Ending the HIV Epidemic: Jurisdictional Plans

An increasing number of cities, counties, and states are developing plans to “End the Epidemic” in their jurisdiction. These plans are dynamic and will be updated as progress continues. Click on the map below to access the current versions. If you are aware of any plans that aren't included, or have updates to the information in this map, please email communications@NASTAD.org

Ending the Epidemic Plans

Local Jurisdictional Plan Available/In Development

State Jurisdictional Plan Available

Plan in Development

No Plan Available

Alaska

No Plan Available

No plan available.

Alabama

Plan in Development

Discussing developing a plan.

Arkansas

No Plan Available

No plan available.

Arizona

State Jurisdictional Plan Available

Victory Through Unity - This visually striking plan is a comprehensive five-year strategy to "wipe out HIV in Arizona." The plan was created through the HIV Statewide Advisory Group and the Phoenix Ryan White Planning Council, guided by the NHAS and care continuum, and took over two years to develop. The plan identifies three paths to victory, each initiating from a single scenario: (1) tested positive; (2) out of care; or (3) staying negative. It also recognized that a one-size-fits-all approach wouldn't work in Arizona, so the state was segmented into regions. Each has their own objectives, strategies, and activities to achieve the vision mapped out in the plan.

California

State Jurisdictional Plan Available

Laying a Foundation for Getting to Zero: California's Integrated HIV Surveillance, Prevention, and Care Plan - In 2013, the State of California released their final Integrated HIV Surveillance, Prevention, and Care Plan. In 2016, California's Integrated Plan was updated to articulate their vision for "Getting to ero" through improving HIV surveillance strategies, preventing new HIV infections, and caring for those living with HIV. California believes this can be achieved by using existing resources through collaboration with multiple partners throughout the state and a determined effort to implement evidence-based strategies to prevent HIV and provide care for people living with HIV. The Integrated plan responds to California's HIV epidemic, in which gay, bisexual, and other MSM represents the majority of those living with HIV and those who are newly infected. California's collective efforts in response to the epidemic have led them to more effective approaches to engage with the communities who are disproportionately affected by HIV, and develop a clearer understanding of the direct relationship between social and health inequities. California believes that a holistic framework that encompasses social and structural determinants of health is necessary for all communities experiencing HIV related disparities. The Integrated Plan is meant to give a voice to those at risk for and living with HIV and to implement strategies that recognize the interplay between biological, behavorial, psychosocial, and structural factors that affect the health and well-being of those most affected by the epidemic. The Integrated Plan demonstrates California's commitment to collaboration, efficiency, and innovation to achieve a more coordinated response to HIV while establishing a layout for achieving HIV prevention, care, and treatment goals.

Colorado

State Jurisdictional Plan Available

Colorado HIV/AIDS Strategy (COHAS) - The Colorado HIV/AIDS Strategy (COHAS) is an integrated HIV prevention and care plan by the Denver Office of HIV Resources and the Colorado Department of Public Health and Environment. The Colorado Model for HIV Prevention and Care is based on a Behavorial Health Services Model from the U.S. Institute of Medicine. Underlying this model are two sets of foundational strategies, including Promotion and Policy Interventions, and mental health, substance use, psychological support, and intensive services for people experiencing critical events. These two foundational strategies are built around the following goals from the National HIV AIDS Strategy (NHAS):

    1. Reduce new HIV infections
    2. Increase access to care and improve health outcomes for people living with HIV
    3. Reduce HIV-related disparities and health inequities

Key Components of the Colorado Model for HIV Prevention and Care

    1. Universal, Selective, and Indicated Prevention
    2. Promotion and Policy
    3. Adherence to medication
    4. Retention in Medical Care
    5. Linkage to Care
    6. Re-engagement in Care

At the center of the Colorado Model is HIV Testing. This provides the oppprtunity to link to early HIV care, which greatly increases the likelihood of clients achieving viral suppression and maintain high quality lives while achieving HIV prevention goals.

