Thursday, April 3, 2025
4/3/2025
Ryan White Part B Supplemental - The RWHAP Part B Supplemental funding is essential to bolster the existing comprehensive system of HIV care and treatment for individuals living with HIV in Arizona by expanding core and support services for those in vulnerable service areas and demographic categories across the state. This additional funding will specifically enhance viral suppression and drive positive client-level health outcomes by providing crucial support to key service providers in North, Central, and Southern Arizona, serving both rural and urban populations as well as incarcerated individuals. These partner organizations will work in concert to provide early intervention services, integrated medical and non-medical case management, housing services, and other critical supportive services. Funds will also be allocated towards strengthening Clinical Quality Management (CQM) activities, including comprehensive training sessions for partner clinics, regular site visits, and quality assurance measures to ensure subrecipients maintain high-quality services. By focusing on these targeted initiatives, the supplemental funding will play a pivotal role in elevating the quality of HIV care services, fostering improved health outcomes, and enhancing client engagement across the entire HIV care continuum in Arizona. In 2022, the most recent year for which data is available, 19,894 people were living with HIV/AIDS in Arizona. Emerging target populations include Black and Hispanic MSM. In 2022, 405 (42%) incident cases identified as Hispanic. While fewer newly diagnosed individuals identified as Black, the incidence rate of HIV/AIDS in Black individuals was the highest at 42.3 per 100,000. Men who have sex with men (MSM) was the most commonly reported risk behavior, with 546 (56%) incident cases reporting MSM. Transgender and gender nonconforming individuals were also identified as emerging populations with special service needs. In 2023, there were 3,538 Ryan White clients in the state. Key comorbidities among this population include co-infections with chlamydia (2.6% of Ryan White clients), gonorrhea (1.8%), and syphilis (3.1%). 5.9% reported injection drug use as their primary risk factor. 86.29% were uninsured, 2.09% were in temporary housing, and 6.12% were unstably housed or unhoused. Unmet need among PLWH in Arizona is significant. As of 2022, 190 were late diagnosed, 3,004 (18.09%) were out of care, and 1,205 (8.86%) were not virally suppressed. The cost and complexity of providing care are increasing due to three major factors: (1) medicaid unwinding/decreasing eligibility threshold, (2) the increased complexity of administering LAART treatment, and (3) the challenge of integrating syndemic approaches. The proposed project addresses these needs and complexities with the goal of improving client outcomes across the HIV care continuum across the state of Arizona.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).