Community and Other Stakeholder Engagement
Required section of the Integrated HIV Prevention and Care Plan for CY 2022-2026. This section should describe how the jurisdiction approached the planning process, engaged community members and stakeholders, and fulfilled legislative and programmatic requirements, including a) the statewide coordinated statement of need (SCSN) b) RWHAP Part A and B planning requirements including those requiring feedback from key stakeholders and people with HIV; and c) CDC planning requirements.
This section incorporates information from the "Collaborations, Partnerships, and Stakeholder Involvement" and the "People Living with HIV and Community Engagement" sections of the CY 2017-2021 Integrated Plan Guidance.
Contributing Data Sets
A section of the Integrated Plan that provides an analysis of the qualitative and quantitative data used by the jurisdiction to describe how HIV impacts the jurisdiction. This process is used to determine the services needed by clients to access and maintain HIV prevention, care and treatment services as well as to identify barriers for clients accessing those services; and to assess gaps in the service delivery system. This section fulfills several legislative requirements including the SCSN, the RWHAP Part A and B planning requirements including those requiring feedback from key stakeholders and people with HIV, and CDC planning requirements.
Ending the HIV Epidemic in the U.S. (EHE)
Ending the HIV Epidemic in the U.S. (EHE) is a federal initiative that aims to end the HIV epidemic in the United States by 2030. The plan seeks to reduce the number of new HIV infections in the United States by 75 percent within five years, and then by at least 90 percent within 10 years, for an estimated 250,000 total HIV infections averted.
Also known as: Epi overview, known as the Epidemiologic profile in the Integrated HIV Prevention and Care Plan Guidance, Including the SCSN, CY 2021-2026
A snapshot summary of the most current epidemiologic profile for the jurisdiction which uses the most current available data (trends for most recent 5 years). The snapshot should highlight key descriptors of people diagnosed with HIV and at-risk for exposure to HIV in the jurisdiction using both narrative and graphic depictions. Provide specifics related to the number of individuals with HIV who do not know their HIV status, as well as the demographic, geographic, socioeconomic, behavioral, and clinical characteristics of persons with newly diagnosed HIV, all people with diagnosed HIV, and persons at-risk for exposure to HIV. This snapshot should also describe any HIV clusters identified and outline key characteristics of clusters and cases linked to these clusters. Priority populations for prevention and care should be highlighted and align with those of the NHAS.
Executive Summary of Integrated Plan and SCSN
Provides an overall description of a jurisdiction’s Integrated Plan, including the SCSN, and the extent to which other plans and/or SCSNs informed the Integrated Plan. This is a new requirement for the 2022-2026 Integrated Plan submission.
Fast Track Cities
The Fast-Track Cities Initiative is a global partnership between cities and four core partners – the International Association of Providers of AIDS Care (IAPAC), the Joint United Nations Programme on HIV/AIDS (UNAIDS), the United Nations Human Settlements Programme (UN-Habitat), and the City of Paris.
City officials appoint their cities as Fast-Track Cities, committing to getting to zero new HIV infections and zero AIDS-related deaths.
Source: About Fast-Track Cities
Goals and Objectives
Also known as: 2022-2026 Goals and Objectives
A detailed description of HIV prevention and care goals and objectives for the years 2022-2026. Each should describe how the jurisdiction will diagnose, treat, prevent and respond to HIV, and should be directly in response to the needs identified throughout the planning process.
This section is similar to the CY 2015-2021 Guidance, with one significant change - the inclusion of the four EHE strategies (Diagnose, Treat, Prevent, and Respond). Jurisdictions may align their goals with the four EHE strategies, or use another organizing structure for this section. At a minimum, jurisdictional goals should include strategies to accomplish the aims of Diagnosis, Treat, Prevent, and Respond, and plans should include at least three goals for each strategy. This is different from the 2017-2021 Guidance, which only encouraged jurisdictions to align their goals and objectives with the National HIV/AIDS Strategy goals, as the EHE initiative did not exist at the time.