Connecticut

State Jurisdictional Plan Available

Connecticut's Getting to Zero (G2Z) Campaign launched on June 27, 2018 by CT Department of Public Health (DPH).

  • G2Z will be launched in five cities with the highest number of people living with HIV: Bridgeport, Hartford, New Haven, Waterbury and Stamford.
  • 23-member commission appointed by DPH Commissioner Pino working with city health directors to host community listening sessions and develop city-specific recommendations.
  • A final G2Z report will be presented to the DPH Commissioner in Dec 2018.

District of Columbia

State Jurisdictional Plan Available

90/90/90/50 Plan: Ending the HIV Epidemic in the District of Columbia by 2020 - In 2015, Mayor Muriel Bowser and the DC Department of Health announced a partnership with DC Appleseed Center for Law and Justice and the Washington AIDS Partnership to develop and implement and ending the epidemic plan. The leadership consulted other city and state health departments that had already done ETE work, including New York State, Chicago, and New York City. They also relied on partnerships with local universities and other local governments offices.

The title of the plan spells out the goals 1.) 90% of all District residents with HIV will know their HIV status. 2.) 90% of District residents living with HIV will be in substained treatment. 3.) 90% of those in treatment will reach "viral suppression." 4.) these and other efforts will lead to a 50% reduction of new HIV cases by 2020. According to the statistical models created by researchers at the DC Department of Health, The George Washington University, and Howard University, a 56% reduction of new HIV cases is possible by 2020 if the District (1) continues the effective policies that have been implemented over the last 10 years, (2) meets the 90/90/90 targets, and (3) increases the number of District residents taking advantage of preventive interventions-especially PrEP. To increase access to PrEP the plan details policies that focus on groups at the highest risk for HIV as well as expanded access post-exposure prophylaxis. Additionally, the plan calls for improvements in youth education and expanded funding for syringe access programs.

Delaware

No Plan Available

No plan available.

Florida

No Plan Available

No plan available.

Georgia

No Plan Available

No plan available.

Hawaii

Plan in Development

In 2018, the Hawaii Department of Health began working with the community to write the “Hawaii to Zero” plan.

Iowa

No Plan Available

No plan available.

Idaho

No Plan Available

No plan available.

Illinois

State Jurisdictional Plan Available

The AIDS Foundation of Chicago and the Chicago and Illinois Departments of Public Health released the draft Getting to Zero Illinois plan on 2018 World AIDS Day. You can learn more at GTZIllinois.hiv/draft and read the plan materials here:

Illinois continues to make great progress against HIV. 2017 saw the fewest number of cases in two decades, but reaching the goal of fewer than 100 new cases in the state by 2030 will require a dramatic intensification of efforts and new strategies. Modeling shows that by increasing use of PrEP by 20 percentage points and the number of people who are virally suppressed by 20 percentage points, Illinois can reach that goal.

The draft plan is focused on ending the HIV epidemic for every population in Illinois, and especially those most impacted by HIV: young Black gay, bisexual, and other men who have sex with men (MSM); Latino/Latinx gay, bisexual and other MSM; cisgender Black heterosexual women; and transgender women of color. The documents are open for public comment through January 18, 2019.

Indiana

No Plan Available

No plan available.

Kansas

No Plan Available

No plan available.

Kentucky

No Plan Available

No plan available.

Louisiana

Plan in Development

Discussing developing a plan.

