i. Project Abstract Model of Care: Matthew 25 AIDS Services, Inc. has been serving PLWH as a medical facility since receiving RW Part C funding in 2001 with a high quality multi-disciplinary approach onsite at our main clinic in Henderson, KY and three satellite locations in neighboring cities (Evansville, IN, Bowling Green and Owensboro, KY on designated days). Our model of care is outpatient ambulatory care with a collaborative ID, HIV Nurse Practitioner and Primary Care Nurse Practitioner. We provide early intervention HIV patient centered medical services, primary care for PLWH, mental health counseling, medical case management, onsite laboratory, support services (food pantry, support group, transportation, medication assistance and housing assistance), health education for community and patients, prenatal HIV care, referral services for specialty care (cardiology, OB/GYN and psychiatry). We provide mental health screening, assessment and treatment, oral health care screening and referral, medical nutrition screening and medical nutrition therapy, as needed. Number of WICY Served: Matthew 25 served 111 WICY in 2018, 105 in 2019, and 115 in 2020. We expect to serve 115 WICY patients in 2022. Our staff is well-educated and experienced, degreed appropriately, and are diverse in gender and race. We are culturally competent and sensitive to the growing needs of the populations we serve. Proposed Service Area Boundaries: The Matthew 25 service area covers southwestern Indiana (11 counties – Daviess, Dubois, Gibson, Knox, Martin, Perry, Pike, Posey, Spencer, Vanderburgh and Warrick) and western Kentucky (25 counties – Allen, Barren, Breckinridge, Butler, Daviess, Edmonson, Grayson, Hancock, Hardin, Hart, Henderson, Larue, Logan, Marion, McLean, Meade, Metcalfe, Monroe, Nelson, Ohio, Simpson, Union, Warren, Washington and Webster). WICY Priority Population to be Served: The WICY population in our mostly rural service area is 34% ra
cial/ethnic minority and 5% adolescent. About 9% have a primary language not English, mostly comprised of Hispanic and Burmese patients. The vast majority have their high school diploma (84%), compared to 88%, the national average. About 9% are unemployed and 48% fall below 100% of the Federal Poverty Level. Problems/Challenges: We are seeing a steady presence among women and youth in particular who are Living with HIV-non-AIDS and Living with AIDS in our service area. Those newly reporting with HIV or AIDS are at a steady rate. The HIV+ populations in our service area experience a lack of primary care providers willing to treat them. They have difficulty accessing care because of transportation challenges, financial constraints, substance use issues and general mental health concerns (depression). Key Services Quality Improvement Measures: With this funding we will increase the Retention in Care from 89% to 98%, increase pap smear rates from 76% to 85% and maintain our viral load suppression rate of 95%. We will do these things using prevention, medical evaluation and clinical care. We are requesting $356,156.