Local Ending the HIV Epidemic in the U.S. Plans

Innovative, community-driven solutions are at the heart of the Ending the HIV Epidemic in the U.S. (EHE) initiative. CDC therefore funded priority jurisdictions (state and local health departments) to develop innovative, locally tailored plans that lay the foundation for scaling up the key strategies of the initiative in a way that will address meets unique local needs, and reduces health disparities, and achieves health equity in each community. For example:

  • Diagnose: Over 80% of jurisdictions plan to promote and increase access to HIV self-tests, and conduct testing via mobile testing units and/or in non-traditional settings including churches.
  • Treat: Over 60% of jurisdictions will expand telemedicine services that allow patients to access medical services remotely, especially in rural areas, and rapidly engage in care and start treatment within seven days of diagnosis.
  • Prevent: Over 70% of jurisdictions will start or expand programs to connect people to PrEP services and establish or expand SSPs, where legally permissible, using innovative delivery options such as mobile testing units and peer-delivery systems.
  • Respond: At least half of the jurisdictions will develop plans to respond to HIV outbreaks by establishing a dedicated workforce and improving the use of real-time information to direct resources to the communities that need them most.

Each plan is based on local epidemiology and social determinants data, and developed and implemented in collaboration with partners, including people living with, and at risk for, HIV. If funding is expanded and sustained, EHE can make history—and end the HIV epidemic in the U.S. once and for all.

Community engagement is paramount to the success of these plans and involves the continual collaboration of key collaborators and broad-based communities working together to identify strategies to increase coordination of HIV programs throughout their jurisdiction in achieving the goals of the EHE initiative.

CDC will continue working with each jurisdiction to modify their plan, where needed, to meet the HIV prevention needs of their communities and address current service challenges and disruptions due to COVID-19. CDC will also continue to provide guidance and share creative community-based solutions as we partner with communities to help them address new and evolving challenges.

The table below reflects the recipients of EHE funding under PS19-1906: Strategic Partnerships and Planning to Support Ending the HIV Epidemic in the United States – Component B: Accelerating State and Local HIV Planning. Each award recipient listing also links to the jurisdiction’s current EHE plan and/or EHE planning documents if their website has been developed.

Integrating programs at the local level to address the syndemic of HIV, STIs, viral hepatitis, and substance use and mental health disorders

The syndemic of HIV, STIs, viral hepatitis, and substance use and mental health disorders in the US highlights overlapping risk factors as well as associations with social determinants of health such as poverty, lack of health insurance, housing instability, and other related inequities.

An effective response to the syndemic requires integration of programs to enable increased flexibility in utilization of allocated resources; coordinated policy and program planning, development, and delivery; and rapid adjustment to new data or scientific advances.

Twenty-seven of 32 jurisdictions have plans that include syndemic approaches and strategies to infectious disease prevention, which include integrated screening tests for HIV, STIs, and viral hepatitis; trainings for primary care providers to routinely screen for HIV, STIs, and viral hepatitis as a regular part of health care; community awareness campaigns about the syndemic; and increasing the use of HIV/STI self‐tests.

State Funded

EHE Jurisdiction(s) Covered by the Plan

EHE Jurisdiction(s) Covered by the Plan

Statewide

EHE Jurisdiction(s) Covered by the Plan

Maricopa County

State Funded

Arkansas Department of Healthexternal icon
EHE planning information available; EHE Plan currently not available.

EHE Jurisdiction(s) Covered by the Plan

Statewide

EHE Jurisdiction(s) Covered by the Plan

Baltimore City

EHE Jurisdiction(s) Covered by the Plan

Alameda County, Orange County, Riverside County, Sacramento County, San Bernardino County, San Diego County

EHE Jurisdiction(s) Covered by the Plan

Cook County

State Funded

District of Columbia Department of Healthexternal icon
EHE planning information available; EHE Plan currently not available.

EHE Jurisdiction(s) Covered by the Plan

Washington, DC

EHE Jurisdiction(s) Covered by the Plan

Broward County, Duval County, Hillsborough County, Miami-Dade County, Orange County, Palm Beach County, Pinellas County

EHE Jurisdiction(s) Covered by the Plan

Cobb County, Dekalb County, Fulton County, Gwinnett County

State Funded

Houston Department of Health and Human Servicesexternal icon
EHE planning information available; EHE Plan currently not available.

EHE Jurisdiction(s) Covered by the Plan

Harris County

EHE Jurisdiction(s) Covered by the Plan

Marion County

EHE Jurisdiction(s) Covered by the Plan

Statewide

EHE Jurisdiction(s) Covered by the Plan

Los Angeles County

EHE Jurisdiction(s) Covered by the Plan

East Baton Rouge Parish, Orleans Parish

EHE Jurisdiction(s) Covered by the Plan

Prince George’s County

EHE Jurisdiction(s) Covered by the Plan

Montgomery County

EHE Jurisdiction(s) Covered by the Plan

Suffolk County

EHE Jurisdiction(s) Covered by the Plan

Wayne County

EHE Jurisdiction(s) Covered by the Plan

Statewide

EHE Jurisdiction(s) Covered by the Plan

Statewide

EHE Jurisdiction(s) Covered by the Plan

Clark County

State Funded

New Jersey Department of Healthexternal icon
EHE planning information available; EHE Plan currently not available.

EHE Jurisdiction(s) Covered by the Plan

Essex County, Hudson County

EHE Jurisdiction(s) Covered by the Plan

Bronx, Kings (Brooklyn), New York (Manhattan), and Queens Counties

EHE Jurisdiction(s) Covered by the Plan

Mecklenburg County

EHE Jurisdiction(s) Covered by the Plan

Hamilton County, Franklin County, Cuyahoga County

State Funded

Oklahoma Department of Healthexternal icon
EHE planning information available; EHE Plan currently not available.

EHE Jurisdiction(s) Covered by the Plan

Statewide

EHE Jurisdiction(s) Covered by the Plan

Philadelphia County

State Funded

Puerto Rico Department of Healthexternal icon
EHE planning information available; EHE Plan currently not available.

EHE Jurisdiction(s) Covered by the Plan

San Juan Municipio

State Funded

San Francisco Department of Healthexternal icon
EHE planning information available; EHE Plan currently not available.

EHE Jurisdiction(s) Covered by the Plan

San Francisco County

EHE Jurisdiction(s) Covered by the Plan

Statewide

EHE Jurisdiction(s) Covered by the Plan

Shelby County

EHE Jurisdiction(s) Covered by the Plan

Bexar County, Dallas County, Tarrant County, Travis County

EHE Jurisdiction(s) Covered by the Plan

King County

Page last reviewed: July 27, 2021