Resources

Webinars

PrEP Access and Future Horizons: Changes in the Drug Market and Coverage:

The HIV pre-exposure prophylaxis (PrEP) landscape is rapidly changing. With the introduction of new drugs approved for PrEP and generic options becoming available, many changes are underway or on the horizon. NASTAD hosted a webinar titled PrEP Access and Future Horizons: Changes in the Drug Market and Coverage, on December 9th to discuss the many changes underway. The webinar focused on:

  • The introduction of generic TDF/FTC to the US market
  • Covering PrEP as an Essential Health Benefit
  • Expected changes in PrEP coverage

The webinar also provided an overview of NASTAD’s telePrEP learning collaborative. The webinar was open to all community leaders, providers, and health department staff. For additional questions about the webinar, please contact Nicole Elinoff. Please click here to access the recording of the webinar. 

Self-Testing Strategies for HIV Testing and PrEP Access:

This webinar series will focus on two self-testing implementation routes: 1) outsourcing self-testing to a commercial vendor, and 2) delivering services through a current public health infrastructure, including CBOs and state public health labs. Each webinar will highlight models and innovations from health departments about their implementation of self-testing programs.

Webinar 1: Providing At-Home Testing Through the BHOC Partnership

  • The initial webinar in the series, Self-Testing Strategies for HIV Testing and PrEP Access: Providing At-Home Testing Through the BHOC Partnership, held on October 15, 2020, provided an overview of self-testing initiatives and highlighted Building Healthy Online Communities’ Take Me Home program, which included details about expanding self-testing options to STI and PrEP panels. Please click here to access the recording, slides, and questions of the webinar.

Webinar 2: Implementing Self-Testing for HIV and PrEP Monitoring

  • The second webinar in the series Self-Testing Strategies for PrEP and HIV was held on December 3, 2020. This webinar focused on approaches for clinical decisions regarding self-testing for PrEP and lessons learned when implementing self-testing with various populations. Please click here to access the recording, slides, and questions of the webinar.

Webinar 3: Integrating Self-Testing for PrEP with Providers and Partners

  • The third webinar in the series Self-Testing Strategies for PrEP and HIV was held on January 13th, from 2:00 – 3:30 PM ET. This webinar, Integrating Self-Testing for PrEP with Providers and Partners, focused on various models currently in place within organizations by highlighting the overall model, outreach efforts, order fulfillment, and resources available to promote within communities. Please click here to access the recording, slides, and questions of the webinar.

Webinar 4: Examining Self-Testing: A Strategy to Improve Access to HIV, Viral Hepatitis, and STI Testing

  • The fourth and final webinar in the series Self-Testing Strategies for HIV Testing and PrEP Access was held on April 6, 2021. This webinar highlighted a toolkit NASTAD, in collaboration with the Association for Public Health Laboratories (APHL), has developed to support health departments implementing self-testing strategies. The webinar featured policy and technologic aspects and operational issues that health departments should consider in evaluating self-testing strategies in the context of their prevention and linkage programs.
  • The webinar additionally included an overview of the toolkit as well as examples of how different jurisdictions have implemented self-testing strategies to advance public health priorities, such as implementation of PrEP, integration of services, addressing health equity, and addressing gaps in services during the COVID-19 pandemic. Please click here to view the recording and slides from the webinar.
Effectively Engaging Community in the Ending the HIV Epidemic Process Through Digital Technology:

This webinar series presents on digital activities and tools used for community engagement from the perspectives of EHE HIV community planning, HIV service delivery, and determining where to direct funding. NASTAD, Kaiser Family Foundation (KFF), and peer jurisdictions present this information across three webinars:

Webinar 1: Learning How to Apply Digital Technology to HIV Community Planning

  • This webinar sets the foundation around community engagement principles and the relationship between digital technology and community engagement. Peer jurisdictions, Central Florida and Connecticut shared how they have integrated web-based platforms into the HIV planning council activities and EHE community feedback sessions. To access the recordings and slides, click here.

Webinar 2: Exploring Digital Resources and Strategies to Expand HIV Services to Community

  • This webinar delves in to the various digital and online platforms available to jurisdictions, their utility and reach, and how they can best support/facilitate community engagement. This webinar showcases how KFF applies social media and technology to support HIV services and messaging and how peer jurisdiction, the Indiana Department of Health, has developed and adapted a telehealth program that continued to support services. To access the recordings and slides, click here.

Webinar 3: Determining the Best Monetary Value When Using Digital Technology

  • This webinar will explore the financial and funding components needed to support digital technology. Topics will include how EHE funding can support digital technology, the costs of certain aspects (e.g., buying an ad versus posting a message, traditional media versus digital media costs, etc.), and how to get the best value out of platforms (cost per share, audience reach, etc.). To access the recordings and slides, click here.

Maps

HIV Data Protection Landscape for EHE Jurisdictions

NASTAD released a new resource assessing HIV Data Protection Landscape for EHE Jurisdictions. This interactive map summarizes state-level legal authorities and protections related to health department HIV surveillance data release in response to requests from courts, prosecutors, and law enforcement agencies. The tool helps health department HIV program staff and legal counsel assess data privacy laws in their state and supports health departments in responding appropriately to requests for HIV data in connection with legal and law enforcement matters. NASTAD has also released a Research Protocol explaining the project scope and methodology.

Specifically, this map identifies: 

  • Whether your state has a law criminalizing exposure to or transmission of HIV. 
  • Whether your state’s laws permit release of health department HIV data for law enforcement and/or prosecution purposes, and under what circumstances. 
  • The types of health department data that can be released for law enforcement and/or prosecution purposes. 

