The Updated National HIV/AIDS Strategy

on National HIV Testing Day

Amy Lansky, PhD, MPH

Director, Office of National AIDS Policy

NMAC Communities of Conversation

June 27, 2016

Learning Objectives

• Identify 4 goals and 4 areas of critical focus in

the updated National HIV/AIDS Strategy.

•Describe ways that community organizations

(including yours!) can use the National HIV/AIDS

Strategy to support programs and activities, with

a focus on HIV testing

5 Major Changes Since 2010

Research is

unlocking new

knowledge &

tools

Our prevention

toolkit has

expanded

Affordable Care Act

has transformed

health care access

HIV testing &

treatment are

recommended

Improving the HIV

Care Continuum

is a priority

Advances in 4 Key Areas Are of Critical Focus through 2020

Executive Order to Implement the Strategy

Executive Order to Implement the Strategy

20102012 2013

Executive Order to Implement the Strategy

Establishes the NHAS Federal Interagency Working Group

DOJ DOL DOL VA

DOD DHS ED DOI

SSA EEOC

• Retention • Knowledge of Serostatus

• Number of Diagnoses

• Linkage to Care

• Viral Suppression

• Death Rate

• Diagnosis Disparity

(Black Females, Southern US)

• Viral Suppression Disparity

(PWID, Youth)

Meeting TargetRight DirectionNeeds

ImprovementNo Data

• Homeless

• Diagnosis

Disparity

(MSM, YBMSM)

• Risk

Behavior

(YMSM)

Summary of Indicator Progress

Source: National HIV/AIDS Strategy, Updated to 2020 [2015]

Developmental Indicators

•PrEP Uptake

•HIV Stigma

•HIV among Transgender Persons

Federal Action Plan: Support and Strengthen Screening

2016

• OPA, HRSA, and CDC will continue to offer HIV testing,

and referral in all Title X-funded family planning clinics

• ACF will develop resources on HIV screening within the

context of IPV and distribute to FVPSA award recipients

• HUD will improve identification of homeless persons living

with HIV and link them to housing assistance, medical

care, and other services.

• SAMHSA will provide guidance to grantees to focus

testing efforts in communities where HIV is most heavily

concentrated

Federal Action Plan: Support and Strengthen Screening

2017-2020

• HRSA will explore adding an HIV screening measure to the

UDS reporting system for Health Centers.

• VA will increase HIV testing rates among veterans in VHA

care

• DHS, in collaboration with CDC and DOJ, will assess the

feasibility of incorporating HIV testing and linkage to care

in the current health screening process in IHSC facilities.

Community Action PlanGoal 1: Reducing new infections

Routine HIV Testing

• Implement routine HIV screening as recommended

by the U.S. Preventive Services Task Force

Community Action Plan Goal 2: Increasing access to careand improving health outcomes forpeople living with HIV

Linkage and Referral

• Ensure immediate linkage to care and initiation of

treatment as well as culturally-appropriate services

that support retention in care

8 Years of Policy Progress in the United

States Response to HIV

• First comprehensive National HIV/AIDS Strategy

• Ryan White HIV/AIDS Treatment Extension Act, 2009

• Affordable Care Act, 2010

• HIV entry ban lifted, 2010

• Hosted the 2012 International AIDS Conference

• HIV Organ Policy Equity (HOPE) Act, 2013

• First transplants conducted, 2016

• Authorized use of Federal funds for syringe services

programs, 2016

• As a guiding document, the Strategy is a

National plan, not just a Federal plan.

• The goals of the Strategy can only be achieved by

engagement at the national, state, Tribal, and local

levels and across all sectors.

• It is especially important that people who work in

communities play an active role in implementing this

Strategy.

• Everyone is needed to put this Strategy into action

and end the HIV epidemic.

Reaching the Goals

WH.gov/ONAP

@Amy44