HIV Prevention and Care

Thanks to targeted high-impact prevention efforts, HIV infections in the U.S. are declining. However, progress in reducing HIV transmission and HIV-related deaths is uneven. Several groups - including men who have sex with men, young Black/African American and Hispanic/Latinx communities, cisgender and transgender women, youth, and people who inject drugs - continue to experience rising rates. To address this, NACCHO is engaged in several efforts to help local health departments serve communities so that new HIV infections can decrease for all people and care will be available across the HIV care continuum.

Visit the Essential Elements of Local Public Health blog for the latest news, tools, and resources from the field!

NACCHO supports local health departments across the U.S. to prevent, detect, and respond to HIV in their communities. Access our featured resources and information about our recent work by topic below, and make sure to visit our blog for the latest tools from our partners.

Recent Work

With support from the Centers for Disease Control and Prevention's Division of HIV/AIDS Prevention (CDC/DHAP), NACCHO works alongside NASTAD and other key partners to enhance the health departments’ capacity to support integrated HIV programs; ensure development and maintenance of strategic communication channels and partnerships that advance national HIV prevention goals and contribute to ending the HIV epidemic in the U.S.

With support from the Health Resources & Services Administration's HIV/AIDS Bureau (HRSA-HAB), NACCHO works alongside NASTAD to provide technical assistance and systems coordination for the 48 counties, Washington, D.C., San Juan, Puerto Rico (PR), and seven states funded through Phase I of the federal Ending the HIV Epidemic (EHE) initiative.

The Systems Coordination Provider (SCP) and sub-recipients are responsible for assisting jurisdictions funded through EHE in coordinating and integrating their initiative plans, funding sources, and programs with the existing HIV care delivery systems. In addition, the SCP assists in identifying existing and new stakeholders, as well as collates and disseminates best practices, innovative approaches, and interventions that will advance recipients’ progress in meeting the goals of the initiative.

Join NACCHO and CAEAR Coalition’s New Ryan White Part A Community of Practice

For decades, local planning has been critical to effectively creating programs that reach and treat all people living with HIV in the United States. Consistent HIV care and treatment is vital to achieving optimal health outcomes for people living with HIV as well as to preventing HIV transmission;, therefore it is essential that all people living with HIV have low to no barrier access to quality HIV care and treatment services. Recognizing the importance of local planning and localized HIV strategies and implementation, the Ending the HIV Epidemic initiative was established to expand HIV prevention and care strategies at the city/county level. During our Part A workshop on August 10, 2020, we heard your concerns around the siloed federal HIV/AIDS programs and funding streams, lack of flexibility within programs, and a need for Ryan White Part As and local health department HIV programs to come together for facilitated discussions and to share ideas and best practices. We listened!

NACCHO and the CAEAR Coalition are launching a Ryan White Part A Community of Practice (CoP) for Part A jurisdictions to have a space to share best practices, discuss program and policy strategies, and determine current barriers to implementing effective HIV interventions. This initial CoP will focus on local health department staff who are part of a Ryan White Part A jurisdiction.

Time commitment and frequency: Each LHD commits to the CoP for a minimum of a year (January 2021-December 2021). One staff person may attend each meeting and the staff person may vary depending on the topic. The CoP will meet every other month for one-hour discussion sessions, which will be held via a Zoom conference line. An initial 1.5-hour kickoff call will be held in January to introduce group members, establish group norms, plan discussion topics, and identify group activities. For more information and to join, contact Latisia Grant, Senior Program Analyst, HIV, STI, & Viral Hepatitis, at lgrant@naccho.org or via phone: 202.783.1418.

With support from the Health Resources & Services Administration's HIV/AIDS Bureau (HRSA-HAB), NACCHO is supporting CAI and other key partners to complete a comprehensive environment scan to identify Rapid ART Start models and interventions; identify and catalogue multi-level components of effective Rapid ART Start models; package and disseminate Rapid ART Start compendium and models; and facilitate replication of models found effective in the field by RWHAP providers through TOTs, training, and TA.