HIV Care Continuum
1) The HIV care continuum depicts the stages a person with HIV engages in from initial diagnosis through their successful treatment with HIV medication to reach viral suppression. Supporting people with HIV to reach viral suppression not only increases their own quality of life and lifespan, it also prevents sexual transmission to an HIV-negative partner, thus providing an additional strategy to prevent new HIV infections.
The HIV care continuum allow recipients and planning groups to measure progress and to direct HIV resources most effectively. The 2022-2026 Integrated Plan Guidance uses the HIV care continuum model. HRSA and CDC encourage jurisdictions to use the HIV care continuum to identify populations for whom the service system may not adequately prevent exposure to HIV or may not support improved HIV health outcomes.
2) A model that is used by federal, state, and local agencies to identify issues and opportunities related to improving the delivery of services to people with HIV across the entire HIV care continuum. HIV care continuum has five main "steps" or stages including: HIV diagnosis, linkage to care, retention in care, antiretroviral use, and viral suppression.
3) There are two different approaches to monitor the HIV care continuum. The two approaches are used for different purposes, and both are essential to monitor the nation’s progress and identify key HIV prevention and care needs.
The prevalence-based HIV care continuum describes the number of people who are at each step of the continuum as a percentage of the total number of people with HIV (known as HIV prevalence). Prevalence includes both people whose infection has been diagnosed and those who are infected but don’t know it.
The diagnosis-based HIV care continuum shows each step as a percentage of the number of people with diagnosed HIV.
The diagnosis-based HIV Care Continuum shows each step of the continuum as a percentage of the number of people with HIV who were only diagnosed. The diagnosed-based continuum informs steps that can be taken to get individuals with HIV into care and get them to viral suppression.
HIV Planning Body
Also known as: Advisory committee/group, community advisory group, planning council, planning body
All CDC DHAP and HRSA HAB funded jurisdictions (the 50 states, RWHAP Part A-funded Eligible Metropolitan Areas and Transitional Grant Areas, directly-funded CDC HIV prevention cities, Puerto Rico, the United States Virgin Islands, and the United States Affiliated Pacific Island jurisdictions) are required to have a planning process that includes the development of a system-wide plan for the delivery of HIV prevention and care services and the establishment of an HIV planning group, planning council, or advisory group, also known as a planning body. By design, the HIV planning body must engage people with different interests, responsibilities, and involvement with HIV to inform and support the development and implementation of an Integrated Plan submission that guides the delivery of HIV prevention and care services. 1
RWHAP Part A recipients are legislatively required to have a Planning Council or Planning Body that sets HIV-related service priorities and the resource allocation of Part A funds on the basis of the size, demographics, and needs of people with HIV. 2
Similarly, RWHAP Part B programs must ensure community and stakeholder involvement in the planning process as a way to bring diverse experience and input into such tasks as needs assessment, developing a comprehensive plan, setting priorities, and recommending the allocation of funds to service categories. Unlike the RWHAP Part A Planning Councils, RWHAP Part B planning bodies are not charged legislatively with responsibility for service dollar allocation. 3
Directly-funded CDC Prevention jurisdictions are also required to convene an HIV Planning Group which is responsible for developing specific strategies to enhance coordinated, collaborative, and seamless access to HIV prevention, care, and treatment services (including mental health, substance abuse, and coinfections of viral hepatitis, STDs, and TB) for the highest-risk populations.4
Many Part A, Part B, and CDC HIV Prevention Planning Bodies and recipients now have integrated HIV planning bodies that address both prevention and care/treatment concerns. There are varying types and levels of integration that jurisdictions have implemented.
