For over 37 years Care Resource has provided prevention and essential support services to those impacted with HIV/AIDS, and HIV primary care in the last 21. Project HIMPACT (HIV Managed through Prevention and Access to Care and Treatment) will offer and evaluate a comprehensive High Impact Prevention (HIP) program to both HIV-positive and high-risk negative MSM, regardless of age, race/ethnicity and who face the most severe burden of HIV in places disproportionately affected by the epidemic in the counties of Miami-Dade and Broward. Our experience providing HIP programming, the current Jurisdictional HIV Prevention Plans in Miami-Dade and Broward, and the Ending the HIV Epidemic: A Plan for America (EHE) initiative, will guide and inform Care Resource’s proposal under Funding Opportunity Announcement PS21-2102 for the creation and implementation of a culturally competent prevention program that empowers prioritized populations to successfully navigate the entire HIV continuum of care.
Miami-Dade and Broward counties continue to be significantly affected by the HIV/AIDS epidemic. Despite the overall decline in reported cases, both counties reported a combined total of 1,805 HIV cases in 2019, 39.4% of the statewide total. In this area, MSM individuals comprise 51% of living AIDS cases and 54.7% of living HIV cases. This high-priority population constitutes the largest single risk behavior category for new cases in the local Ryan White Program system of care, as consistently identified and targeted by all available state and local Jurisdictional HIV Prevention Plans.
Project HIMPACT will support the goals of the Ending the HIV Epidemic: A Plan for America (EHE): 1) Reduce the number of new HIV infections, 2) Increase access to care and improved health outcomes for people living with HIV/AIDS, including viral suppression and 3) Reduce health disparities. This project will offer the following HIP prevention services during the 5-year project period (at least 50 % of the deliverables during Year 1): 1) Comprehensive HIV Program: 1) Provide HIV CTR to at least 660 MSM, resulting in the identification of at least 14 newly diagnosed MSM and at least 18 previously HIV diagnosed MSM and integrated STD screening to 200 MSM; 2) Prevention with positives: a) Link to HIV care and treatment within 30 days at least 29 MSM, provide medication adherence, a behavioral health intervention like CLEAR, ARTAS as a linkage and retention strategy and to other prevention and essential support services, and b) referral to partner services; 3) Prevention with negatives: a) Refer 100 MSM to PrEP and 15 to nPEP, b) Provide at least 200 STI tests to the target population and c) Assess and refer 400 MSM for other prevention and essential support services; d) Distribute 32,000 condoms to both HIV positive and negative MSM; and e) Conduct a comprehensive evaluation and performance and measurement of Project HIMPACT. 2. Operational Program through a) promotion, outreach and recruitment: traditional outreach, social media and internet outreach, b) Community Engagement Group (CEG), and c) HIV Planning Group.
Care Resource requests $470,000 to implement Project HIMPACT in the counties of Miami-Dade and Broward.