Early Identification of
Individuals with HIV/AIDS
(EIIHA)
LCDR Keisha Johnson, Project Officer
Gary Cook, Deputy Director, DMHAP
Department of Health and Human Services
Health Resources and Services Administration
HIV/AIDS Bureau
Division of Metropolitan HIV/AIDS Programs
July 30, 2013
Agenda
1. Legislation
2. Background
3. What’s New for EIIHA?
Part A Legislation
• Part A Grant
 “…shall determine size and demographics of the estimated
population of individuals with HIV/AIDS who are unaware of their
HIV status”
 “determine the needs of…individuals with HIV/AIDS who do not
know their HIV status”
 “develop a comprehensive plan…that includes – “
 “a strategy, coordinated as appropriate with other community
strategies and efforts, including discrete goals, a timetable,
and appropriate funding, for identifying individuals with
HIV/AIDS who do not know their HIV status, making such
individuals aware of such status, and enabling such
individuals to use the health and support services”
Definitions
1.
2.
3.
4.
5.
6.
EIIHA
Unaware
Identification
Informing
Referral
Linkage
What is EIIHA?
Early Identification of Individuals with HIV/AIDS
(EIIHA):
Identifying, counseling, testing, informing, and referring
of diagnosed and undiagnosed individuals to
appropriate services, as well as linking newly diagnosed
HIV positive individuals to care.
Definitions
Unaware of HIV Status:
Any individual who has NOT been tested for
HIV in the past 12-months, any individual who
has NOT been informed of their HIV result (HIV
positive or HIV negative), and any HIV
positive individual who has NOT been informed
of their confirmatory HIV result.
Definitions
Identification of Individuals Unaware of
Their HIV Status:
The categorical breakdown of the overall
unaware population into subgroups, which allow
for the overall EIIHA strategy to be customized
based on the needs of each subgroup, for the
purposes of identifying, counseling, testing,
informing, referring, and linking these
individuals into care.
Definitions
Informing individuals of their HIV status:
 Informing an HIV negative individual, post-test,
of their appropriate HIV screening result
 Informing an HIV positive individual, post-test,
of their confirmatory HIV result
Definitions
Referral to care/services:
The provision of timely, appropriate, and preestablished guidance to an individual that is
designed to refer him/her to a specific
care/service provider for the purpose of accessing
care/services after the individual has been
informed of their HIV status (positive or negative).
Definitions
Linkage to care:
The post-referral verification that
care/services were accessed by an HIV
positive individual being referred into care.
Example: Confirmation first scheduled
care appointment occurred.
Planning Council Duties
Grantee Duties
•
Determines size and
demographics of
estimated HIV+ unaware
population
•
Determines the needs of
the HIV+ unaware
population
•
Develops a plan for
organization and delivery
of health and support
services to HIV+ unaware
population
•
Development and
Implementation of EIIHA
Strategy
•
Development and
Implementation of EIIHA
Plan to Identify, Inform,
Refer, and Link Unaware
Population to Care
•
Report Outcomes and Data
associated with EIIHA
Strategy and Plan
EIIHA vs. Unmet Need
 Definition Comparison
Unmet Need Definition: HIV+ individuals who
are AWARE of their HIV status but not in primary
medical care
EIIHA Definition: HIV+ individuals who are
UNAWARE of their HIV status, and, therefore,
not in primary medical care
Unmet Need vs. EIIHA
EIIHA
Unmet Need
Aware of HIV status
Formula Driven
Both
need
care
Unaware of HIV
Status
Estimated (21%)
EIIHA Now
EIIHA Components:
1. Strategy
2. Plan
a) Identify, Inform, Refer, and Link
b) Reflects subgroups in EIIHA Matrix
3. Data
What is New for EIIHA?
FOAs for Parts A and B are streamlined
2 Parts to EIIHA- FY 2014 FOA Requirements and
Progress Report (same as in past)
• FY 2014 FOA EIIHA Information
 Overall Assessment of EIIHA Plan and Approach
 Allow grantees to reflect on their EIIHA approach since
its inception
 Summarize how the EIIHA Plan was developed and
implemented
 Target Group selection
 Data collection, analysis usage
•
•
What is New for EIIHA?
• FY 2014 FOA EIIHA Information (cont.)





Data collection, analysis usage
Major outcomes and challenges
EIIHA Plan connection to National HIV/AIDS Strategy
Report on testing Data will be requested from 3
populations (January 1, 2013 – June 30, 2013)
 Previous Data Matrix has been removed
EIIHA Section will be scored same as in past FOAs- 33
points
What is New for EIIHA?
• FY 2013 Progress Report
Progress Report (due in summer of 2014)
Report on plan activities that occurred FY 2013
Specific outcomes activities, successes, challenges
EIIHA Plan contributions to the goals of the National
HIV/AIDS Strategy, Affordable Care Act
• EIIHA Plan connection to addressing Unmet Need
•
•
•
•
What is New for EIIHA?
• FY 2013 Progress Report (cont.)
• Testing data for calendar year 2012
• Narrative about activities for three target
populations from the FY13 EIIHA Plan
(successes, challenges. outcomes)
• Discussion of how data was used,
disseminated, presented
Summary
1. FOA for Parts A and B Streamlined
2. Duties will be the same for Planning Council and
grantee
3. 2 Parts – Plan Background Summary and Progress
Report
4. No Data Matrix – Detailed Narrative Responses
5. Historical Perspective
Contact Information
LCDR. Keisha Johnson
Phone:301-443-4082
Email: [email protected]
Gary Cook
Phone: 301-443-9090
Email: [email protected]
Questions
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Early Identification of Individuals with HIV/AIDS (EIIHA)