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Early Identification of Individuals with HIV/AIDS & Unmet Need

Early Identification of Individuals with HIV/AIDS & Unmet Need. Presenter: Marcus Jackson. 1. Enhance participant’s understanding regarding the distinction between EIIHA and Unmet Need Enhance participant’s understanding the role of Outreach in addressing EIIHA and Unmet Need

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Early Identification of Individuals with HIV/AIDS & Unmet Need

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  1. Early Identification of Individuals with HIV/AIDS & Unmet Need Presenter: Marcus Jackson 1

  2. Enhance participant’s understanding regarding the distinction between EIIHA and Unmet Need • Enhance participant’s understanding the role of Outreach in addressingEIIHA and Unmet Need • Enhance participant's understanding regarding the use of Ryan White funds for HIV testing • Enhance participant’s understanding of how EIIHA and Unmet Need fit into the broader context the Ryan White Program Learning Objectives

  3. Ryan White Part B Legislation: “develop a comprehensive plan – ” “describing the estimated number of individuals within the State with HIV/AIDS who do not know their status” “describing activities undertaken by the State to find the individuals described in subparagraph (A) and to make such individuals aware of their status” “describing the manner in which the State will provide undiagnosed individuals who are made aware of their status with access to medical treatment for their HIV/AIDS” “describing efforts to remove legal barriers, including State laws and regulations, to routine testing” Early Identification of Individuals with HIV/AIDS (EIIHA) Legislative References:

  4. The identifying, counseling, testing, informing, and referring of diagnosed and undiagnosed individuals to appropriate services, as well as linking newly diagnosed HIV positive individuals to care. Early Identification of Individuals with HIV/AIDS (EIIHA):

  5. Definition Comparison • Unmet Need Definition: HIV+ individuals who are AWARE of their HIV status but not in primary medical care. • EIIHADefinition: HIV+ individuals who are UNAWARE of their HIV status and therefore not in primary medical care for their HIV infection. EIIHA Vs. Unmet Need

  6. Unmet Need EIIHA • Unaware of HIV status • Estimated (21%) • Aware of HIV status • Formula Driven EIIHA VS. Unmet Need Both Need Care

  7. National HIV/AIDS Strategy Relevancy • Factors Contributing to the Current Epidemic: • Too Many People Living with HIV Are Unaware of Their Status • Access to HIV Prevention is Too Limited • Insufficient Access to Care • Diminished Public Attention 7

  8. National HIV/AIDS Strategy Relevancy • NHAS Goals Addressed by EIIHA & Unmet Need: • Reduce the number of individuals infected with HIV • Increase access to care and improve health outcomes • Reduce HIV related health disparities 8

  9. The Cascade 9

  10. 59/100 HIV positive individuals FALL OUT OF CARE EIIHA/Unmet Need Cycle & The Cascade Out of Care: Aware (Unmet Need) 80/100 HIV positive individuals are AWARE of their Status 62/100 HIV positive individuals areLINKED to care 28/100 HIV positive individuals areVIRAL SUPPRESSED Outreach Care & art EARLY INTERVENTION SERVICES 41/100 HIV positive individuals STAY IN CARE 36/100 HIV positive individuals RECEIVE ART Out of Care: Aware (Unmet Need) & Unaware (EIIHA)

  11. Role of Outreach in Addressing EIIHA & Unmet Need • Outreach activities must be targeted to specific at risk populations identified in the grantee’s EIIHA strategy (Target Populations - EIIHA Matrix) • Outcome measures must be defined to determine the success of the outreach initiative • Outreach activities must be planned in coordination with other State and local initiatives to avoid duplication • Designed to direct individuals to EIS services (counseling and testing, etc.) 11

  12. Using RW Funds for HIV Testing • RW funds may be used for HIV testing under the following conditions: • Grantee provides documentation illustrating that current federal, State, and local funds are inadequate to meet the current HIV testing need • Grantee provides documentation that RW funds will supplement and not supplant other federal, State, and local funds • Grantee receives prior approval from their Project Officer via EHB • In addition to testing, the proposal must include all components of EIS (counseling, referral, linkage, and health literacy) stand-alone HIV testing programs are not allowed 12

  13. Example Key Points of Entry • Federally Qualified Health Centers • Private Healthcare Providers • Prevention Programs Health Departments Emergency Rooms Substance Abuse Programs Mental Health Programs Detention Facilities STD Clinics Homeless Shelters Counseling and Testing Sites

  14. EIIHA & Unmet Need – The Broader Context • Program Planning & Allocation of Funds • State-wide Coordinated Statement of Need (SCSN) • Comprehensive Plan • Quality Management Plan • ADAP 14

  15. Next Steps for EIIHA & Unmet Need • Analysis Regarding Current Grantee Activities • Enhanced Technical Assistance • Development of Outcome Measures • Enhanced Collaboration with Federal Counterparts 15

  16. Q & A Session 16

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