Making HIV Prevention the Priority
By Kevin Fenton, M.D., Ph.D., FFPH
October 5, 2010
On September 24th, U.S. Department of Health and Human Services Secretary Kathleen Sebelius announced that CDC allocated $30 million of the Affordable Care Act's Prevention and Public Health Fund to expand HIV prevention efforts under the President's National HIV/AIDS Strategy (NHAS). The funding includes nearly $22 million of grants for state and local health departments. Secretary Sebelius indicated that the funding will give a critical boost to our HIV/AIDS prevention efforts across the country by focusing on communities and geographic areas that have been hardest hit by this disease.
This funding will allow those of us working in HIV prevention at the federal, state, and local level to support innovative, evidence-based and high-impact prevention efforts in line with recommendations from the National HIV/AIDS Strategy. It is providing us with the opportunity to make critical investments that will make a real impact on prevention efforts, allowing us to reach further into those communities that are at highest risk.
Grants totaling $11.6 million will support demonstration projects to identify and implement a "combination approach" to enhance effective HIV prevention programming in 12 hard-hit areas across the country. These efforts will both supplement existing programs in these communities and help jurisdictions to better focus efforts on key at-risk populations and fulfill unmet needs.
In the first year, the 12 jurisdictions funded through the Affordable Care Act include: Chicago the District of Columbia, Florida, Georgia, Houston, Los Angeles, Maryland, New York City, Philadelphia, Puerto Rico, San Francisco, and Texas. The average award is approximately $960,000.
These funded state and local jurisdictions will work with CDC to determine what mix of HIV prevention approaches can have the greatest impact in the local area, based on the local profile of the epidemic and by assessing and identifying current gaps in HIV prevention portfolios. While the exact combination of approaches will vary by area, efforts funded under this program will follow a basic approach of:
Additional funding will allow CDC to expand upon successful existing efforts, as well as fill knowledge gaps to help guide evidence-based policies and approaches as a part of NHAS.
Awards to state and local health departments include:
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