Accelerating state and local HIV planning to End the HIV Epidemic in the U.S. (EHE) : a thematic analysis of EHE jurisdictional plans
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Accelerating state and local HIV planning to End the HIV Epidemic in the U.S. (EHE) : a thematic analysis of EHE jurisdictional plans

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    Innovative and community-driven solutions are at the heart of the Ending the HIV Epidemic in the United States (EHE) initiative. In September 2019, the Centers for Disease Control and Prevention (CDC) awarded $12 million from the U.S. Department of Health and Human Services’ Minority HIV/AIDS Fund (HHS) (MHAF) to 32 state and local health departments to develop comprehensive EHE plans tailored by and for each community. These health departments represent 48 counties, San Juan, Puerto Rico, Washington, D.C., and seven states with a substantial rural burden of HIV. These jurisdictions account for more than half of all new HIV diagnoses in the U.S.

    Each EHE plan was developed in collaboration with partners, including people with and at risk for HIV, and is based on local epidemiology and social determinants of health data. Overall, EHE plans outline the strategies and activities the jurisdictions intend to implement to end the HIV epidemic in their communities. Additionally, plans name available funding sources including, federal agencies, state funds, charitable foundations, private sector partnerships, national associations, and local HIV service organizations.

    Community engagement is paramount to the success of these plans. Achieving the goals of the EHE initiative involves continual collaboration with critical stakeholders and broad-based partners to increase coordination and improvement of HIV programs throughout the jurisdictions.

    Updated EHE jurisdictional plans were submitted to CDC by December 31, 2020, and a thematic analysis of the plans began in the spring of 2021. This report contains a key set of findings from the review and includes information on community engagement, barriers and facilitators to EHE success, and innovative activities proposed by jurisdictions to advance local HIV diagnoses, treatment, prevention, and response work.

    Overall, jurisdictions developed comprehensive, innovative, and community-driven plans. EHE plans included the following sections: community engagement, epidemiological profile, situational analysis, and EHE planning, strategies, and activities for the four EHE pillars. The plans address issues ranging from discrimination and systemic racism - which contribute to differences in health care quality and access - to advancing status neutral service delivery programs. Jurisdictions heard the voices of many of the people disproportionately affected by HIV and developed strategies to address their needs.

    There is great potential in these plans to radically improve HIV prevention and care in the U.S. As EHE implementation efforts continue, each jurisdiction is expected to continue to refine and modify its plan to meet the HIV prevention needs of their communities and address current service challenges, including disruptions due to COVID-19. EHE plans and planning documents are available online for stakeholders and community partners to review.

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