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What is the Comprehensive Plan?

Purpose

In July 2012, the Ryan White Planning Council and the Houston HIV Planning Group released the Houston Area Comprehensive HIV Prevention and Care Services Plan (2012 – 2014). The purpose of the plan is to:

1. Describe the current system of HIV prevention and care services in the Houston Area;

2. Describe an ideal system of HIV prevention and care services for the Houston Area;

3. Outline the specific activities needed to make progress toward this ideal system; and

4. Describe how progress toward an ideal system will be measured.

The plan is intended to be used by the Ryan White Planning Council and the Houston HIV Planning Group, by Administrative Agents and grantees, by providers of HIV prevention and care services as well as by partners, stakeholders, and other decision-makers as they respond to the needs of people at risk for or infected with HIV.

Vision

The greater Houston Area will become a community with a coordinated system of HIV prevention and care, where new HIV infections are rare, and, when they do occur, where every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity, or socio-economic  circumstance, will have unfettered access to high-quality, life-preserving care, free of stigma and discrimination.

Mission

The mission of the 2012-2014 Houston Area Comprehensive HIV Prevention and Care Services Plan is to work in partnership with the community to provide an effective system of HIV prevention and care services that best meets the needs of populations infected with, affected by, or at risk for HIV.

Goals

To make progress toward an ideal system of HIV prevention and care for the Houston Area, we must:

1. Mobilize the Greater Houston Area Community Around HIV

2. Prevent New HIV Infections Through Both Prevention and Treatment Strategies

3. Ensure that All People Living With or At Risk for HIV Have Access to Early and Continuous HIV Prevention and Care Services

4. Reduce the Effect of Co-Occurring Conditions that Hinder HIV Prevention Behaviors and Adherence to Care

5. Reduce Disparities in the Houston Area HIV Epidemic and Address the Needs of Vulnerable Populations

6. Achieve a More Coordinated and Expansive HIV System that is Prepared for Health Care System Changes

Objectives

By 2014, we hope to accomplish the following:

1. Reduce the number of new HIV infections diagnosed in the Houston Area by 25 percent (from 1,029 to 771).

2. Maintain and, if possible, increase the percentage of individuals with a positive HIV test result identified through targeted HIV testing who are informed of their HIV+ status (beginning at 92.9 percent with the goal of 100 percent).

3. Increase the proportion of newly-diagnosed individuals linked to clinical HIV care within three months of their HIV diagnosis to 85 percent (from 65.1 percent).

4. Reduce the percentage of new HIV diagnoses with an AIDS diagnosis within one year by 25 percent (from 36.0 percent to 27.0 percent).

5. Increase the percentage of Ryan White HIV/AIDS Program clients who are in continuous HIV care (at least two visits for HIV medical care in 12 months at least three months apart) to 80 percent (from 78.0 percent).

6. Reduce the proportion of individuals who have tested positive for HIV but who are not in HIV care by 0.8 percent each year (beginning at 30.1 percent) as determined by the Ryan White HIV/AIDS Program Unmet Need Framework.

7. Increase the proportion of Ryan White HIV/AIDS Program clients with undetectable viral load by 10 percent (from 57.0 percent to 62.7 percent).

8. Reduce the number of reports of barriers to accessing Ryan White HIV/AIDS Program-funded Mental Health Services and Substance Abuse Services by 27.3 percent and 43.7 percent, respectively (from 117 reports to 85 reports for Mental Health Services; and from 58 reports to 32 reports for Substance Abuse Services).