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IHS HIV Program Update January 2012

IHS HIV Program Update January 2012. Discussion Overview. Programmatic Update AI/AN Epidemiology IHS and the President’s National HIV/AIDS Strategy IHS HIV/AIDS Program Initiatives Program Performance Way forward. Epidemiology. Including CDC-Generated Statistics. AI/AN HIV Epidemiology.

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IHS HIV Program Update January 2012

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  1. IHS HIV Program Update January 2012

  2. Discussion Overview • Programmatic Update • AI/AN Epidemiology • IHS and the President’s National HIV/AIDS Strategy • IHS HIV/AIDS Program Initiatives • Program Performance • Way forward

  3. Epidemiology Including CDC-Generated Statistics

  4. AI/AN HIV Epidemiology • HIV Estimates, 20061 • Incidence rate : 14.6/100K • About 26% AI/AN People Living with HIV were estimated to be unaware of status • HIV Diagnosis, 20082 • Prevalence (# living with diagnosed HIV infection): 2,387 • AIDS Diagnosis, since 1985 • AI/AN ever diagnosed with AIDS: 3,7023 1Estimated rates of new HIV infections, 50 U.S. states and the District of Columbia, 2006 2Diagnosis from 40 states and 5 dependent areas, 2008 3 All states and 5 dependent areas, 2009

  5. AI/AN Epidemiology • AI/AN youth at higher risk (YBRS, BIA/CDC 2002,2008) • CDC estimates roughly 180 cases diagnosed/year • IHS early FY10 estimates confirm similar * CDC HIV/AIDS Surveillance Report 2006, Released Spring 2008: http://www.cdc.gov/hiv/topics/surveillance/incidence.htm

  6. Rates of HIV Infection Diagnosis/ 100K* (Adults/Adolescents/Children) *40 states with long-term confidential name-based HIV infection reporting Dependent areas not included due to limited census information

  7. AI/AN HIV Epidemiology • HIV Dx rate for AI/AN men (18.4 per 100K) slightly higher than white men (14.8) • HIV Dx rate for AI/AN women (6.6) more than double the rate for white women (2.4) Diagnosis from 40 states only, 2009

  8. Proportion of Persons Surviving following an AIDS Diagnosis 2001-2005

  9. AI/AN 2009 HIV Transmission Categories, Male Highest MSM/IDU combination of any ethnicity *

  10. AI/AN 2009 HIV Transmission Categories, Female

  11. HIV/AIDS National Strategy President’s Strategy and Integration with IHS HIV Strategy

  12. The National HIV/AIDS Strategy

  13. NHAS Goals and IHS HIV Program

  14. IHS HIV/AIDS Program Initiatives: Minority AIDS Initiative and Other Projects

  15. Major IHS HIV Initiatives • National Expanded HIV Testing Initiative (I/T/U) • Effective Behavioral Interventions (NARCH) • Data Collection/ Quality Improvement • Universal HIV Screening • HIV/STD • Prenatal HIV Screening • Site Specific Pilot projects (GIMC, PIMC, Pine Ridge) related to provision of care and prevention • New Media projects • Collaborations with multiple partners (Fed, Tribal) • ~ 30+ activities ongoing

  16. Leveraging Native American Research Centers for Health (NARCH) Extend public health/ community knowledge base of “what works” to address HIV prevention and treatment Five NARCH sites are active: Portland Area IHB, White Mountain Apache, Alaska ANTHC, Albuquerque Area Health Board, and Great Plains Health Board Adaptations of Effective Behavioral Interventions (EBIs) MMWR 55:47, December 1, 2006

  17. Phoenix IHS Telehealth, Chronic Care and Adherence projects ongoing and available as a resource to others Gallup, IHS Substance use, adherence, social media and interprofessional team approach modeled Pine Ridge IHS Home health care and outreach projects. Excellent example of IHS/Tribal partnership in terms of HIV/STD prevention efforts Site-Specific MAI Initiatives

  18. CDC Collaboration FY10 CDC funded projects through IHS HIV Program Office of Minority Health Hepatitis Integration Project Adaptation/ Updates of “Circle of Life” Curriculum for Middle and High School- Aged People. Project Red Talon (NPAIHB) Youth / New Media Outreach Tribal Grants : Ti-Chee, Oglala, ANTHC, Navajo 12-Cities Project: Federal Collaboration Other HIV Program Initiatives

  19. IHS HIV/AIDS Video

  20. IHS HIV Website (www.ihs.gov/medical programs/hivaids )

  21. Program Performance and MeasurementHow are we doing?

  22. 4 Performance Measures2010 • HIV Screening of 13-64 y.o. (all system): 7% • Prenatal HIV Screening (GPRA): nearing 80% • Comprehensive STI testing - newly diagnosed STI: 31% • Chlamydia screening of sexually active 15-24 y.o. females annually All 4 measures based on national guidelines and recommendations

  23. Reducing Infections: Screening Number of HIV Tests Performed per Year 2000 - 2010

  24. Impact: GPRA Prenatal HIV Screening

  25. Where Are We Headed? • Effective Behavioral Interventions Outcomes • Expanded relationship with Tribes and Communities: Including consultation • Further expansion of Universal HIV Testing • Improving linkages to care • Expanded collaboration (Interagency, I/T/U) • Reporting, monitoring and evaluation of programs • Growth of the HIV network in I/T/U

  26. Expansion ofInteragency Collaboration

  27. Thank You Lisa C. Neel, MPH Program Analyst, HIV Program IHS Headquarters 801 Thompson Ave, Suite 304B Rockville, MD 20852 (301) 443-4305 lisa.neel@ihs.gov

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