Additional Resources

During and beyond COVID-19, local health departments (LHDs) continue to work to find solutions so that all people have access to HIV/STI testing. Self-testing is one strategy for individuals who are unable or prefer not to visit traditional testing facilities.

Learn about local health departments implementing non clinic-based self-collected testing for HIV/STIs and access provider- and client-facing resources at our self-testing webpage below.

Pre-Exposure Prophylaxis

Pre-exposure prophylaxis, or PrEP, is a safe and highly effective biomedical prevention strategy in which HIV-negative individuals take daily antiretroviral medications to reduce their risk of HIV infection by over 99 percent. In spite of this effectiveness – and with medication on the market and clinical guidelines in place – access to PrEP remains limited as a result of provider resistance; lack of patient and provider education on PrEP; stigma; and cost. To help local health departments overcome these challenges, NACCHO has developed resources to strengthen local capacity to increase provider understanding of and community access to PrEP.

Providers interested in offering PrEP should also visit Ready, Set, PrEP. This nationwide program makes PrEP medications available at no cost to individuals who lack prescription drug coverage.

The Southern Initiative was a three-year initiative focused on four Ryan White HIV/AIDS Program (RWHAP) Part A jurisdictions: Atlanta, Houston, Memphis, and New Orleans. The Southern U.S. bears a disproportionate burden – over 50% – of newly diagnosed cases of HIV.

Learn about how the Southern Initiative supported the implementation innovative and evidence-based/informed interventions and service delivery models, including community health worker models, that improve outcomes across the HIV care continuum and reduce disparities among the most affected groups by visiting our Southern Initiative webpage below.

Stories from the Field provides a means for local health departments to share their experiences and demonstrate the value of public health.

To be featured on our blog, email Julia Zigman (she/her) at jzigman@naccho.org with an overview of your idea or program!

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  • HIV, STI, & Viral Hepatitis

Stories From the Field: Using Social Media to Expand...

In May 2020, NACCHO conducted a brief survey to assess local health...

Aug 25, 2020 | Julia Zigman

Stories From the Field: Using Social Media to Expand...

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  • HIV, STI, & Viral Hepatitis

Stories From the Field: Implementing HIV Self-Testing...

In May 2020, NACCHO conducted a brief survey to assess local health...

Jul 27, 2020 | Julia Zigman

Stories From the Field: Implementing HIV Self-Testing...

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  • HIV, STI, & Viral Hepatitis

Stories From the Field: Collaboration is Key for HIV...

In May 2020, NACCHO conducted a brief survey to assess local health...

Aug 03, 2020 | Julia Zigman

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NACCHO’s Model Practices Program nationally honors and recognizes outstanding local public health practice and shares the outstanding practices through the Model Practices Database. By submitting a practice, LHDs contribute to the overall improvement of public health through effective evidence-based practice methods.

Model Practices are awarded to local health departments across the country for implementing programs that demonstrate exemplary and replicable outcomes in response to an identified public health need. Promising Practices are exciting approaches and strategies to local public health issues that are on track to becoming Model Practices. Each awarded practice was reviewed by a committee of peers, made up of other local health department professionals, and selected from a competitive collection of applications.

View the drop-downs below to access select HIV-related Model Practice and Promising Practice award winners from the last two years. To view all Model Practice awardees from previous years, visit our searchable database.

