California Department of Public

Health

Office of AIDS HIV CARE and PREVENTION 2009:

You Need to Know

California Department of Public Health

Strategic PlanHealthy People 2010

Reduce deaths due to HIV infection

< 0.7 per 100,000 population

CA HIV/AIDS Death Rates by Race/Ethnicity1995 to 2006

Rates per 100,000

Race/Ethnicity 1995 2006 % Decrease

White 27.4 4.9 82.2%

Hispanic/Latino 16.3 2.9 82.1%

African American 62.4 15.6 75.0%

Asian/PI 4.8 1.0 79.6%

Native American 17.2 4.1 76.2%

ALL 24.1 4.3 82.0%

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.