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

• 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… know their HIV status ” individuals with HIV/AIDS who do not
 “ 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 ”

1. EIIHA
2. Unaware
3. Identification
4. Informing
5. Referral
6. Linkage

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.

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.

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.

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

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).

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.

• 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

 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
Aware of HIV status
Formula Driven
Both need care
EIIHA
Unaware of HIV
Status
Estimated (21%)

EIIHA Components:
1. Strategy
2. Plan a) Identify, Inform, Refer, and Link b) Reflects subgroups in EIIHA Matrix
3. Data

• 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

• 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

• 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

• 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

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

LCDR. Keisha Johnson
Phone:301-443-4082
Email: kjohnson@hrsa.gov
Gary Cook
Phone: 301-443-9090
Email: gcook@hrsa.gov