Massachusetts

State Jurisdictional Plan Available

Comprehensive Plan to Eliminate HIV Discrimination, AIDS Related Deaths, and New HIV Infections

  • Getting to Zero MA - This plan was created through the Getting to Zero Coalition, and began with nearly 30 organizations partners in all six health service regions in the state. Since then, many more have joined. It uses the 90-90-90 framework and has incorporated it into the new state integrated plan. When the coalition compared the framework to their state Care Continuum, they recognized how close they are to achieving this goal. During construction, 10 community forums and 10 working group meetings were hosted to collect input and frame key priorities. the working groups were (1) prevention, (2) comprehensive care, and (3) data and evaluation. In the plan, the recommendations are categorized into seven priority activities and ranked by potential to impact the epidemic. The plan is meant to serve as an advocacy tool and guiding document for change. It also includes "next steps" which focus on forming new external partnerships, creating new working groups, and evaluating progress. The seven priority activities are noted below:
    1. Identifying undiagnosed individuals and linking them to care;
    2. Retention in care and achievement of viral suppression for people living with HIV;
    3. Initiation of pre-exposure prophylaxis for eligible persons;
    4. Reduce HIV-related health disparities among people living with HIV;
    5. Strengthening of services for key populations;
    6. Enhancement of the health surveillance and data reporting systems;
    7. Adoption of sexual health as a human right; and
    8. Alignment with external getting to zero effots.

Maryland

No Plan Available

No plan available.

Maine

No Plan Available

No plan available.

Michigan

No Plan Available

No plan available.

Minnesota

State Jurisdictional Plan Available

Minnesota HIV Strategy - The vision of the HIV Strategy is that by 2025, Minnesota is a place where HIV infections are rare and all people living with HIV have access to high-quality healthcare and the resources they need to live long, healthy lives free of discrimination. The Strategy Advisory Board is comprised of 24 members from every level of care continuum and regularly provides guidance and recommendations during the strategic planning process. To develop the strategy, creators followed this process: 1.) visualize; 2.) organize; 3.) prioritize; 4.) actualize; 5.) revise.

The five goals named by this strategy are:

    1. Prevent new infections
    2. Reduce HIV related disparities and promote health equity
    3. Increase retention in care
    4. Ensure stable housing for people living with or at-risk of HIV
    5. Achieve a coordinated response to HIV

Missouri

No Plan Available

No plan available.

Mississippi

No Plan Available

No plan available.

Montana

No Plan Available

No plan available.

North Carolina

Plan in Development

Discussing developing a plan.

North Dakota

No Plan Available

No plan available.

Nebraska

No Plan Available

No plan available.

New Hampshire

No Plan Available

No plan available.

New Jersey

Plan in Development

The New Jersey Department of Health announced on December 1, 2018 that they have started developing an Ending the Epidemics plan.

New Mexico

No Plan Available

No plan available.

Nevada

No Plan Available

No plan available.

New York

State Jurisdictional Plan Available

2015 Blueprint "Get Tested, Treat Early, Stay Safe, End AIDS"

  • Ending the Epidemic 2015 Blueprint - Led by the Governor's office, this plan defines the end of the AIDS epidemic as when the total number of new infections has fallen below the number of HIV-related deaths. This leads to two ultimate measure of success, to reduce new infections from 3,000 to 750 and to reduce the rate at which persons progress to AIDS by 50%. The Governor named three points in this work:
    1. Identify persons who are undiagnosed and link them to care;
    2. Link and retain people living with HIV to health care to maximize viral suppression; and
    3. Facilitate PrEP and nPEP access.
    To achieve this, the Governor organized the the Ending the Epidemic Task Force to create the 2015 Blueprint. The Task Force, comprised of state and local officials and community advocates, was divided into four committees in which they made recommendations. Recommendations were then reviewed and ranked based upon three criteria: (1) it must contribute to one of the Governor's three points; (2) it must cite evidence that it's achievable; and (3) it must fall within the authority of the state. From this point the Tasl force constructed the plan, going so far as to include a "getting to zero" plan with key social, legislative, and structural barriers that would need to change to reach a state of zero new HIV infections.

Ohio

No Plan Available

No plan available.

Oklahoma

No Plan Available

No plan available.

