Ryan White Title IV Women, Infants, Children, Youth and Affected Family Members AIDS Healthcare - Parkland Health requests continued Ryan White HIV/AIDS Program (RWHAP) Part D funding to provide comprehensive, family-centered HIV primary medical care and support services for women, infants, children, and youth (WICY) living with HIV throughout the North Texas Health Service Delivery Area (HSDA)—Collin, Dallas, Denton, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties. As the region’s largest public safety-net health system and one of the nation’s most experienced Ryan White providers, Parkland has delivered comprehensive HIV care for nearly four decades. It currently administers Ryan White Parts A, B, C, D, and F programs in collaboration with Dallas County Health and Human Services and numerous community partners. This project builds upon the successful framework established in Parkland’s previous Part D program while evolving to address emerging epidemiologic trends, persistent health disparities, and the priorities identified in the 2027–2031 North Texas Integrated HIV Prevention and Care Plan. The project aligns with the national Ending the HIV Epidemic initiative, incorporating evidence-based, status-neutral, and trauma-informed approaches that advance the four pillars of Diagnose, Treat, Prevent, and Respond. Parkland Health serves 31% of the 24,000+ people living with HIV (PWH) in the DFW area and is requesting $750,000 to support this comprehensive program. WICY populations continue to experience unique clinical and social challenges affecting timely diagnosis, linkage to care, retention, treatment adherence, and sustained viral suppression. Structural barriers—including poverty, housing instability, transportation limitations, behavioral health conditions, stigma, intimate partner violence, and fragmented healthcare access—disproportionately affect these populations, particularly Black and Hispanic women and young people. Parkland’s integrated model addresses these challenges through coordinated medical care, behavioral health services, medical and non-medical case management, pharmacy services, specialty care support, nutritional counseling, transportation assistance, and comprehensive referrals addressing the social drivers of health. The proposed program emphasizes rapid linkage to HIV care, immediate initiation of antiretroviral therapy, long-term retention, viral suppression, and coordinated family-centered services that promote healthy pregnancies, prevent perinatal transmission, improve maternal health, and support youth transitioning to adult care. Through multidisciplinary teams and robust partnerships with public health agencies, community organizations, and RWHAP-funded programs, Parkland ensures seamless coordination across the continuum of care while minimizing duplication. These activities directly support the North Texas Integrated HIV Prevention and Care Plan by expanding equitable access, strengthening care coordination, addressing social determinants of health, improving quality outcomes, and reducing disparities. Continuous quality improvement, performance measurement, consumer engagement, and data-driven evaluation will guide implementation and ensure accountability for achieving measurable improvements in key health metrics. Ryan White Part D funding will enable Parkland Health to sustain and enhance an integrated system responsive to the evolving needs of WICY while advancing regional efforts to end the HIV epidemic in North Texas. Through evidence-based clinical care, strong community partnerships, and an unwavering commitment to health equity, Parkland Health will continue to improve the well-being of vulnerable families and strengthen the regional care system. Parkland Health plans to serve and support 1,900 WICY annually across years one, two, and three.
