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HIV Prevention in the U.S.: The National HIV Prevention Inventory
[object Object],[object Object],[object Object],[object Object],National Alliance of State and Territorial AIDS Directors (NASTAD)
The Role of Health Departments ,[object Object],[object Object],[object Object],[object Object],[object Object]
National HIV Prevention Inventory  (NHPI) Background and Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NHPI Background and Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NHPI Key Findings ,[object Object],[object Object],[object Object],[object Object],[object Object]
NHPI Analysis—Jurisdictions by HIV/AIDS Prevalence AL  AR GA ID  IN KY  MO MT NV OH SC SD TX VA WY OK ME AK  CO  LA UT CA KS MS FL NM AZ ND MN IA WI MI NE WA PA NC TN WV OR Low Prevalence Moderate Prevalence High-to-Mod Prevalence High Prevalence Directly-funded localities  (Chicago, Houston, LA County, New York City, Philadelphia and San Francisco) IL NY HI NH VT RI  MA CT NJ DE MD DC
NHPI Domestic HIV Prevention Funding
NHPI Domestic HIV Prevention Funding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NHPI Domestic HIV Prevention Funding
NHPI Domestic HIV Prevention Funding  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NHPI Domestic HIV Prevention Allocation and Trends ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NHPI Community Planning
NHPI HIV Testing *All states implement targeted HIVCTR
NHPI HIV Testing Comparison of NHPI data and 2006 NASTAD HIV testing data; “Increased” = initiated and/or expanded testing.
NHPI HIV Testing ,[object Object],[object Object],[object Object]
NHPI Partner Services
NHPI Partner Services Partner Notification Partner Elicitation
NHPI Partner Services
NHPI Health Education / Risk Reduction
NHPI Health Education / Risk Reduction
NHPI Other HIV Prevention Strategies
NHPI Public Information Message Themes Target Audiences
NHPI Collaboration and Integration “ Purview” = AIDS director has oversight of program.
NHPI Collaboration and Integration
NHPI Collaboration and Integration
NHPI Challenges and Consequences CLIENT LEVEL CONSEQUENCES Top Ranked Challenges Faced by Health  Department HIV Prevention Programs (n=57) Rank Funding 1 Capacity of community / clinical partners to access target population 2 Capacity of community / clinical partners to provide services 3 Workforce 4 Data collection and reporting requirements 5 Top Ranked Consequences Faced by Health Department HIV Prevention Programs (n varies) Rank Appropriate prevention interventions are not available for high-risk populations 1 Clients are not able to be proactively recruited into prevention programs 2 Clients are not able to be retained in prevention programs 3 Fewer community based partners are currently funded 4 Targeted high-risk individuals are not be tested 5 Resources are diverted from actual programming to meet the needs of other requirements 6 Relationships with non-traditional partners have not been established 7 Fewer community based partners are in existence 8 Inability to fill prevention staff positions due to lack of qualified technical expertise 9 Inability to fill prevention staff positions due to lack of resources 10
NHPI Challenges and Consequences
NHPI The Future Scale Up Scale Back
NHPI take away messages ,[object Object],[object Object],[object Object],[object Object]
New Realities— State General Revenue Cuts in  HIV/AIDS and Viral Hepatitis Programs  (09.2009) ,[object Object],[object Object],[object Object],[object Object],[object Object]

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NASTAD National HIV Prevention Inventory

  • 1. HIV Prevention in the U.S.: The National HIV Prevention Inventory
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. NHPI Analysis—Jurisdictions by HIV/AIDS Prevalence AL AR GA ID IN KY MO MT NV OH SC SD TX VA WY OK ME AK CO LA UT CA KS MS FL NM AZ ND MN IA WI MI NE WA PA NC TN WV OR Low Prevalence Moderate Prevalence High-to-Mod Prevalence High Prevalence Directly-funded localities (Chicago, Houston, LA County, New York City, Philadelphia and San Francisco) IL NY HI NH VT RI MA CT NJ DE MD DC
  • 8. NHPI Domestic HIV Prevention Funding
  • 9.
  • 10. NHPI Domestic HIV Prevention Funding
  • 11.
  • 12.
  • 14. NHPI HIV Testing *All states implement targeted HIVCTR
  • 15. NHPI HIV Testing Comparison of NHPI data and 2006 NASTAD HIV testing data; “Increased” = initiated and/or expanded testing.
  • 16.
  • 18. NHPI Partner Services Partner Notification Partner Elicitation
  • 20. NHPI Health Education / Risk Reduction
  • 21. NHPI Health Education / Risk Reduction
  • 22. NHPI Other HIV Prevention Strategies
  • 23. NHPI Public Information Message Themes Target Audiences
  • 24. NHPI Collaboration and Integration “ Purview” = AIDS director has oversight of program.
  • 25. NHPI Collaboration and Integration
  • 26. NHPI Collaboration and Integration
  • 27. NHPI Challenges and Consequences CLIENT LEVEL CONSEQUENCES Top Ranked Challenges Faced by Health Department HIV Prevention Programs (n=57) Rank Funding 1 Capacity of community / clinical partners to access target population 2 Capacity of community / clinical partners to provide services 3 Workforce 4 Data collection and reporting requirements 5 Top Ranked Consequences Faced by Health Department HIV Prevention Programs (n varies) Rank Appropriate prevention interventions are not available for high-risk populations 1 Clients are not able to be proactively recruited into prevention programs 2 Clients are not able to be retained in prevention programs 3 Fewer community based partners are currently funded 4 Targeted high-risk individuals are not be tested 5 Resources are diverted from actual programming to meet the needs of other requirements 6 Relationships with non-traditional partners have not been established 7 Fewer community based partners are in existence 8 Inability to fill prevention staff positions due to lack of qualified technical expertise 9 Inability to fill prevention staff positions due to lack of resources 10
  • 28. NHPI Challenges and Consequences
  • 29. NHPI The Future Scale Up Scale Back
  • 30.
  • 31.