Thursday, April 3, 2025
4/3/2025
Ryan White Part C Outpatient EIS Program - HRSA-25-003 – Ryan White HIV/AIDS Program Part C Outpatient Early Intervention Services Program: Existing Geographic Service Areas Howard University Hospital Comprehensive HIV Clinic / Center for Infectious Disease Management and Research (HUH CIMDAR) 2139 Georgia Avenue, NW, Medical Arts Building, Third Floor, Suite 3-D, Washington, D.C. 20001 Celia J. Maxwell, MD, FACP, FIDSA – Phone: (202) 806-7264; Email: cmaxwell@howard.edu Amount Requested: $341,419 The Howard University Hospital Comprehensive HIV Clinic / Center for Infectious Disease Management and Research (HUH CIDMAR) serves a population that resides throughout the Washington District of Columbia (DC) Eligible Metropolitan Area (DC EMA) with over 6.3 million residents. At the end of 2021, there were about 33,000 people living with HIV in the DC EMA. Of these, 36% were DC residents, 39% resided in suburban Maryland, and 25% in Northern Virginia. Although people of color make up approximately 43% of the DC EMA population, they account for over 85% of the estimated number of people living with HIV/AIDS (PLWHA) in the area with African Americans (AA) disproportionally impacted, accounting for over 67% of the cases. The epicenter of the DC EMA is the District of Columbia with a HIV prevalence rate of approximately 1.7%, which is higher than the WHO standard definition of 1% as an epidemic. As of December 31, 2022, there were 11,747 residents in DC living with HIV. 72% of these people were male, and out of that, 66.4% were men who have sex with men (MSM). As for new diagnoses, people ages 13-29 comprised 41.5% of the cases, those ages 30-39 comprised 31.9% of cases, and people ages = 50 comprised about 14.3% of cases. AA were the majority (73.3%) of the new diagnoses. The HUH CIDMAR Program shares the National HIV/AIDS Strategy’s goal of a 75% reduction in new infections by 2025. To that end, we are proposing continued targeted HIV testing of AA, especially MSM ages 18 to 39, and people ages = 50 years old. We will continue to provide counseling with respect to HIV and linkage to care for continuous periodic medical evaluation/health services as well. In addition, we propose continued focus on other high-risk groups, such as AA who engage in heterosexual sex and those with a history of intravenous drug (IVDU) or other substance use disorders (SUDs). Moreover, the full range of HIV care and treatment follow-up services (including, but not limited to conditions resulting from the immune deterioration secondary to HIV infection) will be available to clients. We also have access to onsite referrals for most of services not funded by this Notice of Funding Opportunity (NOFO). The HUH CIDMAR clinic has a complement of HIV providers including infectious diseases, primary care specialists, as well as Case Managers among others. We recognize Ryan White funding as the payer of last resort for patients eligible for the service. However, HUH CIDMAR will continue to provide all services needed for compliance with the continuum of care for underserved, uninsured, and/or underinsured persons at risk for or living with HIV infection, to diminish the impact this disease has on the population in the DC EMA.
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