XIX International AIDS Conference


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MOPE639 - Poster Exhibition

The allocation of HHS HIV/AIDS resources based on the USA epidemic, by four regions

V. Yakovchenko1, R.O. Valdiserri1, G. Mansergh2

1US Department of Health and Human Services, Office of HIV/AIDS and Infectious Disease Policy, Washington, United States, 2Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Atlanta, United States

Background: In response to the first U.S. National HIV/AIDS Strategy (NHAS), the U.S. Department of Health and Human Services (HHS) assessed HIV/AIDS prevention, care, and treatment funding by the Centers for Disease Control and Prevention (CDC), Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA) and Centers for Medicare and Medicaid Services (CMS) for the 50 U.S. States grouped into four geographic designations: Northeast, Midwest, South and West. Federal funding was analyzed to understand its regional distribution and to better inform allocation formulas and policies that ensure Federal HIV resources follow the epidemic.
Methods: We analyzed estimated Fiscal Year (FY) 2010 funding from HHS agencies by geographic region. Epidemiologic HIV/AIDS data (living adolescent and adult AIDS and HIV cases and rates through the end of 2008) were utilized to measure disease burden.
Results: In FY10, US$9.6 billion was allocated by these HHS agencies. Funding was distributed as follows: Northeast 40%, Midwest 11%, South 33% and West 16%. Funding was more correlated with living AIDS case numbers (R2 = 0.72) than with living HIV (R2 = 0.59). The Midwest and West proportion of funding tracked disease burden closely and the South less so; however, the Northeast had a greater than average per case funding compared to the other regions.
Conclusions: Given the early concentration of U.S. HIV cases in the Northeast, there is historical precedent for high levels of funding in this region. Recent efforts have been taken by HHS to more closely reflect the current epidemic through redistribution of funding, but HHS will continue to explore opportunities to allocate fund

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ing to geographic areas consistent with the epidemic and intensify HIV prevention efforts in communities where HIV is most heavily concentrated.

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