Sources: 1. Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2022-2026, 2. HRSA website, 3. RWHAP Part B manual, 4. CDC HIV Planning Guidance
HIV Prevention, Care, and Treatment Resource Inventory
Also known as: was previously known as the financial and human resources inventory in the 2015 Integrated Plan Guidance for 2017-2021
Requirement of the Integrated HIV Prevention and Care Plan for 2022-2026. A description of the organizations and agencies providing HIV care and prevention services in the jurisdiction, all HRSA (must include all RWHAP Parts) and CDC funding sources, and public and private funding sources, such as those through HRSA's Community Health Center Program, HUD's HOPWA program, Indian Health Service (IHS) HIV/AIDS Program, Substance Abuse and Mental Health Services Administration programs, and foundation funding.
The inventory must describe: a) the jurisdiction’s strategy for coordinating the provision of substance use prevention and treatment services (including programs that provide these services) with HIV prevention and care services; b) services and activities provided by these organizations in the jurisdiction and if applicable, which priority population the agency serves; and c) describe how services will maximize the quality of health and support services available to people at-risk for or with HIV.
HIV Status Neutral
A status-neutral approach to HIV care means that all people, regardless of HIV status, are treated in the same way. It all starts with an HIV test. Any result, positive or negative, kicks off further engagement with the healthcare and prevention system, leading to a common final goal, where HIV is neither acquired nor transmitted. The 2021 Integrated HIV Prevention and Care Plan Guidance for 2022-2026 promotes a status neutral approach, where testing serves as an entry point to services regardless of a positive or negative results, to improve HIV prevention and care outcomes. Jurisdictions are encouraged to implement innovate program models that integrate HIV prevention and care with other services as a means to address comorbid conditions and to promote a status neutral approach to care.
Integrated Guidance for Developing Epidemiologic Profiles: HIV Prevention and Ryan White HIV/AIDS Program Planning
CDC and HRSA have updated the epidemiologic profile guidance to reflect new data sources and new core questions that align with the National HIV/AIDS Strategy (2022–2025) (NHAS) and the Ending the HIV Epidemic in the U.S. (EHE) initiative. The document provides one set of guidance to help profile writers produce integrated epidemiologic profiles and advise them on how to interpret epidemiologic data in ways that are consistent and useful in meeting the planning and evaluation needs of both HIV prevention and care programs.
Source: CDC and HRSA. Integrated Guidance for Developing Epidemiologic Profiles: HIV Prevention and Ryan White HIV/AIDS Programs Planning. Atlanta, Georgia: Centers for Disease Control and Prevention; 2022.
Integrated HIV Prevention and Care Plan including the Statewide Coordinated Statement of Need, CY 2022-2026
Also known as: Integrated HIV Prevention and Care Plan, including the SCSN, Integrated Plan
Integrated HIV Prevention and Care Plan including the Statewide Coordinated Statement of Need is a vehicle to identify HIV prevention and care needs, existing resources, barriers, and gaps within jurisdictions, and outlines the strategies to address them.
Each HRSA and CDC-funded jurisdiction is required to participate in the completion and submission of an Integrated HIV Prevention and Care Plan. As part of that document, it should include an Integrated HIV Prevention and Care Plan section that outlines the Goals, Objectives, Strategies, Activities and Resources needed to achieve HIV prevention, care, and treatment goals set forth by jurisdictions and planning bodies. The Integrated HIV Prevention and Care Plan should respond to the needs identified in the SCSN/needs assessment and is intended to support and align with the National HIV/AIDS Strategy.
Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2022-2026
Also known as: Integrated Plan Guidance, 2021 Integrated Plan Guidance
Guidance set forth for health departments and HIV planning groups funded by the CDC and HRSA HAB for the development of an Integrated HIV Prevention and Care Plan, which is intended to allow each jurisdiction to develop new goals and objectives that align public and private sectors to leverage strengths from the last five years and to add or revise services to address local health inequities that may remain. The Integrated Plan Guidance speaks to the need for aggressive actions necessary to achieve the National HIV/AIDS Strategy goals and targeted efforts to end the HIV epidemic by the year 2030.
