Encouraging First-Year Results for the “Increasing Access to HIV Care and Treatment” Initiative

Two years ago on World AIDS Day, President Obama announced $50 million to increase the number of people living with HIV who are linked to and retained in HIV care and treatment. Of that $50 million, $15 million was directed to the Health Resources and Services Administration’s (HRSA) Ryan White HIV/AIDS Program’s Part C.

Starting in FY 2012, HRSA’s HIV/AIDS Bureau and Bureau of Primary Health Care collaborated to implement what became known as the “Increasing Access to HIV Care and Treatment” (IAHCT) initiative. Through this initiative, HRSA used these one-time funds to provide supplements to 275 Ryan White HIV clinical sites, including 134 dually-funded health centers, as well as competitively fund 14 new Ryan White clinical site grantees.

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Recipients of these funds expanded outreach and HIV testing activities for high-risk populations, extended service hours for HIV medical care, and increased support services. They also enhanced systems to identify, connect with and keep people living with HIV in care. In addition, the clinical sites also hired additional providers experienced in HIV primary care.

Our goal under the initiative’s first year was to provide services to an additional 7,500 patients across the country. However, our results more than doubled initial expectations. During the first year of this initiative, June 2012 through May 2013, the 275-funded clinical sites linked 19,589 patients to HIV care, including 13,142 into care for the first time.

These clinical sites also met the needs of people living with HIV across the HIV care continuum. For example, 9,329 enrolled patients were newly diagnosed and were linked to medical care within 90 days of diagnosis. An additional 3,813 previously diagnosed patients entered medical care and treatment for the first time. The initiative also brought back into HIV medical care 6,447 people living with HIV who had not received care in more than a year.Finally, the 14 newly awarded Ryan White HIV/AID Program grantees enrolled an additional 1,629 people living with HIV into medical care in 2012. The largest enrollment was seen in the southeastern U.S., New York, New Jersey, Puerto Rico, and the U.S. Virgin Islands, all jurisdictions where HIV incidence is higher than the U.S. average.

For more information about the Ryan White HIV/AIDS Program, visit For more information about the Health Center Program, visit


  1. Ivan Carbonell, DHSc, MPH, PA-C says:

    Dr. Cheever:
    These are excellent news. From a clinician and public health advocate’s point of view, do you anticipate that with the expansion of health care access to HIV/AIDS patients through the ACA and the additional funding, would there be more government sponsored programs that will continue to focus on the root problem of HIV, which is mainly prevention through strong behavior modification, and health education. As an example that concerns me regarding “public health issues,” we are currently seeing a significant increase in adolescent smoking after enjoying of a steady decline in the past. I can speak on behalf of many community public health activists, who will be comforted to know that funding for HIV/AIDS education will be fortified.
    Grateful for the work you do,
    R/ I.C.

  2. Janet Myers says:

    Is there any information on which of the 5 key activities worked best? Are there additional dissemination activities planned? Congratulations to the grantees on great work!

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