PS 18-1802 Project Abstract
The STI/HIV/VH Branch is requesting $4,562,344 from the CDC in response to NOFO PS18-1802, Category A. The attached proposal outlines a plan for the contractual period from January 1, 2018 to December 31, 2018. This application proposes to improve the quality, completeness and use of HIV surveillance and program data to monitor HIV trends in Colorado. We intend to expand the data to care capacity and enhance strategies for HIV prevention programs in an effort to achieve national HIV goals. Colorado plans to design, implement and evaluate comprehensive HIV prevention programs that are effective, scalable and intended to reduce HIV infection in Colorado. The underlying strategy proposed in this application is to allocate programmatic and financial resources to designated counties based on burden of disease. Targeted jurisdictions include designated counties of Adams, Arapahoe, Denver, Douglas and Jefferson that account for about 75 percent of people living with HIV in the state. Funding allocations will be considered for combined jurisdictions with one percent or more people living with HIV.
The intended outcomes for Component A are:
1. Reduced new HIV infections among persons at risk for HIV infection;
2. Increased access to care for persons living with diagnosed HIV infection;
3. Improved health outcomes for persons living with diagnosed HIV infection, including maintain viral suppression;
4. Reduced HIV-related health disparities; and
5. Reduced death rate among persons living with diagnosed HIV infection
The STI/HIV/VH Branch is requesting $870,564 from CDC in response to NOFO PS18-1802, Category B. The attached proposal will outline how CDPHE intends to implement a multi-tiered data-driven approach to address individual, community, and systems-level factors in populations and social networks that are disproportionately impacted by HIV, as evidenced by increased rates of STIs in high incidence geographical locations to reduce health disparities in Colorado. The initial stage of the demonstration project will systematically enhance the surveillance systems to more accurately capture anatomic site of STI infection (urethra, pharynx and anorectal), sex at birth, current gender (including transgender identity), and sex of partner(s), to identify individuals at increased risk for HIV infection. The second phase of the demonstration project will build upon the initial stage by utilizing CDPHE’s public health detailing and capacity building unit.
The intended outcomes for Component B are:
1. To encourage extra-genital STI testing, reporting of enhanced data elements (anatomic site of infection, sex at birth, current gender, including transgender identity, and sex of partner) among providers
2. To address the relationship between HIV and STIs within communities served
3. To address the relationship between repeated STIs as a risk accelerator for HIV acquisition
4. To promote prevention services including PrEP, LTC, and viral suppression (TasP), and
5. To tackle these health inequities at the individual and community levels
Colorado’s long history of named HIV reporting, active surveillance, intensive community collaborative activities and using HIV data to drive prevention programming have resulted in a supportive and successful environment for the implementation of HIV surveillance and prevention activities.