The document outlines the implementation of the National HIV/AIDS Strategy in the United States. It discusses the goals of reducing new HIV infections, increasing access to care, and reducing health disparities. After one year of implementation, it reports on progress including increased funding, collaboration across government agencies, and addressing challenges. It identifies priorities for the coming year such as an annual report, implementation discussions, and streamlining efforts. The intended impacts over 5 years are decreasing new infections by 25%, increasing linkage to care, and reducing disparities among certain groups.

1. Implementing the
National HIV/AIDS Strategy:
From Strategy to Action to Impact
Jeffrey S. Crowley
Director
Office of National AIDS Policy
August 14, 2011

2. President’s Charge
• Develop a National Strategy with the Following Goals
1. Reduce the number of people who become infected with HIV.
2. Increase access to care and optimizing health outcomes for people living with
HIV.
3. Reduce HIV-related health disparities.
• Facets of the Strategy
– Small number of action steps with 5-year targets.
– Emphasis on evidence-based approaches.
– Provides a roadmap for all public and private stakeholders responding to the
domestic epidemic.
– Focuses on improving coordination and efficiency across and within Federal,
State, local and tribal governments.
– Serves as a catalyst for all levels of government and stakeholders to develop
their own implementation plans for achieving their goals.
2

3. One Year of Implementation
• Reinvigorated Response to Domestic HIV Epidemic
– Strategy has become the center of virtually all domestic HIV policy discussions
• Fought for HIV Funding and Strategic New Investments
– Prevention and Public Health Fund investments
– Increased funding for HIV prevention at CDC and increased investment in ADAPs
– ECHPP/Twelve Cities Project
– New MSM programs
– Expanded surveillance programs
• True Government Wide Effort and Collaboration
– Strong leadership from HHS, with active engagement of HUD, DOJ, DOL, SSA, and
VA.
• Doing the Hard Stuff
– New CDC Funding Announcement for Health Departments
– HUD developing legislative plan for HOPWA funding formula 3
– Refocusing Minority HIV/AIDS Initiative

4. Unique Moment of Opportunity
• National HIV/AIDS Strategy
– Roadmap for concerted action
• Research reinforces the benefits of HIV treatment both to protect
health AND to prevent infections
– New opportunities to reduce HIV transmission
– Research underscores the need to increase access to care, linkage and retention in
care, and adherence to treatment
• Affordable Care Act provides a platform for expanding access to
effective treatment and ultimately reducing HIV infections
– Research in Denmark suggests that access to care for people with HIV, when it leads
to knowledge of serostatus and access to antiretroviral therapy, can translate into
demonstrable declines in HIV incidence
– The Affordable Care Act will make further progress possible in the United States
4

5. Priorities for the Coming Year
• Annual Report
– ONAP produced a brief Implementation Update in July. First formal report will be
developed after the end of this year
• Implementation Dialogues
– ONAP will host 5 Implementation Dialogues to facilitate conversations about State and
local implementation issues.
• Strategy Implementation Funds
– Seeking Congressional support for 1% transfer authority for HHS discretionary HIV
programs. Would create a pool of resources to promote cross-agency collaborations.
• Streamlining burden for states, local governments and CBOs
– ONAP, OMB, HHS and other Federal partners plan new efforts on developing
common metrics, streamlining administration, and minimizing burden on grantees
5

6. Intended Impact
• Reducing New HIV infections
– Lower the annual number of new infections by 25%
– Reduce the HIV transmission rate by 30%
– Increase the percentage of people living with HIV who know their serostatus from
79% to 90%
• Increasing Access to Care
– Increase the proportion of newly diagnosed patients linked to clinical care within three
months of their HIV diagnosis from 65% to 85%
– Increase the proportion of Ryan White HIV/AIDS Program clients who are in care from
73% to 80%
– Increase the number of Ryan White clients with permanent housing from 82% to 86%
• Reducing HIV-Related Health Disparities
– Increase the proportion of HIV diagnosed gay and bisexual men, Black
6
Americans, and Latino Americans with undetectable viral load by 20%

7. Thank you!
7