Oregon

State Jurisdictional Plan Available

End HIV Oregon - This simple, easy-to-read guide was developed thorugh Oregon's integrated HIV/VH/STD Planning Group (GP). The Strategy introduces baseline measures, goals and activities, and explains how they will measure progress and report back to the community. The Strategy has three key points:

    1. Testing is easy;
    2. Prevention works, and;
    3. Treatment saves lives.

From these key points, a baseline was established and goals and activities for year one were developed. As the implementation progresses, Oregon's IPG will track progress on key measures and issue a report card each year on World AIDS Day.

Pennsylvania

Plan in Development

Discussing developing a plan.

Rhode Island

No Plan Available

No plan available.

South Carolina

Plan in Development

Discussing developing a plan.

South Dakota

No Plan Available

No plan available.

Tennessee

No Plan Available

No plan available.

Texas

No Plan Available

No plan available.

Utah

No Plan Available

No plan available.

Virginia

No Plan Available

No plan available.

Vermont

No Plan Available

No plan available.

Washington

State Jurisdictional Plan Available

End AIDS Washington - The HIV Planning Steering Group, the state treatment and prevention body, was directed by the Governor's Proclamation to End AIDS in Washington in 2014 to create a task force to propose recommendations on how the state could achieve its goals to end AIDS. They establshed the End AIDs Sterring Team and established five goals:

    1. Reduce by 50% the rate of new HIV diagnoses;
    2. Increase to 80% the percentage of people living with HIV who have a suppressed viral load;
    3. Reduce by 25% the age-adjusted mortality rates for PLWH;
    4. Reduce HIV-related health disparities among people living with HIV; and
    5. Improve quality of life for people living with HIV.

The Steering Team prioritized recommendations that would advance one or more of the five stated goals, and focused on recommendations that would complement, supplement, and/or expand upon existing efforts. The report makes 11 recommendations to achieve the goal of End AIDS Washington, and each recommendation includes specific action items. Stigma reduction and disparities reduction are their own recommendation areas, though these themes also run through the other nine recommendation areas.

Wisconsin

No Plan Available

No plan available.

West Virginia

No Plan Available

No plan available.

Wyoming

No Plan Available

No plan available.

Guam

No Plan Available

No plan available.

Northern Mariana Islands

No Plan Available

No plan available.

American Samoa

No Plan Available

No plan available.

Puerto Rico

No Plan Available

No plan available.

Marshall Islands

No Plan Available

No plan available.

Palau

No Plan Available

No plan available.

Federated States of Micronesia

No Plan Available

No plan available.

Virgin Islands

No Plan Available

No plan available.

Los Angeles County

Local Jurisdictional Plan Available/In Development

Los Angeles County HIV/AIDS Strategy (LACHAS) - This intiative was launched on December 1, 2017. Its goal is to significgantly reduce the amount of new HIV infections annually and help bring and end to the HIV epidemic in Los Angeles once and for all. An event is planned for November 29, 2018 to update the community on the plan's progress.

Bay Area

Local Jurisdictional Plan Available/In Development

San Francisco

Getting to Zero San Francisco's 2015 Strategic Plan

  • Getting to Zero San Francisco's 2015 Strategic Plan - San Francisco is on the path to become the first municipal jurisdiction in the US to achieve the UNAIDS version of "Getting to Zero." in 2014, the city established the SF Getting to Zero Consortium. The short-term goal is to reduce HIV infections and HIV-related deaths by 90% from their current levels by 2020. The plan calls for a three-pronged, comprehensive program that includes advocacy for access to affordable healthcare for all, with the respective prongs being "Stigma", "HIV Prevention Programming", and "HIV Treatment Programming." Through, these they have developed three signature intiatives: (1) PrEP expansion; (2) RAPID ART; and (3) ART Retention. To achieve this, the approach calls for investment and participation by public health, universities, private foundations, health systems, pharmcaceutical industry, and business sector partners, and aims to augment existing services while leveraging currently funded programs.

