Ending the HIV Epidemic (EHE): Scaling Up HIV Prevention Services in STD Specialty Clinics
Through the EHE initiative, the Department of Health and Human Services has set an ambitious goal of reducing all new HIV infections by 90% by 2030. To support this goal, CDC awarded supplemental funding in 2019 to strengthen the infrastructure of STD clinics serving a high volume of racial/ethnic and sexual minorities to enhance and scale up HIV prevention services and build upon activities supported under PS19-1901: Strengthening STD Prevention and Control for Health Departments (STD PCHD) using Minority HIV/AIDS Fund (MAHF) resources.
In 2020, CDC continued support for scaling up HIV prevention services in STD specialty clinics through another Notice of Funding Opportunity (NOFO): PS20-2010: Integrated HIV Programs for Health Departments to Support Ending the HIV Epidemic in the United States (EHE) to support the development and implementation of programs tailored to ending the HIV epidemic in America. This NOFO is made up of three components; component C is focused on implementing strategies and activities that scale up HIV prevention services to reach populations that receive/seek care in STD clinics.
This funding is intended to strengthen the infrastructure of STD clinics, which serve a high volume of racial/ethnic and sexual minorities. The reasons for this focus include:
- STD clinics serve populations who are not engaged in HIV prevention programs, or primary healthcare system for their STD and HIV prevention care
- STD clinics serve as an important healthcare setting for patients who may not otherwise have access to healthcare services
- STDs are associated with a higher risk of acquiring HIV and indicate increased risk of HIV acquisition in future and potential need for PrEP
Recipients of the NOFOs will implement five strategies in order to scale up HIV prevention services to reach populations that receive and seek care in STD clinics.
- Assess clinic infrastructure to document HIV prevention services, identify gaps, and assess service quality.
- Implement evidence-based approaches to scale up HIV prevention capacity in STD clinics, including self-collected STD testing and express visits, and HIV testing and viral load assessment.
- Expand the capacity of STD clinics to offer pre-exposure prophylaxis, or PrEP, post-exposure prophylaxis, or PEP, and strengthen clinic and laboratory capacity for recommended follow-up visits for people on PrEP.
- Optimize linkage to, retention in, and re-engagement with HIV medical care.
- Facilitate partnerships with other community HIV clinical providers, health departments, and community-based organizations providing HIV prevention services and collaborating in the implementation of the EHE.
PS19-1901: Strengthening STD Prevention and Control for Health Departments Supplement
With the initial MAHF funds, three recipients were awarded a total of $1.3 million. The award period was September 16, 2019 to December 31, 2019.
|Baltimore City Health Department||$500,000|
|Georgia Department of Public Health (DeKalb County)||$300,000|
|Louisiana Department of Health (East Baton Rough Parish)||$500,000|
PS20-2010: Integrated HIV Programs for Health Departments to Support Ending the HIV Epidemic in the United States Component C
Seven recipients were awarded a total of $3,000,000 for the first year, starting on August 1, 2020. This cooperative agreement is for 5 years of funding (August 1, 2020 to July 31, 2025), based on availability of funds.
|San Francisco Department of Public Health||$450,000|
|Missouri Department of Health and Senior Services||$450,000|
|City of Philadelphia Department of Public Health||$450,000|
|Baltimore City Health Department||$450,000|
|District of Columbia Department of Health||$400,000|
|Alabama Department of Public Health||$400,000|
|Arizona Department of Health Services||$400,000|
- PS20-2010 Integrated HIV Programs for Health Departments to Support Ending the HIV Epidemic in the United States (EHE) Notice of Funding Opportunityexternal icon
PS20-2010 EHE Notice of Funding Opportunity can be accessed and downloaded above from grants.gov.
- PS19-1901: Strengthening STD Prevention and Control for Health Departments (STD PCHD) Notice of Funding Opportunityexternal icon
PS19-1901 STD PCHD Notice of Funding Opportunity can be accessed and downloaded above from grants.gov.
- Dear Colleague Letter from the Division of HIV/AIDS Prevention: Advancing the Ending the HIV Epidemic Initiative with a $109 Million Investment in 57 Areas of the United States (July 31, 2020)
- Dear Colleague Letter from Dr. Gail Bolan, Division of STD Prevention Director: Scaling Up HIV Prevention in STD Clinicspdf icon (July 31, 2020)