This map is funded through CDC PS19-1906 Component A, and as such, currently reflects laws in priority jurisdictions included in Phase I of the federal “Ending the HIV Epidemic: Plan for America” (EHE) initiative, which aims to end the HIV epidemic in the United States by 2030. To visit the map, click here

Toolkits & Issue Briefs

Self-Testing: A Strategy to Improve Access to HIV, Viral Hepatitis, and STI Testing

NASTAD, in partnership with the Association of Public Health Laboratories (APHL), developed this toolkit to help health departments, public health laboratories, and their community partners decide whether and how to incorporate self-testing for HIV, viral hepatitis, and STIs. The toolkit is designed to support health departments in their efforts to strengthen HIV, viral hepatitis, and STI testing and linkage programs.

This toolkit provides an overview of models of self-testing; the roles of HIV, viral hepatitis, and STI programs, and public health laboratories in supporting self-testing; and a discussion of the benefits and drawbacks of self-testing. Also included are tools that health departments can use to evaluate self-testing as a public health strategy, a summary of currently available commercial self-testing services, and detailed recommendations and “tips” from health departments that have implemented self-testing. 

The toolkit includes case studies of selected health department-supported self-testing programs. The case studies provide detail about the self-testing models employed by health departments, including recruitment and operational details, along with lessons learned that other health departments might find helpful. To view the Self-Testing Toolkit, please click here

OnTAP

NASTAD's Online Technical Assistance Platform (OnTAP) serves as a virtual space for Phase 1 jurisdictions to communicate with each other and NASTAD, and access resources relevant to the EHE initiative. If you are in EHE point of contact for a Phase 1 jurisdiction and would like to be added to OnTAP, please contact Krupa Mehta or Julia Zigman.

EHE Success Stories

NASTAD values the importance of disseminating to peers and communities the successes and innovative work being done by HIV and viral hepatitis programs. Through our Success Stories, state and local programs share how they address individual, community, and systems level needs that are advancing progress towards ending the HIV and viral hepatitis epidemics. 

EHE Resources from National Organizations

U.S. Department of Health & Human Services (HHS)

HHS EHE Announcement

In February 2020, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), awarded approximately $117 million to expand access to HIV care, treatment, medication, and prevention services. This investment is a critical component of the Administration's Ending the HIV Epidemic: A Plan for America (EHE) initiative, which aims to reduce the number of new HIV infections in the United States by 90 percent by 2030. Click here to read more.

Ready, Set, PrEP

Ready, Set, PrEP is a nationwide program that expands access to PrEP medications at no cost to the qualified individual. This initiative aims to reduce new HIV infections and contribute to ending the HIV epidemic. Click here to read more.

AHEAD Dashboard

HHS has launched a new online resource/tool, America’s HIV Epidemic Analysis Dashboard (AHEAD), which is housed on HIV.gov. The AHEAD dashboard makes HIV data more widely available. The tool empowers partners to track progress towards the goals of the Ending the HIV Epidemic: A Plan for America (EHE) initiative by graphically visualizing data for each of the 57 EHE Phase I jurisdictions and tracking national and jurisdictional progress on six indicators, including:

  • HIV incidence
  • Knowledge of HIV status
  • HIV diagnoses
  • Linkage to HIV medical care
  • Viral suppression
  • PrEP coverage

Centers for Disease Control and Prevention (CDC)

PS19-1906: Strategic Partnerships and Planning to Support Ending the HIV Epidemic in the United States Notice of Funding Opportunity

The purpose of this Notice of Funding Opportunity (NOFO) is to support strategic partnerships, communication, peer-to-peer technical assistance (TA), and jurisdictional planning efforts to address emerging needs of targeted jurisdictions through CDC-funded state and local health departments and their ability to the end the HIV epidemic in the U.S. For Phase 1 jurisdictions, this NOFO supports EHE planning.  Click here to read more.

PS19-1906 Component B Program Guidance

The PS19-1906: Component B Planning Program Guidance provides a framework for the development of all Phase 1 jurisdictional EHE plans. Click here to read more.

PS20-2010: Integrated HIV Programs for Health Departments to Support Ending the HIV Epidemic in the United States Notice of Funding Opportunity 

This Notice of Funding Opportunity (NOFO) supports the development and implementation of programs tailored to ending the HIV epidemic in America. Recent scientific advances in HIV prevention and treatment have made ending the HIV epidemic in America a realistic possibility. The purpose of this NOFO is to implement comprehensive HIV programs, that complement programs, such as the Ryan White program and other HHS programs, designed to support ending the HIV epidemic in America. Simply put, this NOFO supports the implementation of EHE plans developed through PS19-1906 Component B.  Click here to read more.

Health Resources & Services Administration (HRSA)

HRSA 20-078: Ending the HIV Epidemic: A Plan for America — Ryan White HIV/AIDS Program Parts A and B Notice of Funding Opportunity

This Notice of Funding Opportunity (NOFO)  announces the opportunity to apply for funding for the Ending the HIV Epidemic: A Plan for America — Ryan White HIV/AIDS Program (RWHAP) Parts A and B as administered by the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) in conjunction with the existing RWHAP Parts A and B funding. Click here to read more.

Ryan White HIV/AIDS Program Ending the HIV Epidemic (EHE) Award

HRSA awarded approximately $63 million to 60 Ryan White HIV/AIDS Program recipients to link people with HIV who are either newly diagnosed, or are diagnosed but currently not in care, to essential HIV care and treatment and support services, as well as to provide workforce training and technical assistance. Click here to read more.