Santa Clara County

Getting to Zero (GTZ): Santa Clara County-Sillicon Valley

  • Getting to Zero (GTZ): Santa Clara County-Sillicon Valley - This four-year intiative strives for zero new infections, zero HIV-related deaths, and zero HIV/AIDS discrimination in Santa Clara County. To achieve this, they plan to reduce infections by 50%, reduce mortality by 50% and to reduce discrimination by a measurable degree. The collaborative was funded by the Santa Clara County Board of Supervisors and its structure includes a Leadership Team and Action Teams. The current Action Teams are PrEP/PEP, Communications, Community Engagement, and Stigma. All Action Team meetings and minutes are posted to the intiative's website.

    Part of the intiative includes mini-grants totaling $100,000/year to promote community organizations' ability to recognize and responde to the greatest needs with their scope of work. Part of the funding includes research into the root cause of stigma to inform effective messaging strategies. The grants are aligned to the four priority strategies of GTZ:

    1. PrEP and PEP implementation
    2. Universal and comprehensive STD screening and targeted testing
    3. Initiation into and retention in care
    4. Reduction of stigma

Oakland

Oakland is developing a plan.

Sacramento

Local Jurisdictional Plan Available/In Development

ZERO TOGETHER Strategic Plan - This plan, developed through a coalition of partners, embraces the NHAS and the California Integrated Plan but also integrates the local needs of the Sacramento area. ZERO TOGETHER has two goals: (1) to reduce new HIV infections and (2) to reduce HIV-related health disparities and health inequities. The plan states calls for the integration of STD testing and treatment as a necessity for ending HIV and focuses on incremental improvement measures for each year through 2021: The four primary components on the plan are:

    1. Testing of high-risk people, and aggressive linkage and retention practices;
    2. Retention in care and achievement of viral suppression for people living with HIV;
    3. Implementing PrEP and PEP;
    4. Syringe exchanges to maintain the small number of injection-related transmissions;
    5. Widespread condom distribution for STI and HIV prevention.

San Diego

Local Jurisdictional Plan Available/In Development

Getting to Zero: San Diego County - San Diego County's integrated plan for HIV care, prevention, testing, and surveillance.

Houston

Local Jurisdictional Plan Available/In Development

Roadmap to Ending the HIV Epidemic in Houston - Through a grant from the Ford Foundation and AIDS United, Houston's HIV leaders developed a a citywide roadmap that offers more than 30 recommnedations to end the epidemic. Their primary goal is to decrease new cases of HIV by half, over five years. The plan also strives to reach the 90-90-90 goals. The Roadmap outlines five core areas for both HIV and non-HIV communities to reach this goal. Those include: (1) prevention of HIV; (2) access to care for those living with HIV; (3) social determinants that exacerbate HIV; (4) criminal justice reforms to slow HIV; and (5) public policies and funding to manange HIV. In these five areas, the Roadmap makes more than thirty recommendations, drawing on solutions from the medical, policy, faith-based, criminal justice, and education communities.

Miami

Local Jurisdictional Plan Available/In Development

Miami-Dade County HIV/AIDS "Getting to Zero" HIV/AIDS Initiative released its Final Report in Feb 2017, which includes 16 recommendations to reach the goal of getting to zero new HIV infections and AIDS cases in Miami-Dade County

  • Task Force was convened by the Office of the Mayor of Miami-Dade County, the Miami-Dade HIV/AIDS Partnership, and the Florida Department of Health in Miami-Dade County, and is chaired by Florida State Senator Rene Garcia.

The 2017-2018 Implementation Report, which was released in Feb 2018, outlines the three main goals of the Initiative to achieve by 2020:

  • 90% of all Miami-Dade County residents living with HIV will know their status
  • Reduce the number of new diagnoses by at least 25%
  • 90% of Miami-Dade County residents living with HIV who are in treatment reach viral load suppression

New Orleans

Local Jurisdictional Plan Available/In Development

Discussing developing a plan.