Integrated Planning Implementation, Monitoring, and Jurisdictional Follow Up
Also known as: monitoring and improvement, monitoring and reporting
Required section of the Integrated Plan CY 2022-2026. This section describes how jurisdictions will undertake the key phases of integrated planning: implementation, monitoring, evaluation, improvement, reporting, and dissemination. This section is similar to the Monitoring and Improvement section of the CY 2017-2021 Guidance.
Also known as: Local Getting to Zero or Ending the HIV Epidemic Plans, Local HIV planning efforts, City/county funded treatment and prevention programs
Local or state-level developed plans aimed towards ending the HIV epidemic. These plans are often community-led, address a number of domains for action, and continue to be updated as progress continues.
Source: Ending the HIV Epidemic Plans
Jurisdictional Planning Process
A description of how a jurisdiction approached the integrated planning process, including the steps used in the planning process, the groups involved in implementing the needs assessment and/or developing planning goals and how the jurisdiction incorporated data sources in the process. This is a required part of Section II: Community Engagement and description of Jurisdictional Planning Process.
Letters of Concurrence
Letter(s) submitted on behalf of planning bodies which specifies how the planning body(ies) was involved in the Integrated Plan development and expresses concurrence or concurrence with reservations of the jurisdiction's Integrated Plan. Letters of Concurrence should be provided from the following (as applicable):
- CDC Prevention Program Planning Body Chair(s) or Representative(s)
- RWHAP Part A Planning Council/Planning Body(s) Chair(s) or Representative(s)
- RWHAP Part B Planning Body Chair or Representative
- Integrated Planning Body
- EHE Planning Body
National HIV/AIDS Strategy (2022-2025)
Also known as: NHAS
The National HIV/AIDS Strategy (2022–2025) provides stakeholders across the nation with a roadmap to accelerate efforts to end the HIV epidemic in the United States by 2030. The Strategy reflects President Biden’s commitment to re-energize and strengthen a whole-of-society response to the epidemic while supporting people with HIV and reducing HIV-associated morbidity and mortality.
Refers to the populations identified in the National HIV/AIDS Strategy (2022-2025) as being disproportionately impacted by HIV. This includes the following:
- gay, bisexual, and other men who have sex with men, in particular Black, Latino, and American Indian/ Alaska Native men
- Black women
- transgender women
- youth aged 13–24 years
- people who inject drugs.
The 2022-2026 Integrated Plan guidance requires that jurisdictions describe how their Integrated Plan's goals and objectives address the needs of the priority populations within a jurisdiction.
An overview of strengths, challenges, and identified needs with respect to HIV prevention and care in each of the following areas:
- Diagnosing all people with HIV as early as possible
- Treating people with HIV rapidly and effectively to reach sustained viral suppression
- Preventing new HIV transmissions by using proven interventions, including pre-exposure prophylaxis (PrEP) and syringe services programs (SSPs)
- Responding quickly to potential HIV outbreaks.
A required section of the Integrated Plan for 2022-2026. The Situational Analysis synthesizes information from Sections II and III of the Integrated Plan and is expected to lay the foundation for the goals, objectives, and strategies detailed in Section V
Statewide Coordinated Statement of Need (SCSN)
Also known as: Needs assessment
The Statewide Coordinated Statement of Need (SCSN) is a written statement of need developed through a collaborative process with other Parts of the RWHAP. The SCSN must reflect, without replicating, a discussion of existing needs assessments and should include a brief overview of epidemiologic data, existing quantitative and qualitative information, and emerging trends/issues affecting HIV/AIDS care and service delivery in the State. Important elements in assessing need include a determination of the population with HIV are aware of their status but not in care (unmet need), individuals who are unaware of their HIV positive status, a comprehensive understanding of primary care and treatment in the State, and a consideration of all available resources.
Source: RWHAP Part B Manual, 2015.
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