Many cities, counties, and states are developing and implementing plans to end the HIV epidemic in their jurisdictions. Complementing these local efforts is a ten-year national initiative known as Ending the HIV Epidemic: A Plan for America, which has brought a new wave of attention, commitment, and resources to achieve the goal of ending the HIV epidemic in the U.S. by 2030.
“Ending the Epidemic” (EHE) plans across the United States bring together coalitions of local stakeholders to establish shared goals and strategies for ending the HIV epidemic in a city, county, state, or other jurisdiction. EtE plans are tailored to the context, needs, and resources of a particular jurisdiction and tend to take a broad, holistic view of the drivers of the local HIV epidemic. The development of these plans is usually informed by extensive community consultation.
The national plan, Ending the HIV Epidemic: A Plan for America (EHE), is a ten-year federal initiative from the United States Department of Health & Human Services (HHS) with the goal of reducing new HIV infections to less than 3,000 per year by 2030. The initiative aims to reduce new HIV infections by 75% by 2025 and by at least 90% by 2030. The plan will focus on four key strategies:
- Diagnose all people with HIV as early as possible.
- Treat people with HIV rapidly and effectively to reach sustained viral suppression.
- Prevent new HIV transmissions by using proven interventions, including pre-exposure prophylaxis (PrEP) and syringe services programs (SSPs).
- Respond quickly to potential HIV outbreaks to get needed prevention and treatment services to people who need them.
The first phase of the plan will focus efforts and resources in 48 counties, plus San Juan, PR and Washington, DC, where more than half of all new HIV diagnoses occurred in 2016 and 2017 (when the plan was formed), along with seven states (Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina) with a substantial rural HIV burden.
Of the 48 highest burden counties targeted by the initiative, 48% are in the South.
In 63% of the 48 target counties and DC, the percent of people living in poverty is higher than the national average.
Most of the 48 target counties fall in states with a high unmet need for PrEP.
Funders Concerned About AIDS (FCAA)
As a part of AIDSVu’s effort to partner with organizations across the HIV space, in 2022 AIDSVu added data on HIV-related philanthropic funding to our EHE profiles. The data comes from FCAA’s signature resource tracking report, of which the most recent edition — based on calendar year 2020 grant making — captures data on more than 5,000 grants, awarded by 323 foundations in 10 countries, in an effort to identify gaps, trends, and opportunities in HIV-related philanthropy.
In addition to aggregate funding totals, FCAA analyzes HIV philanthropy by top funders, geographic locations of impact, populations served, and intended use or strategies of funding. The report, including historical versions dating back to the year 2000, can be found on their website, as well as deep-dive infographics on varying topics and other research reports on the impacts of COVID-19, and community-rooted intermediary funders on the field of HIV philanthropy.
Check out AIDSVu’s profiles to see the data for each EHE county and state.
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Learn From Experts
Read our series of Q&A’s with leading experts to learn more about efforts to end the HIV epidemic.
