Integrated HIV Surveillance and Prevention Programs
Montana Project Abstract
The over-arching goal of the Montana HIV Prevention Program is in alignment with the National AIDS Strategy goal of reducing HIV transmission. Montana has developed measurable, specific and time-phased objectives that are designed to meet the statewide mission of increasing the proportion of HIV-infected persons who are linked to prevention and care.
Montana is a low incidence state in terms of STD and HIV. HIV cases are primarily reported out of the two largest population centers, with most of the remaining cases reported as living in the seven other smaller population areas. The two largest population centers are located in the east and western regions, six hours apart in this large state of 147,000 square miles. Both cities have community health centers that sponsor Ryan White HIV clinics. Their local health departments have been traditionally funded to deliver HIV prevention services.
To meet both national and statewide goals, Montana will issue a Request for Proposals to local entities in higher incidence areas for the provision of several of the eleven required services in the 2018-2022 HIV prevention and surveillance project.
Contractors will be sought to provide outreach, counseling, testing and referral support across the state for the targeted populations of men who have sex with men, persons who use injecting drugs, as well as heterosexuals at high risk. The Montana program will fund CDC required services in an effort to:
• identify new persons with HIV,
• provide adherence support to HIV positive persons,
• re-engage previously-diagnosed persons who are not accessing HIV care,
• provide referral to help reduce health disparities in both positive and negative clients, and
• assist persons at high risk for acquiring HIV with support services such as referral and adherence support for those using medication for pre-exposure prophylaxis (PrEP).
Additional contracted services will be the community level condom distribution incorporated into all contracted activities, HIV prevention social media messaging, and syringe services once a Determination of Need waiver request has been approved by CDC.
Adjunctive required activities will be administered in-house through collaborative efforts of staff in the Communicable Disease Bureau: Epidemiology Section staff, HIV surveillance personnel, STD prevention staff, and HIV treatment and prevention staff.
Required surveillance activities will align with CDC requirements, including continuing the existing close collaboration between the two programs.
Progressive, resourceful and inherently integrated, Montana intends to continue to implement High-Impact Prevention activities and to maintain or improve the impressive percentage in the Montana HIV Care Continuum.