Application Title Award Status Year Awarded Health Department Name Keywords
Be Well Maryland Mobile Wellness "Wellmobile" Model Practice 2020 Anne Arundel County Department of Health (MD) Harm reduction, mobile services, MAT, naloxone, HIV prevention, STI prevention, syringe exchange
Increasing Access to PrEP in a Sexual Health Clinic Model Practice 2020 Jefferson County Department of Health (AL) PrEP, STI, HCV testing, HCV treatment, HIV prevention
Healthcare on the Spot: Integrated Mobile Treatment Promising Practice 2020 Baltimore City Health Department (MD) Harm reduction, mobile services, MAT, naloxone, HIV prevention, STI prevention, syringe exchange
PROACT Program Collaborates to Improve HIV Retention in Care Promising Practice 2020 Florida Department of Health in Broward County (FL) HIV, partnerships, retention, linkage to care, pharmacy, DIS, ADAP, RWHAP, adherence
Decrease HIV Risk Through Use of Pre-Exposure Prophylaxis (PrEP) Promising Practice 2020 Florida Department of Health in Broward County (FL) HIV prevention, PrEP, partnerships, navigation, linkage to care, community engagement
Decreasing Community Viral Load Through Innovative Test and Treat Program Promising Practice 2020 Florida Department of Health in Broward County (FL) HIV treatment, adherence, linkage to care, viral suppression, RWHAP, ADAP, pharmacy
The Impact of Pharmacist Implemented HIV Medication Adherence in Minority Communities Promising Practice 2020 Florida Department of Health in Duval County (FL) HIV treatment, pharmacy, adherence, community engagement, viral suppression
Aurora Syringe Access Services Model Practice 2019 Tri-County Health Department (CO) Harm reduction, syringe service programs, SSPs, naloxone, referral, HIV prevention, HCV prevention, substance use
PrEPLink: An Active PrEP Referral System Model Practice 2019 Florida Department of Health in Miami-Dade County (FL) HIV prevention, PrEP, referrals, collaboration, provider engagement
Miami-Dade Test and Treat Model Practice 2019 Florida Department of Health in Miami-Dade County (FL) HIV treatment, rapid ART, linkage to care, retention, collaboration, referral, RWHAP, pharmacy
Engaging State and Local Officials in Reducing New HIV Infections Promising Practice 2019 Florida Department of Health in Miami-Dade County (FL) HIV prevention, community engagement, stakeholder engagement, communications, outreach campaign
The Ask: Partnering to Connect At-Risk Teens with Sexual Health Resources Promising Practice 2019 DuPage County Health Department (IL) Sexual health, adolescent health, education, HIV prevention, STI prevention, community engagement, coalition

Policy Statements

NACCHO's policy statements and communications to Congress and the administration related to HIV are found below. The organization's Board of Directors determines positions on public health issues. Learn how local health departments have used NACCHO's policy statements to influence local, state and federal policy.

NACCHO members participate actively in the organization's policy development process through workgroups. The HIV, STI, and Viral Hepatitis Workgroup contributes to the development and revision of all HIV-related policy statements. Learn more about this workgroup and apply to join here.

HIV-related policy statements

Health equity policy statements

Letters to Congress and the Administration

View more policy statements and letters to Congress and the administration on NACCHO's Policy and Advocacy page.

Stay up to date on the latest HIV, STI, and viral hepatitis tools, news, and resources on our blog, The Essential Elements of Local Public Health! Click through the arrows below to see recent our recent posts or visit the blog to view all posts related to HIV, STI, and viral hepatitis.

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  • HIV, STI, & Viral Hepatitis

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  • HIV, STI, & Viral Hepatitis

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The federal Ending the HIV Epidemic: A Plan for America initiative (EHE) seeks to reduce the number of new HIV infections in the United States by 75 percent within five years, and then by at least 90 percent within 10 years, for an estimated 250,000 total HIV infections averted. For the first five years (Phase I), the federal EHE initiative will focus on 57 priority jurisdictions, including 48 counties, Washington, DC, and San Juan, Puerto Rico, where more than 50 percent of new HIV diagnoses occurred in 2016 and 2017 and also seven states with a disproportionate occurrence of HIV in rural areas.

For decades, local planning has been critical to HIV prevention and treatment and will continue to be crucial for effectively creating programs that reach and treat people living with HIV in the Unites States. Find out below how NACCHO is supporting the work of local health departments to reduce transmission, link individuals to care, and ultimately end the HIV epidemic.

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  • HIV, STI, & Viral Hepatitis

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America’s HIV Epidemic Analysis Dashboard (AHEAD) is now available online.

