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Introduction: National
HIV Prevention Inventory (NHPI) As 2009 comes to a close, momentum continues toward the development of a National HIV/AIDS Strategy. The White House Office of National AIDS Policy (ONAP) continues to hold community meetings to develop the strategy, and their website now includes a blog and events page. The House and Senate passed bills to extend the Ryan White Program for four more years in October, and health reform debates have intensified. Momentum for renewed commitment to the domestic HIV/AIDS epidemic, and prevention in particular, appears to be growing, aided by new leadership at CDC's Division of HIV/AIDS Prevention (DHAP). The online October DHAP News includes synopses of the 2009 National HIV Prevention Conference and an offer from DHAP Director Jonathan Mermin to accept feedback through his online in-box. At the same time, NASTAD continues to hear from AIDS directors in state and local health departments about the devastating impact that the economic crisis is having on their programs and services. As NASTAD's recent State Budget Survey Report demonstrates, staff furloughs, layoffs and program cuts are continuing, if not intensifying. And, while most states report they have made every effort to absorb the cuts at the state administrative level, many health departments are scaling back or cutting programs across their HIV prevention and care and treatment portfolios. The Association of State and Territorial Health Officials (ASTHO) and the National Association of County and City Health Officials (NACCHO) report similar impacts on overall state health systems and local health departments. It is important to keep abreast of the impact of these changes in order to come up with strategies to maintain forward momentum on a renewed commitment to domestic HIV/AIDS prevention. Since health departments provide or administer a majority of the prevention services in this country, it is imperative that we track the trends and needs of health department HIV/AIDS programs. NASTAD accomplishes this in part through the National HIV Prevention Inventory (NHPI) and the National ADAP Monitoring Report, both completed in partnership with the Kaiser Family Foundation. Premiered in the Bulletin this summer, the NHPI offers a comprehensive inventory of HIV prevention efforts at the state and local levels and offers a baseline picture of how HIV prevention is delivered across the country. Collectively, the findings demonstrate the complexity and richness of the health department response to the epidemic, as well as the very real and concrete challenges they face. Not only is the funding picture uncertain, but health departments' responses are multi-faceted. back to top > Local Use of the NHPI NASTAD's goal in developing the NHPI was to provide a fuller and more comprehensive picture of the public health HIV/AIDS prevention response in the U.S. It is our hope that state and local health departments can use the NHPI for strategic planning purposes, with their community planning groups and local advocates, and to better understand and/or evaluate their response. NASTAD also intends the NHPI to be a valuable resource for state and local health departments, policy makers, and advocates as the National HIV/AIDS Strategy and other policies emerge. To that end, NASTAD has developed a NHPI slide set with selected results from the NHPI to complement the NHPI document and help in presenting its information. How is your jurisdiction using the NHPI? Please forward your response or questions about the NHPI to Dave Kern. back to top > Spotlight: Maryland's Use of the of NHPI An example of how the NHPI can be used comes from Maryland, where Kip Castner, Deputy Chief of the Center for HIV Prevention in the Infectious Disease and Environmental Health Administration at the Maryland Department of Health and Mental Hygiene, developed a presentation for an annual overview of HIV prevention for the Maryland community planning group (CPG). He used information from NASTAD News and Prevention Bulletins to educate the CPG about many recent developments in HIV prevention, including the release of the NHPI and how it illustrateswhere Maryland ranks in a national context. According to Castner, the CPG was grateful that NASTAD gathered and assembled all of the information in the NHPI, especially about other states' spending on HIV prevention. CPG members were impressed by the extent to which many state health departments were able to augment federal HIV prevention resources with resources from their state governments. Maryland may use parts of the NHPI to highlight national developments and local, recent accomplishments in various year-end and / or World AIDS Day communications. Castner says, "It was a pleasure to pause for a moment and reflect that there actually were a tremendous number of positive developments in the last twelve months." States that are interested in developing something similar may contact Kip at castnerk@dhmh.state.md.us or (410) 767-5290. back to top > Top Ten Issues To Watch in 2010? Each year, NASTAD highlights the overarching issues likely to impact HIV prevention programs in the coming year. Moving forward, this snapshot will be a major complement and source of comparison to what is actually taking place in health departments, as evidenced in the NHPI. For example, there's little doubt that health reform, should it be signed into law, will have a major impact on how all prevention and care and treatment takes place in this country in the future. But what will the impact be? It is likely that many of you could identify other key trends or issues that are likely to also impact HIV prevention in 2010. Expanded HIV testing? Antiretroviral treatment as a means to preventing new infections? More DEBIs? Program Collaboration and Services Integration? Integrated Partner Services? Internet interventions? Before we try to predict these issues, we'd like to hear from you! There are a few different ways you can send us your "Top 10 Trends/Issues to Watch in 2010."
