Minority AIDS Initiative

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Minority AIDS Initiative

• Targeting Communities of Color Toward Elimination
  of HIV/AIDS Health Disparities

Presented by Laura ShepherdCoordinator, MAI
Initiative
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What is the Minority AIDS Initiative?

• A targeted initiative aimed at reducing the
• disproportionate impact of HIV/AIDS on
• racial and ethnic minorities, and part of
• the larger initiative to eliminate racial and
• ethnic disparities in health by the year 2010

• History
• In March 1998, African American community leaders
  were briefed on HIV/AIDS data demonstrating the
  epidemics disproportionate impact on African
  Americans
• The African American leaders developed a Call to
  Action requesting the President and Surgeon
  General to declare HIV/AIDS a state of
  emergency in the African American community.
  They also testified before the Congressional
  Black Caucus urging support of their call for a
  state of emergency

• In October 1998, President Clinton declared
  HIV/AIDS a severe and ongoing health care
  crisis affecting racial and ethnic minorities,
  and announced the creation of the Congressional
  Black Caucus Initiative to be implemented within
  the Department of Health and Human Services
• In 1990, the Congressional Hispanic Caucus and
  Congressional Asian Pacific American Caucus
  joined in supporting expansion of the Initiative.
  In acknowledgement of this cross-Caucus support,
  the Initiative was named the Minority AIDS
  Initiative
• (MAI)

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Why is the Minority AIDS Initiative Important?

• The overall goal of the MAI Initiative is to
  address racial/ethnic disparities in HIV-related
  health outcomes, and expand community-based
  capacity to serve people of color living with
  HIV/AIDS.

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Why is the Minority AIDS Initiative Important?

• The MAI supports key initiatives that directly
  benefit communities of color aimed at three
  specific goals
• Increasing access to prevention, care and
  treatment services
• Capacity building of health systems
  organizational infrastructure and
• Building stronger community linkages to address
  HIV prevention and health care needs of
  racial/ethnic minority populations.

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How is the Minority AIDS Initiative Funded?

• Minority AIDS Initiative funding streams
• 1. Annual Labor, Health, Human Services and
  Education Appropriations legislation
• 2. 50 million allocation to the Department
  of Health and Human Services known as the
  Secretarys MAI Fund

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How Is the Minority AIDS Initiative Funded?

• Funding
• Minority AIDS Initiative
• Fiscal Year 2006

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How is the Minority AIDS Initiative Funded?

• Percentage Distribution of Minority AIDS
  Initiative Funding Among Department of Health and
  Human Services Agencies

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How is the Minority AIDS Initiative Funded?

• The Minority AIDS Initiative funds are a
  critical support to the portfolio of CARE Act
  programs under Titles I (Part A), II (Part B),
  III (Part C), IV (Part D), AIDS Education and
  Training Centers (AETCs), Special Projects of
  National Significance (SPNS), technical
  assistance and evaluation activities.

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How is the Minority AIDS Initiative Funded?

• HRSA
  MAI Funding
• Fiscal Years (FY) 1999-06
• Year Congressional Appropriation
  Secretarys MAI Fund
  
• ( millions)
  
  ( millions)
• FY1999 24.3
  5.8
• FY2000 74.0
  
  5.0
• FY2001 110.2
  6.1
• FY2002 123.6
  6.2
• FY2003 130.4
  5.6
• FY2004 129.6
  6.9
• FY2005 128.5
  8.2
• FY2006 127.3
  8.6

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What is HRSAs Part in the Initiative?

• In Fiscal Year 2006, the MAI is
• funding 15 programmatic activities
• at HRSA through its two funding
• streams.
• Congressional Appropriation
• Titles I, II, III, IV
• AIDS Education and Training Centers
• Secretarys MAI Fund
• Enhancing Primary HIV/AIDS Care
• Peer Educator Training Sites and Resource
  Evaluation Center
• U.S./Mexico HIV/AIDS AETC Border Training
  Initiative
• Cross-Cultural Tools for Providers of Clinical
  Care to HIV/AIDS Adolescent Populations
• Foreign Born Providers Project
• Knowledge Sharing and Learning (KSL) Program

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What is HRSAs Part in the Initiative

• Evaluation
• Through its ongoing evaluation of the
  Minority AIDS Initiative, HRSA gains
  understanding of who is being served, how they
  are being served, and what is the organizational
  structure, capacity and characteristics of
  service providers receiving Minority AIDS
  Initiative funds as a measure of the impact of
  the Initiative.

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What is HRSAs Part in the Initiative?

• In the last two years, HRSA has been developing
  and customizing data collection instruments, as
  well as a process, to achieve a higher level of
  consistency and uniformity in MAI data collection
  efforts relative to Minority AIDS
  Initiative-funded programs.

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What is HRSAs Part in the Initiative?

• Core evaluation questions developed as part of
  this process
• 1. Have MAI funds resulted in changes in the
  number of minorities served?
• 2. Have MAI funds resulted in increases in the
  number of minority providers?
• 3. Have MAI funds been used to expand the
  availability and accessibility of HIV care
  services to minority populations?
• 4. Have MAI funds resulted in increases in the
  types of services available to minorities?
• 5. Have MAI funds resulted in increased
  coordination between agencies providing services
  to minority populations with HIV/AIDS?

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QUESTIONS ABOUT THIS PRESENTATION?

• E-MAIL ME AT
• lshepherd_at_hrsa.gov