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NACCHO works alongside the CDC, community organizations, and other technical assistance providers to advance the goals of the Ending the HIV Epidemic initiative. To ensure that the local perspective is heard and that we adequately support local jurisdictions in your EHE efforts, NACCHO partners with the National Alliance of State and Territorial AIDS Directors (NASTAD) to support the development, integration, and coordination of EHE plans within new and existing HIV prevention and care delivery systems. We have also formed a strategic partnership with the CAEAR Coalition to foster collaboration between Ending the HIV Epidemic (EHE) jurisdictions and Ryan White Part A grantees for improved advocacy and capacity building.

NACCHO is furthermore proud to partner with a variety of national and community-based organizations leading efforts to end the HIV epidemic, including the Federal AIDS Policy Partnership; the Act Now End AIDS Coalition; the National Coalition of STD Directors (NCSD); AIDS United; the AIDS Institute; NMAC; Southern AIDS Coalition; the Association of State and Territorial Health Officials (ASTHO); Big Cities Health Coalition; and many others. To learn more about NACCHO's EHE work and inquire about partnerships, please contact Latisia Grant, Senior Program Analyst at lgrant@naccho.org.

Ending the HIV Epidemic: A Plan for America homepage

Review key strategies, priority jurisdictions, funding, timeline, and more

Related resources:

The AHEAD Dashboard

America’s HIV Epidemic Analysis Dashboard (AHEAD) graphically visualizes data on the six indicators used to track progress towards ending the HIV epidemic (EHE) in America. By tracking progress, jurisdictions, communities, and stakeholders will be able to monitor movement towards reducing new HIV transmissions by at least 90% by 2030. This tool is envisioned to be an asset that will provide the most up to date information available about EHE progress to help inform national and jurisdictional decision-making.

Ready, Set, PrEP

Ready, Set, PrEP is a new nationwide program led by HHS that provides PrEP medications at no cost to thousands of individuals who qualify. The program will expand access to PrEP medications, reduce new HIV infections, and bring us one step closer to ending the HIV epidemic in the United States. Learn about eligibility, discover partnering pharmacies, and access print and social media resources for consumers and healthcare professionals at HIV.gov.

NASTAD Ending the HIV Epidemic Newsletter
The National Association of State and Territorial AIDS Directors (NASTAD), with collaboration from the National Association of County and City Health Officials (NACCHO), the Council of State and Territorial Epidemiologists (CSTE), and the National Coalition of STD Directors (NCSD), will begin distributing a monthly newsletter to Phase 1 Ending the HIV Epidemic: A Plan for America jurisdictions. The newsletter will inform recipients of EHE related policy updates, communications from federal partners, success stories, and any other related EHE information. Subscribe to the newsletter at NASTAD.org.

TakeMeHome - A Free HIV Home Testing Program

Building Healthy Online Communities (BHOC), in partnership with Emory University and NASTAD, developed the National Home Test Kits program for state and local health departments to offer confidential HIV and STD testing delivered securely and discreetly directly to their constituents. Learn more about utilizing HIV self-testing to end the HIV epidemic and how to sign up at bhocpartners.org.

Self-Testing for HIV and STIs at LHDs: Survey and Stories From the Field

In May 2020, NACCHO conducted a brief survey to assess local health departments’ (LHDs) HIV self-testing capacity and challenges. The findings, available on our blog, highlighted multiple facilitators and challenges to implementing non clinic-based self-collected testing, including a need for information about the variety of approaches health departments use to implement innovative HIV testing strategies. To help fill this need, NACCHO published a three-part series on HIV self-testing programs at LHDs across the nation. Read the series and learn more about NACCHO's continuing work in this field on our Stories From the Field blog.

NACCHO offers direct technical assistance to local health departments prioritized in Phase I of the Ending the HIV Epidemic Initiative in conjunction with NASTAD. To learn more about our direct TA, please contact Latisia Grant at lgrant@naccho.org.

For questions about NACCHO's work regarding HIV prevention, detection, and response, contact our HIV specialists below.

Community Health Program

Lucy Slater

Sr. Director of HIV-STI

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Programs

Latisia Grant

Senior Program Analyst

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Community Health Program

Julia Zigman

Program Analyst

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