In 2019, the U.S. Department of Health and Human Services (HHS), through CDC, awarded $16.5 million to state and local health departments to build the foundation for Ending the HIV Epidemic and set the United States on a path for progress.
State and Local Planning
$12 million was awarded to accelerate the development of state and local Ending the HIV Epidemic plans. This one-time funding was awarded to health departments representing the 57 geographic areas that have been prioritized for the first year of the initiative. This advance planning will help communities more rapidly implement new activities when federal funds are appropriated for the first year of the initiative.
The HIV epidemic affects communities differently, so local plans tailored by and for each community will be unique to each area. Plans will be based upon a national framework that identified the highest-impact HIV prevention, care, treatment, and outbreak response strategies. They will also include input from local community partners.
EHE Funding in Action
To jumpstart the initiative, CDC used HHS Minority HIV/AIDS funds to invest a total of $4.5 million in three “Jumpstart Sites” to implement key foundational activities that will help accelerate progress toward ending the HIV epidemic in their communities. The successes and lessons learned from these sites will be shared to support nationwide EHE efforts. From July to December 2019, Jumpstart Sites have already implemented and accelerated key EHE strategies in their communities, including:
Baltimore City, MD
- Incorporated HIV/STD testing into a mobile syringe-services program (SSP)
- Implemented a care navigation and treatment program in two clinics to improve viral suppression
- Provided access to PrEP* to clients in two health centers
DeKalb County, GA
- Initiated a jail-based HIV testing program and trained 30 nurses to deliver HIV testing in jails
- Provided same-day linkage to care and treatment for those newly diagnosed during targeted outreach testing
- Provided access to PrEP* to clients in two new clinics and utilized online marketing to promote PrEP in the areas of the county that are most in need
- Established HIV and hepatitis testing in an emergency department
- Increased the HIV testing capacity of five community-based organizations
- Hired five community health workers and a rapid-start navigator to reach out to the communities most impacted
* Pre-exposure prophylaxis (PrEP) is a daily pill taken to prevent HIV