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, Epi profile
A description of the burden of HIV in the population of an area in terms of socio-demographic, geographic, behavioral, and clinical characteristics of persons newly diagnosed with HIV, PWH, and persons at high risk for infection.
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
Also known as: Resource inventory
An inventory of the financial resources available in a jurisdiction to meet the HIV prevention, care, and treatment needs of its population as well as resource gaps. The inventory also details the CDC-funded high impact prevention services and the HRSA-funded core medical and support services.
HIV Care Continuum
Also known as: Care continuum, care cascade, HIV treatment cascade
A section title within the SCSN/Needs Assessment.
1) 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 Continuum of Care. The HIV Care Continuum has five main “steps” or stages including: HIV diagnosis, linkage to care, retention in care, antiretroviral use, and viral suppression.
2) A model that outlines the sequential steps or stages of HIV medical care that people with HIV go through from initial diagnosis to achieving the goal of viral suppression (a very low level of HIV in the body), and shows the proportion of individuals with HIV who are engaged at each stage.
The prevalence-based HIV Care Continuum shows each step of the continuum as a percentage of the total number of people with HIV (i.e., HIV prevalence). HIV prevalence includes the number of people who have been diagnosed with HIV and the estimated number of those who have not been diagnosed with HIV.
The diagnosis-based HIV Care Continuum shows each step of the continuum as a percentage of the number of PLWH 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 National Strategic Plan
HIV National Strategic Plan is a roadmap for ending the HIV epidemic in the United States by 2030. The HIV Plan is the nation’s third consecutive five-year national HIV strategy and covers 2021-2025, with a 10-year goal of reducing new HIV infections by 90% by 2030.
Source: HIV National Strategic Plan
HIV planning body
Also known as: Advisory committee/group, community advisory group, planning council, planning body
Broadly, an HIV planning body is a group consisting of diverse stakeholders and community partners who collaborate in the development of the Integrated HIV Prevention and Care Plan and Statewide Coordinated Statement of Need. Examples of stakeholders and community partners include people with HIV, at-risk populations, service providers, recipients, and subrecipients. 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.
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.
Human Resources Inventory
Also known as: Workforce inventory, Profile of provider capacity and capability
A description of the HIV workforce capacity in the jurisdiction and how it impacts the HIV service delivery system. The profile of provider capacity and capability is a component of the needs assessment. It is part of the Financial and Human Resources Inventory section of the Integrated HIV Prevention and Care Plan.
Integrated Guidance for Developing Epidemiologic Profiles: HIV Prevention and RWHAP Planning
Guidance developed by the Centers for Disease Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA) to assist persons who compile and interpret HIV prevention and care data for state, territorial, or local HIV epidemiologic profiles. The purpose of the document is to provide one set of guidance to help profile writers produce integrated epidemiologic profiles and advise them concerning 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. The Epidemiologic Profile developed for a jurisdiction’s Statewide Coordinated Statement of Need/Needs Assessment should be based on this guidance document.
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; 2014.
Integrated HIV Prevention and Care Plan including the Statewide Coordinated Statement of Need
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 HIV National Strategic Plan.
Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2017- 2021
Also known as: Integrated Plan Guidance
Guidance set forth for health departments and HIV planning groups funded by the CDC’s Division of HIV/AIDS Prevention (DHAP) and HRSA’s HIV/AIDS Bureau (HAB) for the development of an Integrated HIV Prevention and Care Plan. The guidance is written in four sections that provide a framework for HIV prevention and care to recipients: (1) prevention and care needs assessment process and results; (2) integrated HIV prevention and care plan; (3) monitoring and improvement and (4) submission and review process.
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
Letter of Concurrence
Letter submitted by the co-chairs of the planning body and/or health department representatives expressing support or concurrence with reservations of the jurisdiction’s Integrated HIV Prevention and Care Plan. Letters of concurrence can also be submitted with reservations, indicating specific elements of the plan, or citing concerns with the process of plan development, that cause the planning body and/or health department representatives to have concern.
Monitoring and Improvement
Also known as: Quality improvement
Continuous assessment of the Integrated HIV Prevention and Care Plan by recipients and planning bodies to identify ways to measure progress toward goals and objectives, select strategies for collecting information; and analyze information to inform decision-making as a way to improve HIV prevention, care, and treatment efforts within the jurisdiction.
People with HIV and Community Engagement
Also known as: Consumer engagement
The inclusion of at-risk groups and representatives of people with HIV in the development process of the Integrated HIV Prevention and Care Plan. This includes helping develop specific strategies to enhance coordination, collaboration, and seamless access to HIV prevention, care, and treatment services are necessary to achieve the national goals to end the epidemic.
Also know as: Financial and Human Resources Inventory
An inventory of the financial resources available in a jurisdiction to meet the HIV prevention, care, and treatment needs of its population as well as resource gaps. The inventory also details the CDC-funded high impact prevention services and the HRSA-funded core medical and support services. Collectively known as the Financial and Human Resources Inventory section of the Integrated HIV Prevention and Care Plan.
HIV prevention and care services for persons at risk for HIV and people with HIV that do not exist in the jurisdiction (e.g. housing assistance and support).
Inclusion of stakeholders (e.g. service providers, governmental entities) in the development of the Integrated Prevention and Care Plan as a way to ensure the jurisdiction’s Plan will maximize resources and efficiencies in serving people with HIV.
Statewide Coordinated Statement of Need (SCSN)/Needs Assessment
Also known as: Needs assessment
The process of identifying the needs of persons at risk for HIV infection and people with HIV (those receiving care and those not receiving care); identifying current resources available to meet those needs, and determining what gaps in HIV prevention and care services exist. The SCSN is a culminating report which consists of information gathered through needs assessments conducted by three separate entities: RWHAP Part A Recipients, RWHAP Part B Recipients, and CDC funded recipients. Required component of the Integrated HIV Prevention and Care Plan. Included in the needs assessment are the estimate and assessment of unmet needs, Estimate and assessment of people with HIV who are unaware of their status, and assessment in gaps in service needs.
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