What
is the Comprehensive Plan?
PURPOSE
In
January 2017, the Ryan White Planning
Council and the Houston
HIV Planning Group
released the Houston Area Comprehensive HIV Prevention and Care Services
Plan (2017 – 2021). The purpose of the plan is to:
-
Identify
HIV prevention and care needs, existing
resources, barriers, and gaps within the Houston Area;
-
Outline
a specific, measurable, achievable, realistic and time-phased (SMART)
Integrated HIV Prevention and Care Plan designed to leverage existing
and/or new resources and partnerships to meet HIV prevention and care
needs, remove barriers, and bridge gaps; and
-
Describe
the process by which implementation of the Integrated HIV Prevention and
Care Plan will be measured, evaluated, and adjusted to best meet the
needs of people living with or at-risk for HIV in the Houston Area.
The
plan is intended for use by local HIV planning bodies, Administrative Agents
and grantees, providers of HIV
prevention and care services, both new and established community partners,
and other decision makers as they respond to the needs of people living with
or at-risk for HIV over the next five years.
VISION
The
greater Houston area will become a community with an enhanced system of HIV
prevention and care. New HIV infections will be reduced to zero. Should new
HIV infections occur, every person, regardless of sex, race, color,
ethnicity, national origin, age, familial status, marital status, military
status, religion, disability, sexual orientation, genetic information,
gender identity, pregnancy, or socioeconomic circumstance, will have
unfettered access to high-quality, life-extending care, free of stigma and
discrimination.
MISSION
The
mission of the 2017-2021 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
living with, affected by, or at risk for HIV.
GOALS
To
fulfill the mission and vision of the Plan and make progress toward an ideal
system of HIV prevention and care for the Houston Area, the Houston HIV
community must complete the following by 2021:
-
Increase
community mobilization around HIV in the Greater Houston area.
-
Prevent
and reduce new HIV infections.
-
Ensure
that all people living with or at risk for HIV have access to
early and continuous HIV prevention and care services.
-
Reduce
the effect of co-occurring conditions that hinder HIV prevention
behaviors and adherence to care.
-
Reduce
disparities in the Houston Area HIV epidemic and address the needs
of vulnerable populations.
-
Increase
community knowledge around HIV in the Greater Houston area.
OBJECTIVES
To
replicate the specific, quantified, and time-phased (SMART) NHAS 2020
indicators at the local level in a way that is responsive to the unique HIV
prevention and care needs of the Houston Area, the Houston HIV community
will accomplish the following by 2021:
-
Reduce
the number of new HIV infections diagnosed in the Houston Area by
at least 25% from 1,386 (2014) to ≤1,004.
-
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 positive HIV status, beginning
at 93.8% (2014).
-
Increase
the proportion of newly-diagnosed individuals linked to clinical
HIV care within one month of their HIV diagnosis to at least 85%
from 66% (2015).
4.1
Decrease the percentage of new HIV diagnoses with an HIV stage 3
(AIDS) diagnosis within one year by 25%
from
25.9% (2014) to 19.4%.
4.2
Decrease the percentage of new HIV diagnoses with an HIV stage 3
(AIDS) diagnosis within one year among
Hispanic
and Latino men age 35 and up by 25% from 36.0% (2014) to 27.0%.
-
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) from 75.0 % (2014) to at
least 90.0%.
-
Increase
the percentage of individuals with diagnosed HIV infection in the
Houston Area who are retained in HIV medical care (at least two
documented HIV medical care visits, viral load or CD4 tests in a
12 month period) from 60.0% (2015) to at least 90.0%.
-
Maintain,
and if possible, increase the proportion of Ryan White HIV/AIDS
Program clients who are virally suppressed from 80.4% (2014) to at
least 90.0%.
-
Increase
the percentage of individuals with diagnosed HIV infection in the
Houston Area who are virally suppressed from 57.0% (2015) to at
least 80.0%.
-
Increase
the number of gay and bisexual men of color and women of color
receiving pre-exposure prophylaxis (PrEP) education each year
(baseline to be developed) to at least 2,000.