This resource provides operational definitions of integrated planning terms with particular reference to the Integrated HIV Prevention and Care Plan Guidance released in December 2024.
A | B | C | D | E | F | G| H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W
C
Community Engagement and Planning Process
Required section of the Integrated HIV Prevention and Care Plan for CY 2027-2031. This section should describe how the jurisdiction’s planning approach engaged community members and collaborators, fulfilled legislative and programmatic requirements, and addresses the HIV care and prevention needs of people with HIV and people vulnerable to HIV.
Contributing Data Sets
A required section (Section III) 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.
E
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.
Source: What Is Ending the HIV Epidemic in the U.S.?
Epidemiologic Snapshot
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.
F
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
G
Goals and Objectives
Also known as: 2027-2031 Goals and Objectives
A detailed description of HIV prevention and care goals and objectives for the years 2027-2031. 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.
Jurisdictions may align their goals with the National HIV/AIDS Strategy (NHAS) as long as their objectives address the four EHE strategies. At a minimum, jurisdictional goals should include at least three objectives to accomplish the aims of Diagnosis, Treat, Prevent, and Respond. Objectives should be SMART which means they are Specific, Measurable, Achievable, Relevant, and Time-Bound.
H
HIV Care Continuum
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 allows recipients and planning groups to measure progress and to direct HIV resources most effectively. The 2027-2031 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 be adequately engaging in HIV prevention services or may not support improved HIV health outcomes.
HIV Planning Body
Also known as: Advisory committee/group, community advisory group, planning council, planning body
All CDC DAP 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 2027-2031, 2. RWHAP Part A Manual, 3. RWHAP Part B manual, 4. CDC HIV Planning Guidance
HIV Prevention, Care, and Treatment Resource Inventory
Required section of the 2027-2031 Integrated Plan. The inventory provides a description of the organizations and agencies providing HIV care and prevention services in the jurisdiction, including 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: all services and activities by organizations, priority population served, and how services maximize the quality of health and support for those with certain risk factors of acquiring or with HIV. Note: The inventory does NOT require funding levels for services or organizations to be included.
I
Integrated Guidance for Developing Epidemiologic Profiles: HIV Prevention and Ryan White HIV/AIDS Program 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 case reporting, 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.
Integrated HIV Prevention and Care Plan including the Statewide Coordinated Statement of Need, CY 2027-2031
Also known as: Integrated HIV Prevention and Care Plan, including the SCSN, Integrated Plan, IP
The 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 Planning Implementation, Monitoring, and Jurisdictional Follow Up
Also known as: monitoring and improvement, implementation plan
Required section of the 2027-2031 Integrated Plan. This section describes how jurisdictions will undertake the key phases of integrated planning: implementation, monitoring, evaluation, improvement, reporting, and dissemination.
Introduction to the Integrated HIV Prevention and Care Plan
Also known as: previously called the Executive SummaryRequired section of the 2027-2031 Integrated Plan. 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.
J
Jurisdictional Plans
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.
L
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, non-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
Note: RWHAP Part A recipients needed to submit letters of concurrence to all states where 10% or more of the HIV cases in their jurisdiction reside.
Source: Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2027-2031, Section VII.
N
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.
Source: National HIV/AIDS Strategy (2022-2025)
P
Priority Populations
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 2027-2031 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.
Source: National HIV/AIDS Strategy (2022-2025)
S
Situational Analysis
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 2027-2031. 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.
Source: Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2027-2031, Section IV.
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 purpose of the SCSN is to provide a collaborative mechanism to identify and address significant HIV care issues related to the needs of people with HIV, and to maximize coordination, integration, and effective linkages across the RWHAP Parts. The SCSN must reflect, without replication, 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 care and service delivery in the state/territory. Important elements in assessing need include a determination of the population with HIV who are aware of their status but not in care (unmet need), individuals who are unaware of their HIV infection, a comprehensive understanding of primary care and treatment in the state/territory, and a consideration of all available resources.
Source: RWHAP Part B Manual, 2022.
W
Whole-Person Care Approach to HIV
A whole-person care 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 Integrated HIV Prevention and Care Plan Guidance for CY 2027-2031 promotes a whole-person approach, where testing serves as an entry point to services regardless of a positive or negative result, to improve HIV prevention and care outcomes. Jurisdictions are encouraged to implement innovative program models that integrate HIV prevention and care with other services and other service organizations as a means to address comorbid conditions and to promote a whole-person approach to care.
Source: HIV and Whole-Person Care