back to top > Closing The ability of state and local jurisdictions to address challenges and meet the HIV prevention needs in their communities remains uncertain. The impacts of the economic downturn continue to reverberate in states and cities, despite some news that we are turning the tide. Looking forward, creativity and perseverance are likely to be as important as ensuring effectiveness and improving the targeting of ever scarcer prevention resources. back to top > Recent Resources and Reports New York State's H1N1 Guidance for Patients with HIV/AIDS The New York State AIDS Institute has developed a letter on H1N1 and patients with HIV/AIDS that has been distributed to all AIDS Institute contractors, every hospital, clinic, local health department and drug treatment program in the state, other NYS agencies, HMOs, and the medical society and highlighted as a resource to practitioners statewide. Revised Guidelines for HIV CTR in Non-Health-Care Settings Meeting Summary In June 2009, CDC sponsored a Consultation on Revised Guidelines for HIV Counseling, Testing and Referral (CTR) in Non-Health-Care Settings. The summary report from this meeting is now available online. The report highlights the recommendations from the consultation as well as plans for the future. AIDS Surveillance – General Epidemiology Slide Set CDC's AIDS surveillance – general epidemiology slide set, with data from 1985 to 2007, it now available online. AIDS Surveillance – Trends Slide Set CDC's AIDS surveillance – trends slide set, with data from 1985 to 2007, is now available online. HIV/AIDS Surveillance Supplemental Report CDC's new HIV/AIDS Surveillance Supplemental Report, Deaths Among Persons with AIDS, with data through December 2006 is now available online. Guide to Online Communities This document provides basic information on the current and most popular online communities. The information provided includes the site type (SNS, Dating, etc.), the site ranking, and estimated demographic information. Other links such as recommended people search sites and resources for demographic and site traffic information have been included. Download your copy from the resources section of STDPreventionOnline.org. back to top > Meeting and Planning Calendar November 7-11, 2009 American Public Health Association 137th Meeting and Expo, December 1, 2009 World AIDS Day February 7, 2010 National Black HIV/AIDS Awareness Day February 16-19, 2010 17th Conference on Retroviruses and Opportunistic Infections, San Francisco, CA March 10, 2010 National Women and Girls HIV/AIDS Awareness Day March 20, 2010 National Native HIV/AIDS Awareness Day April STD Awareness Month May 2010 Viral Hepatitis Awareness Month May 18, 2010 HIV Vaccine Awareness Day May 19, 2010 National Asian and Pacific Islander HIV/AIDS Awareness Day World Hepatitis Day May 27-30, 2010 HIV/AIDS 2009: The Social Work Response, Denver, CO. Abstracts due December 31. June 8, 2010 Caribbean American HIV/AIDS Awareness Day June 27, 2010 National HIV Testing Day |
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Credits, Feedback and Input The NASTAD Prevention Bulletin is edited by NASTAD staff and is written by staff and prevention experts from around the country. This publication was supported by Cooperative Agreement Number 5U62PS323958-05 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention. If you have an idea or program that you would like to include in the Bulletin, please contact Dave Kern or Lynne Greabell (202/434-8090). NASTAD welcomes feedback to issues presented in Bulletin. To submit commentary, please e-mail us at NASTAD@NASTAD.org. Electronic versions of the Bulletin are available on our webpage. |
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