PS20-2010 Baltimore City Health DepartmentProject Abstract SummaryBaltimore City Health Department proposes an Ending the HIV Epidemic Project under PS20-2010 that incorporates both Component A and Component C. The purpose of the Component A project is to plan, coordinate, implement and monitor activities across each of the 4 EHE pillars (Diagnose, Treat, Prevent and Respond) that will act in concert to achieve increased knowledge of HIV status, reduced numbers of new HIV diagnoses, increased viral suppression for people living with HIV, increased PrEP uptake, especially in disproportionately affected populations, increased quality of SSP programming, and improved knowledge and data to detect and respond to HIV clusters. These outcomes will be achieved through collaboration with key stakeholders and partners with initiatives covering the general population, as well as specific approaches used to address HIV disparities among Baltimore?s youth, black/African-American population, same gender loving men, trans-people, and the Latin X community. BCHD will directly implement activities around testing and linkage through Corrections, the sexual health and wellness clinics (STI clinics), the integrated HIV/TB program, and `I Want the Kit?- home-based testing program. A BCHD provider warm line and a scale-up of linkage to care and case management services will contribute to improved linkage, retention and viral suppression. Strengthening of the PrEP IMPACT collaborative will aim to leverage data and best practices to improve PrEP uptake city-wide. Updating existing, and establishing new cluster response teams, meetings, and protocols, coupled with community engagement and discussions around outbreaks will lay the groundwork for improved response capacity. Additionally, the city will use a request for proposals process to allow community stakeholders to propose innovative projects in key communities, which will contribute to the proposed outcomes.In sync
with Component A, Component C will bolster the capacity of the BCHD sexual health and wellness clinics to provide culturally sensitive HIV preventive clinical services. Activities focusing on systems assessments and appropriate response plans, express testing scale-up, viral load assessments of all clients with HIV, PrEP provision and partnership development will produce outcomes of increased identification of new HIV and STI infections, increased rapid linkage to care for people newly diagnosed with HIV and re-linkage of those out of care, increased PrEP and nPEP screening, uptake and persistence, and increased viral suppression among new patients entering the BCHD EII program. The collective outcomes of these 2 components will subsequently lead to the long-term goal of EHE, a reduction in new HIV infections.