California Department of Public Health Office of AIDS HIV CARE and PREVENTION 2009: You Need to Know

California Department of Public Health Strategic Plan Healthy People 2010 Reduce deaths due to HIV infection < 0.7 per 100,000 population

CA HIV/AIDS Death Rates by Race/Ethnicity 1995 to 2006 Rates per 100,000 Race/Ethnicity % Decrease White % Hispanic/Latino % African American % Asian/PI % Native American % ALL %

The Office of AIDS is responsible at both the individual and population levels to enact policies and programs:

Challenges & Opportunities 1. 20% + of people with HIV don’t know. 2. HIV incidence is not decreasing overall, and may be increasing in some populations. 3. ~ 40% of people diagnosed with HIV are not receiving regular medical care.

Key Strategies to Meet our Goals

Increase HIV detection Assess and refine community-based counseling & testing systems & associated training requirements Increasing routine screening in medical settings Monitoring new HIV testing technologies

Increase HIV detection Assess and refine community-based counseling & testing systems & associated training requirements Increase routine screening in medical settings Monitor new HIV testing technologies

Increase HIV detection Assess and refine community-based counseling & testing systems & associated training requirements Increase routine screening in medical settings Monitor new HIV testing technologies

Comprehensive biomedical, behavioral & structural HIV prevention interventions Help prevention providers select appropriate prevention interventions  and provide targeted training and enhanced technical assistance Consider the potential scale-up of selected prevention interventions at the local level  Examples: Partner Services, Prevention with Positives in clinical settings, Syringe Exchange

Comprehensive biomedical, behavioral & structural HIV prevention interventions Help prevention providers select appropriate prevention interventions  and provide targeted training and enhanced technical assistance. Consider the potential scale-up of selected prevention interventions at the local level  Examples: Partner Services, Prevention with Positives in clinical settings, Syringe Exchange

Quality care, treatment, support & prevention services for all people with HIV Enhance benefits counseling resources so OA funds can be used equitably as the payer of last resort. Increase our understanding of, and minimize, barriers to care. Continue to provide effective treatments delivered or coordinated by accessible and knowledgeable programs.

Quality care, treatment, support & prevention services for all people with HIV Enhance benefits counseling resources so OA funds can be used equitably as the payer of last resort. Increase our understanding of, and minimize, barriers to care. Continue to provide effective treatments delivered or coordinated by accessible and knowledgeable programs.

Quality care, treatment, support & prevention services for all people with HIV Enhance benefits counseling resources so OA funds can be used equitably as the payer of last resort. Increase our understanding of, and minimize, barriers to care. Continue to provide effective treatments delivered or coordinated by accessible and knowledgeable programs.

Enhance collaboration among medical and prevention providers, professional organizations, trainers, local health depts & CBOs to leverage all resources. Disseminate information to public and private providers, consumers, and state and local public health partners. Enhance the availability of integrated HIV, STD,TB, and viral hepatitis prevention, screening, and treatment services at the client level.

Enhance collaboration among medical and prevention providers, professional organizations, trainers, local health depts & CBOs to leverage all resources. Disseminate information to public and private providers, consumers, and state and local public health partners. Enhance the availability of integrated HIV, STD,TB, and viral hepatitis prevention, screening, and treatment services at the client level.

Enhance collaboration among medical and prevention providers, professional organizations, trainers, local health depts & CBOs to leverage all resources. Disseminate information to public and private providers, consumers, and state and local public health partners. Enhance the availability of integrated HIV, STD,TB, and viral hepatitis prevention, screening, and treatment services at the client level.

Increasing focus on understanding of findings from surveillance, research, and program evaluation Disseminate HIV/AIDS surveillance and program evaluation data Facilitate communication and collaboration among local health depts, CBOs, researchers, consumers, advocates and other experts to  enhance information sharing and  influence program and policy decision-making.

Understanding requires more than just quantitative data Disseminating HIV/AIDS surveillance and program evaluation data Facilitating communication and collaboration among local health depts, CBOs, researchers, consumers, advocates and other experts to  enhance information sharing and  influence program and policy decision-making

Proactively leverage resources to have the largest possible impact on our primary goals For contractors funded by OA: enhancing knowledge about and access to non-OA resources, including but not limited to training and professional development resources For non-OA funded providers: offering technical expertise, and/or information about services available outside of OA.

Proactively leverage resources to have the largest possible impact on our primary goals For contractors funded by OA: enhancing knowledge about and access to non-OA resources, including but not limited to training and professional development resources For non-OA funded providers: offering technical expertise, and/or information about services available outside of OA.

Key Strategies to Meet our Goals

Top half of Office of AIDS Home Page

Bottom half of Office of AIDS Home Page

Challenges & Opportunities: What can you do to increase your impact? 1. 20% + of people with HIV don’t know. 2. HIV incidence is not decreasing overall, and may be increasing in some populations. 3. ~ 40% of people diagnosed with HIV are not receiving regular medical care.