Baton Rouge

Local Jurisdictional Plan Available/In Development

Discussing developing a plan.

Baltimore

Local Jurisdictional Plan Available/In Development

Discussing developing a plan.

Hennepin County

Local Jurisdictional Plan Available/In Development

Positively Hennepin was launched in Dec 2016 with a vision of achieving no new HIV infections in Hennepin County by 2027.

St. Louis

Local Jurisdictional Plan Available/In Development

Discussing developing a plan.

Jackson

Local Jurisdictional Plan Available/In Development

Discussing developing a plan.

Pittsburgh

Local Jurisdictional Plan Available/In Development

AIDS Free Pittsburgh

  • Executive Summary
  • One Pager
  • AIDS Free Pittsburgh is an intiative of Allegheny County and brings together public, private, and community based organizations to achieve no new AIDS cases in the county by 2020 and to reduce the rate of HIV infections by 75% in the same timeframe. The intiative will use three strategies: (1) normalize testing; (2) increase access to PrEP; and (3) standarize early linkage to care, to meet their five goals noted below:
    1. Diagnose early;
    2. Link to and engage persons in care within 48 hours;
    3. Achieve 95% viral load suppression rate for patients receiving HIV care;
    4. Support efforts to reduce the HIV transmission among high-risk groups; and
    5. Build capacity for PrEP service delivery

Providence

Local Jurisdictional Plan Available/In Development

Discussing developing a plan.

Nashville

Local Jurisdictional Plan Available/In Development

Birmingham

Local Jurisdictional Plan Available/In Development

Discussing developing a plan.

Fulton County

Local Jurisdictional Plan Available/In Development

Building the Strategy to End AIDS in Fulton County - Recognizing the importance of an ETE plan, the Fulon County, GA Strategy to End AIDS was conceived in three phases and compeleted over several years. The first phase drafted objectives, the second involved a resource and gap analysis, and the third created SMART objectives and action plans with evaluation metrics. The Strategy was created by the Task Force on HIV/AIDS for Fulton Count, which included County Commissioner appointees, content experts, key stakeholders, and health officials. From the original objectives came 10 dynamic guiding principles and priorities that were used to inform each step in the process. These guiding principles include (1) stigma kills, don't tolerate it; (2) make care and services client-centered; (3) make it easy to get into care and stay healthy; (4) everyone should be tested for HIV; (5) HIV is preventable; (6) no more babies born with HIV; (7) education is HIV prevention; (8) housing is HIV prevention and treatment; (9) mental healtha and substance use services are care; and (10) create policies that promote health.

The call-to-action, "OUR time is NOW," serves as a reminder that while Fulton County is an epicenter of the epidemic, they are behind some of their peers in this work. The plan is notable dedicated to social justice, invoking the jurisdiction's legacy as the birthplace of the Civil Rights Movement.

Charlotte-Mecklenburg County

Local Jurisdictional Plan Available/In Development

Charlotte-Mecklenburg County is planning a county-wide Getting to Zero campaign “Getting to Zero Mecklenburg

  • County is developing a ~15 member Governance Board for the Plan and will be hiring a Project Manager to oversee implementation; the Plan and position are expected to be finalized by the end of 2018

San Antonio

Local Jurisdictional Plan Available/In Development

The Fast-Track to Ending HIV in San Antonio was released on Dec 2017 and outlines the San Antonio and Bexar County's plan for achieving the 90-90-90 goals by 2020.

Austin

Local Jurisdictional Plan Available/In Development

Austin/Travis County is in the early stages of planning a county-wide Getting to Zero campaign

Memphis

Local Jurisdictional Plan Available/In Development

St. Jude Children’s Research Hospital is serving as the coordinating Center for Ending the Epidemic plans for Memphis. Members of the Connect to Protect Community Coalition formalized meetings and a strategic planning process in August 2018.