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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.
A high level summary of the plans [PDF – 931 KB], as they were submitted on December 2020, is available.
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
State Funded
EHE Jurisdiction(s) Covered by the Plan
EHE Jurisdiction(s) Covered by the Plan
Statewide
Statewide
Maricopa County
Maricopa County
Arkansas Department of Health
EHE planning information available; EHE Plan currently not available.
Arkansas Department of Health
EHE planning information available; EHE Plan currently not available.
Statewide
Statewide
Baltimore City
Baltimore City
Alameda County, Orange County, Riverside County, Sacramento County, San Bernardino County, San Diego County
Alameda County, Orange County, Riverside County, Sacramento County, San Bernardino County, San Diego County
Cook County
Cook County
District of Columbia Department of Health
EHE planning information available; EHE Plan currently not available.
District of Columbia Department of Health
EHE planning information available; EHE Plan currently not available.
Washington, DC
Washington, DC
Broward County, Duval County, Hillsborough County, Miami-Dade County, Orange County, Palm Beach County, Pinellas County
Broward County, Duval County, Hillsborough County, Miami-Dade County, Orange County, Palm Beach County, Pinellas County
Cobb County, Dekalb County, Fulton County, Gwinnett County
Cobb County, Dekalb County, Fulton County, Gwinnett County
Houston Department of Health and Human Services
EHE planning information available; EHE Plan currently not available.
Houston Department of Health and Human Services
EHE planning information available; EHE Plan currently not available.
Harris County
Harris County
Marion County
Marion County
Statewide
Statewide
Los Angeles County
Los Angeles County
East Baton Rouge Parish, Orleans Parish
East Baton Rouge Parish, Orleans Parish
Prince George’s County
Prince George’s County
Montgomery County
Montgomery County
Suffolk County
Suffolk County
Wayne County
Wayne County
Statewide
Statewide
Statewide
Statewide
Clark County
Clark County
New Jersey Department of Health
EHE planning information available; EHE Plan currently not available.
New Jersey Department of Health
EHE planning information available; EHE Plan currently not available.
Essex County, Hudson County
Essex County, Hudson County
Bronx, Kings (Brooklyn), New York (Manhattan), and Queens Counties
Bronx, Kings (Brooklyn), New York (Manhattan), and Queens Counties
Mecklenburg County
Mecklenburg County
Hamilton County, Franklin County, Cuyahoga County
Hamilton County, Franklin County, Cuyahoga County
Oklahoma Department of Health
EHE planning information available; EHE Plan currently not available.
Oklahoma Department of Health
EHE planning information available; EHE Plan currently not available.
Statewide
Statewide
Philadelphia County
Philadelphia County
Puerto Rico Department of Health
EHE planning information available; EHE Plan currently not available.
Puerto Rico Department of Health
EHE planning information available; EHE Plan currently not available.
San Juan Municipio
San Juan Municipio
San Francisco Department of Health
EHE planning information available; EHE Plan currently not available.
San Francisco Department of Health
EHE planning information available; EHE Plan currently not available.
San Francisco County
San Francisco County
Statewide
Statewide
Shelby County
Shelby County
Bexar County, Dallas County, Tarrant County, Travis County
Bexar County, Dallas County, Tarrant County, Travis County
King County
King County