The National HIV/AIDS Strategy (NHAS) has become a catalyst for progressive change that has already begun to improve the United States' approach to ending our HIV epidemic. We strongly support NHAS goals to lower the rate of new HIV infections, improve access to care and care outcomes, and reduce health disparities in the epidemic.
People across the country are responding to the Strategy's vision of a more effective, equitable and outcomes-oriented response to AIDS. Achieving the NHAS goals will require that all of us take a fresh look at how resources are allocated and the kinds of services supported, and make difficult decisions about future efforts. It will take concerted action by federal, state, and local government, health care providers, community organizations, the private sector, and people living with and affected by HIV. We must develop a response to AIDS that does better at addressing the challenges where they are most acute, but that also improves outcomes for every group affected by the epidemic no matter where they reside.
We are at a pivotal moment in tackling the domestic epidemic. New research demonstrating the HIV prevention impact of AIDS treatment provides additional reasons to coordinate services and bring to scale our efforts, and emboldens our belief that we can achieve dramatic progress against the epidemic.
To take advantage of this opportunity, and to sustain the momentum in achieving NHAS goals, the following principles are essential:
Increased resources are needed, and we also must do better to ensure that current resources are used for maximum impact.
- All those who need AIDS treatment must have access. The AIDS Drug Assistance Program must be fully funded.
Federal agencies need to become more outcomes-oriented and reduce the burden on local and state agencies by streamlining reporting requirements and funding streams, and demonstrating true cross-agency collaboration.
A new model of integrated service provision is critical to success, emphasizing the connections between testing, prevention, linkage to care and treatment, and seeking community-level results and measurable outcomes. This model must include addressing unmet needs for housing and substance abuse and mental health services.
Tools for evidence-based decision making, such as economic modeling and creative use of surveillance data that maintains confidentiality can increase the impact of our efforts.
The "12 Cities" initiative can improve outcomes in epicenters, be a driver of health services reform, and develop adaptable models to be used elsewhere, but success requires ongoing funding, and increased coordination and accountability at the local, state and federal levels. Additional attention is also needed in areas outside of these 12 cities, including those experiencing alarming growth in HIV incidence.
The NHAS is strengthened by authentic community engagement, and this engagement requires transparency about 12 Cities and other local and state strategies and plans.
Recipients of federal funds must be held accountable for dedicating resources to geographic areas and communities according to their epidemic profile.
Health departments, community organizations, and private providers need advanced levels of technical support to transition to integrated models of prevention and care service provision and community-level interventions.
We ask federal agencies to embrace and take action consistent with the principles above. We also know that the success of the National HIV/AIDS Strategy depends on all of us. Policy makers, people on the front lines, and everyone engaged, must work together, reassess how we can have the greatest impact, and rededicate ourselves to ending AIDS in America.
ABC/African American Community Health Group of the Central Coast (Santa Cruz, CA)
aChurch4Me? Metropolitan Community Church (Chicago, IL)
Advocates for Youth
African Services Committee (New York, NY)
African Wellness Center, Inc. (Montgomery Village, MD)
AIDS Action Baltimore
AIDS Action Committee of Massachusetts
AIDS Alliance for Children, Youth, & Families
AIDS Foundation of Chicago
The AIDS Institute
AIDS Interfaith Network (Dallas, TX)
AIDS Legal Council of Chicago
AIDS Legal Referral Panel of the San Francisco Bay Area
AIDS Project Los Angeles
AIDS Resource Center of Wisconsin
AIDS Service Center (Pasadena, CA)
AIDS Vaccine and Advocacy Coalition (AVAC)
Alexian Brothers AIDS Ministry
American Social Health Association
amfAR, The Foundation for AIDS Research
Aniz, Inc. (Atlanta, GA)
Asian & Pacific Islander American Health Forum (APIAHF)
Asian Human Services (Chicago, IL)
Aspirations (Baton Rouge, LA)
Association of Nurses in AIDS Care (ANAC)
Atlanta Harm Reduction Coalition
The Black AIDS Institute
Boulder County AIDS Project (Boulder, CO)
Bronx AIDS Services
Canticle Ministries (Wheaton, IL)
Catawba Care (South Carolina)
Center for Health Justice (Los Angeles, CA)
Center for Multicultural Wellness and Prevention, Inc.
