Unmet Need

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Early Identification of Individuals with
HIV/AIDS (EIIHA) Legislative
References:
Ryan White Part B Legislation:
“develop a comprehensive plan – ”
“describing the estimated number of individuals w ithin
the State w ith HIV/AIDS w ho do not know their status ”
“describing activities undertaken by the State to find the
individuals described in subparagraph (A) and to
make such individuals aw are of their status”
“describing the manner in w hich the State w ill provide
undiagnosed individuals who are made aw are of their
status w ith access to medical treatment for their
HIV/AIDS”
“describing efforts to remove legal barriers, including
State law s and regulations, to routine testing”
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Early Identification of Individuals with
HIV/AIDS (EIIHA):
The 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.
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EIIHA/Unmet Need Cycle & The Cascade
Out of Care: Aware (Unmet Need)
62/100 HIV
positive
individuals
are LINKED
to care
28/100 HIV
positive
individuals
are VIRAL
SUPPRESSED
OUTREACH
EARLY INTERVENTION SERVICES
Counseling & Testing
Referral Services
Health
Literacy/Education
Linkage to Care
41/100 HIV
positive
individuals
STAY IN
CARE
Out of Care: Aware (Unmet Need) & Unaware (EIIHA)
CARE & ART
80/100 HIV
positive
individuals
are AWARE
of their
Status
59/100 HIV
positive
individuals
FALL OUT
OF CARE
36/100 HIV
positive
individuals
RECEIVE
ART
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Example Key Points of Entry
• Health Departments
• Emergency Rooms
• Substance Abuse Programs
• Mental Health Programs
• Detention Facilities
• STD Clinics
• Homeless Shelters
• Counseling and Testing Sites
• Federally Qualified Health Centers
• Private Healthcare Providers
• Prevention Programs
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