The Updated National HIV/AIDS Strategy on National HIV ... · The Updated National HIV/AIDS...
Transcript of The Updated National HIV/AIDS Strategy on National HIV ... · The Updated National HIV/AIDS...
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The Updated National HIV/AIDS Strategy
on National HIV Testing Day
Amy Lansky, PhD, MPH
Director, Office of National AIDS Policy
NMAC Communities of Conversation
June 27, 2016
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Learning Objectives
• Identify 4 goals and 4 areas of critical focus in
the updated National HIV/AIDS Strategy.
•Describe ways that community organizations
(including yours!) can use the National HIV/AIDS
Strategy to support programs and activities, with
a focus on HIV testing
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5 Major Changes Since 2010
Research is
unlocking new
knowledge &
tools
Our prevention
toolkit has
expanded
Affordable Care Act
has transformed
health care access
HIV testing &
treatment are
recommended
Improving the HIV
Care Continuum
is a priority
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Advances in 4 Key Areas Are of Critical Focus through 2020
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Executive Order to Implement the Strategy
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Executive Order to Implement the Strategy
20102012 2013
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Executive Order to Implement the Strategy
Establishes the NHAS Federal Interagency Working Group
DOJ DOL DOL VA
DOD DHS ED DOI
SSA EEOC
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• Retention • Knowledge of Serostatus
• Number of Diagnoses
• Linkage to Care
• Viral Suppression
• Death Rate
• Diagnosis Disparity
(Black Females, Southern US)
• Viral Suppression Disparity
(PWID, Youth)
Meeting TargetRight DirectionNeeds
ImprovementNo Data
• Homeless
• Diagnosis
Disparity
(MSM, YBMSM)
• Risk
Behavior
(YMSM)
Summary of Indicator Progress
Source: National HIV/AIDS Strategy, Updated to 2020 [2015]
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Developmental Indicators
•PrEP Uptake
•HIV Stigma
•HIV among Transgender Persons
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Federal Action Plan: Support and Strengthen Screening
2016
• OPA, HRSA, and CDC will continue to offer HIV testing,
and referral in all Title X-funded family planning clinics
• ACF will develop resources on HIV screening within the
context of IPV and distribute to FVPSA award recipients
• HUD will improve identification of homeless persons living
with HIV and link them to housing assistance, medical
care, and other services.
• SAMHSA will provide guidance to grantees to focus
testing efforts in communities where HIV is most heavily
concentrated
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Federal Action Plan: Support and Strengthen Screening
2017-2020
• HRSA will explore adding an HIV screening measure to the
UDS reporting system for Health Centers.
• VA will increase HIV testing rates among veterans in VHA
care
• DHS, in collaboration with CDC and DOJ, will assess the
feasibility of incorporating HIV testing and linkage to care
in the current health screening process in IHSC facilities.
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Community Action PlanGoal 1: Reducing new infections
Routine HIV Testing
• Implement routine HIV screening as recommended
by the U.S. Preventive Services Task Force
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Community Action Plan Goal 2: Increasing access to careand improving health outcomes forpeople living with HIV
Linkage and Referral
• Ensure immediate linkage to care and initiation of
treatment as well as culturally-appropriate services
that support retention in care
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8 Years of Policy Progress in the United
States Response to HIV
• First comprehensive National HIV/AIDS Strategy
• Ryan White HIV/AIDS Treatment Extension Act, 2009
• Affordable Care Act, 2010
• HIV entry ban lifted, 2010
• Hosted the 2012 International AIDS Conference
• HIV Organ Policy Equity (HOPE) Act, 2013
• First transplants conducted, 2016
• Authorized use of Federal funds for syringe services
programs, 2016
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• As a guiding document, the Strategy is a
National plan, not just a Federal plan.
• The goals of the Strategy can only be achieved by
engagement at the national, state, Tribal, and local
levels and across all sectors.
• It is especially important that people who work in
communities play an active role in implementing this
Strategy.
• Everyone is needed to put this Strategy into action
and end the HIV epidemic.
Reaching the Goals
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WH.gov/ONAP
@Amy44