Considerations for resource allocation in the context of Integrated HIV Prevention and Care Plans
The Integrated HIV Prevention and Care Plan Guidance Plans for the 2017-2021 time period mandates that every HRSA - and CDC - funded Part A and Part B jurisdiction participate in the completion and submission of an Integrated Plan that includes both HIV prevention and care services.
While the Guidance did not include specific requirements for resource allocation in the context of integration of prevention and care services, the Guidance did include important considerations for resource allocation:
- State jurisdictions are required to complete the SCSN and to use the needs identified in the SCSN to design the Integrated Plan.
- Documentation of the SCSN had to include an Epidemiologic Overview, a description of the HIV Care Continuum, a Financial and Human Resource Inventory, an analysis of Needs/Gaps/Barriers to HIV Services, and a description of Data Sources.
- Per the Guidance, the Financial Resource Inventory was a comprehensive summary of all funding sources, both public and private, which were available in FY16 for HIV prevention, care, and treatment services in the jurisdiction.
- While metropolitan areas and states could determine the format of their Integrated Plan, HRSA asked jurisdictions to describe the resources allocated for key strategies and activities identified through the integrated planning process.
Assessing the Impact of Resource Allocation Decisions
RWHAP recipients are tasked with allocating resources in a manner that best addresses unmet needs and local priorities for integrated HIV prevention and care planning. Assessing the impact of their resource allocation decisions creates opportunities for recipients to improve their approach to RWHAP service delivery and shift resources towards promising practices that will be most effective in ending the HIV epidemic.
Ongoing subrecipient monitoring and timely allocation or re-allocation of resources are important factors to assess. During each grant budget period, RWHAP recipients should evaluate service utilization, expenditures, and client outcomes for each subrecipient providing direct services to people with HIV or other administrative support (e.g., services provided by lead agencies, fiduciary agents, or consortia). If a particular subrecipient does not meet expectations outlined in contracts or other agreements, then the RWHAP recipient should re-allocate funds to other subrecipients in order to achieve better outcomes. Reallocations may also be necessary to address new or emerging needs within a jurisdiction, or other unanticipated factors.