Center for Research Strategies (Denver, Colorado)
Center for Women Policy Studies
Center on Halsted (Chicago, IL)
Champions Orphans Care
Chicago Black Gay Men's Caucus
Chicago House & Social Service Agency
Chicago Recovery Alliance
Claudia & Eddie's Place (Harvey, IL)
Colorado AIDS Project (Denver, CO)
Communities Advocating Emergency AIDS Relief (CAEAR) Coalition
Community Access National Organization (CANN)
Community Education Group (Washington, DC)
Community Outreach Intervention Projects at the School of Public Health, University of
Illinois at Chicago
Concilio Latino de Salud, Inc.
Chase Brexton Health Services (Baltimore, MD)
Christiana Care Health Services HIV Program (Wilmington, DE)
Cycle for Freedom
Delaware HIV Consortium (Wilmington, DE)
Denver HIV Resources Planning Council (Denver, CO)
Desert AIDS Project (Palm Springs, CA)
Exponents (New York, NY)
Faith United Methodist Church (Dolton, IL)
Family Centers, Inc., Stamford CARES Program (Stamford, CT)
Friends for Life (Memphis, TN)
Friends of AIDS Foundation
Fundacion Latino Americana Contra el Sida, Inc. (FLAS)
Gay Men's Health Crisis (New York, NY)
Georgia AIDS Coalition
Georgia Association for People with AIDS (GAPWA)
Georgia Equality (Atlanta, GA)
Haitian Centers Council, Inc.
Health Equity, Inc.
HIV/AIDS Peer Educators at the Univ. of Arkansas at Pine Bluff
HIV Medicine Association
HIV Prevention Justice Alliance
Homes for Hope, Inc.
The House of Peace, Inc. (Queens, NY)
The House that Wisdom Built (Cleveland Heights, OH)
Howard Brown Health Center (Chicago, IL)
Hyacinth AIDS Foundation (New Brunswick, NJ)
International Association of Physicians in AIDS Care (IAPAC)
Kappa Youth Development, Inc.
K.I. Services, Inc. (Alexandria, VA)
Latino Commission on AIDS
Los Angeles Gay and Lesbian Center
Louisiana AIDS Advocacy Network (LAAN)
Malama Pono Health Services (Lihue, HI)
Massmer Associates, LLC
Minnesota AIDS Project (Minneapolis, MN)
National African American Drug Policy Coalition, Inc.
National Alliance for HIV Education and Workforce Development
National Alliance of State and Territorial AIDS Directors (NASTAD)
National Association of County and City Health Officals (NACCHO)
National Association of People with AIDS (NAPWA)
National Association of Social Workers
National Black Leadership Commission on AIDS, Inc.
National Black Women's HIV/AIDS Network
National Center for Health Behavioral Change (NCHBC)
National Coalition for LGBT Health
National Coalition of STD Directors
National Council of Jewish Women (NCJW)
National Family Planning & Reproductive Health Association
National HIV Prevention Policy Formulation and Education Work Group
National Latino AIDS Action Network (NLAAN)
National Minority AIDS Council (NMAC)
New Jersey Association on Correction
New Leaf Columbus
New York Association on HIV Over 50
North Carolina Harm Reduction Coalition
Northern Colorado AIDS Project (Fort Collins, CO)
Open Door Clinic (Elgin & Aurora, IL)
Pacientes de SIDA pro Política Sana
Pediatric AIDS Chicago Prevention Initiative
Plymouth AIDS Support Services (Plymouth, MA)
Positive Impact Ministry of New Samaritan Baptist Church (Washington, DC)
Regional Addiction Prevention (RAP), Inc. (Washington, DC)
Ryan White Medical Providers Coalition
Safe Haven Outreach Ministries (Washington, DC)
Saint Louis Effort for AIDS
San Francisco AIDS Foundation
Sexuality Information and Education Council of the U.S. (SIECUS)
Sisters Together and Reaching, Inc. (STAR)
South Florida You Can (Miami, FL)
South Side Help Center (Chicago, IL)
Southern Colorado AIDS Project (Colorado Springs, CO)
Test Positive Aware Network
TNT Coalition, Inc. (Miami, FL)
Treatment Access Expansion Project (Jamaica Plain, MA)
Treatment Action Group (TAG)
Tribal Elder Productions (Chicago, IL)
Urban Coalition for HIV/AIDS Prevention Services (UCHAPS)
Unity Wellness Center (Auburn, AL)
VillageCare (New York, NY)
Warren-Vance Community Health Center (Henderson, NC)
Waterbury Hospital (Waterbury, CT)
Western North Carolina AIDS Project