) FY1999 24.3 5.8 FY2000 74.0 5.0 FY2001 110.2 6.1 FY2002 123.6 6.2 FY2003 130.4 5.6 FY2004 129.6 6.9 FY2005 128.5 8.2 FY2006 127.3 8.6 In this slide we see a historical view of MAI funding received by HRSA since Fiscal Year 1999 broken into the congressional appropriation and Secretary’s MAI Fund categories. In this slide we see a historical view of MAI funding received by HRSA since Fiscal Year 1999 broken into the congressional appropriation and Secretary’s MAI Fund categories.

    10. 10 What is HRSA’s Part in the Initiative? In Fiscal Year 2006, the MAI is funding 15 programmatic activities at HRSA through its two funding streams. Congressional Appropriation: Titles I, II, III, IV AIDS Education and Training Centers Secretary’s MAI Fund: Enhancing Primary HIV/AIDS Care Peer Educator Training Sites and Resource Evaluation Center U.S./Mexico HIV/AIDS AETC Border Training Initiative Cross-Cultural Tools for Providers of Clinical Care to HIV/AIDS Adolescent Populations Foreign Born Providers Project Knowledge Sharing and Learning (KSL) Program MAI funds 15 program activities at HRSA, broken down by those funded through the Congressional appropriation, and those funded through the Secretary’s MAI Fund. Our presenters today will profile some of these programs to increase your understanding of how MAI addresses enhances service systems and increases capacity in communities of color. MAI funds 15 program activities at HRSA, broken down by those funded through the Congressional appropriation, and those funded through the Secretary’s MAI Fund. Our presenters today will profile some of these programs to increase your understanding of how MAI addresses enhances service systems and increases capacity in communities of color.

    11. 11 What is HRSA’s Part in the Initiative Evaluation Through its ongoing evaluation of the Minority AIDS Initiative, HRSA gains understanding of who is being served, how they are being served, and what is the organizational structure, capacity and characteristics of service providers receiving Minority AIDS Initiative funds as a measure of the impact of the Initiative. Long term evaluation is an integral part of HRSA’s efforts regarding the MAI Initiative. We have supported evaluation studies in the past to assess whether the Initiative enhances the ability of the CARE Act service system to reduce disparities in access to and use of HIV/AIDS related services in communities of color. We also have reporting requirements we need to respond to, specifically, from the Office of HIV/AIDS Policy, Congress, the Office of Management and Budget and any other inquiry received. For this reason, HRSA is currently undertaking an effort aimed to achieve more consistency and uniformity in data collection related to the MAI Initiative.Long term evaluation is an integral part of HRSA’s efforts regarding the MAI Initiative. We have supported evaluation studies in the past to assess whether the Initiative enhances the ability of the CARE Act service system to reduce disparities in access to and use of HIV/AIDS related services in communities of color. We also have reporting requirements we need to respond to, specifically, from the Office of HIV/AIDS Policy, Congress, the Office of Management and Budget and any other inquiry received. For this reason, HRSA is currently undertaking an effort aimed to achieve more consistency and uniformity in data collection related to the MAI Initiative.

    12. 12 What is HRSA’s Part in the Initiative? In the last two years, HRSA has been developing and customizing data collection instruments, as well as a process, to achieve a higher level of consistency and uniformity in MAI data collection efforts relative to Minority AIDS Initiative-funded programs. We aim to have in place a process that yields ongoing performance data on the Initiative, and that is consistent and uniform, to enhance our monitoring efforts and our ability to generate reports and overall administer the Initiative more effectively.We aim to have in place a process that yields ongoing performance data on the Initiative, and that is consistent and uniform, to enhance our monitoring efforts and our ability to generate reports and overall administer the Initiative more effectively.

    13. 13 What is HRSA’s Part in the Initiative? Core evaluation questions developed as part of this process: 1. Have MAI funds resulted in changes in the number of minorities served? 2. Have MAI funds resulted in increases in the number of minority providers? 3. Have MAI funds been used to expand the availability and accessibility of HIV care services to minority populations? 4. Have MAI funds resulted in increases in the types of services available to minorities? 5. Have MAI funds resulted in increased coordination between agencies providing services to minority populations with HIV/AIDS? As part of HRSA’s overhaul of MAI data collection, representatives from each Division developed a set of core questions for use in developing the data collection instrument. Has there been an increase in the number of minorities served; in the number of minority providers; in the availability and accessibility of HIV services; in the types of services available to minorities; and have these funds resulted in increased coordination between agencies providing services to minority populations with HIV/AIDS? All these questions will be answered through the enhanced data collection processes that we are developing for the MAI.As part of HRSA’s overhaul of MAI data collection, representatives from each Division developed a set of core questions for use in developing the data collection instrument. Has there been an increase in the number of minorities served; in the number of minority providers; in the availability and accessibility of HIV services; in the types of services available to minorities; and have these funds resulted in increased coordination between agencies providing services to minority populations with HIV/AIDS? All these questions will be answered through the enhanced data collection processes that we are developing for the MAI.

    14. 14 QUESTIONS ABOUT THIS PRESENTATION? E-MAIL ME AT… lshepherd@hrsa.gov If you have specific questions about the MAI relative to this presentation, please direct them to me at the shown electronic mail address.If you have specific questions about the MAI relative to this presentation, please direct them to me at the shown electronic mail address.

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