Speaker at NHAS community event
Speaker at NHAS community event
Speaker at NHAS community event
Speaker at NHAS community event
We recommend that the Federal government review the coordination of funding for HIV/AIDS, substance abuse, and mental health services on the Federal and State level, with the goal of increasing access to these services for patients with HIV.
I find that my clients are underserved and lack the needed support services and medical care that affects their health and well-being.
Understand that syringe exchange is the gateway to treatment and we need to take the obstacles and hurdles out of people getting into [care].
[We] support language in health insurance reform legislation prohibiting companies from refusing coverage for an individual based on their medical history or health risk.
Negative cultural influences and stigma are big challenges for [Latinos], and we need interventions that will address core family values among the Hispanic community as well as traditionalism and machismo.
There can be no true progress without stigma reduction. Stigma is still the REAL reason so many don't want to know their status, don't get help, or are afraid to be advocates for their own health.


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This document is a companion to the National HIV/AIDS Strategy for the United States. It presents the Administration's plan for measuring progress toward meeting the Strategy's goals, and includes immediate and short-term Federal actions (those that can be achieved in calendar years 2010 and 2011) that will move the Nation toward improving its response to HIV/AIDS. Where appropriate, we have highlighted some longer-term actions, but our immediate emphasis has been on identifying initial steps for moving forward. In 2011, ONAP will consult with Federal agencies to develop specific actions for 2012, and the plan will be updated annually, thereafter. This is a living document-we will evaluate our progress and modify it as necessary as we achieve certain milestones or experience unanticipated setbacks. Additionally, as the Federal agencies do their work to implement the Strategy, we anticipate that new activities will also be developed.

The job of implementing the National HIV/AIDS Strategy, however, does not fall to the Federal Government alone, nor should it. The success of the Strategy will require States, tribal and local governments, communities, and other partners to work together to better coordinate their responses to HIV/AIDS at the State and local levels. Therefore, we hope that the strategy will serve as a catalyst for all levels of government and other stakeholders to develop their own implementation plans for achieving the goals of the National HIV/AIDS Strategy.

Reducing New HIV Infections

  1. Step 1: Intensify HIV prevention efforts in communities where HIV is most heavily concentrated.
  2. Step 2: Expand targeted efforts to prevent HIV infection using a combination of effective, evidence-based approaches.
  3. Step 3: Educate all Americans about the threat of HIV and how to prevent it.

Increasing Access to Care and Improving Health Outcomes for People Living with HIV

  1. Step 1: Create a seamless system to immediately link people to continuous and coordinated quality care when they are diagnosed with HIV.
  2. Step 2: Take deliberate steps to increase the number and diversity of available providers of clinical care and related services for people living with HIV.
  3. Step 3: Support people living with HIV with co-occurring health conditions and those who have challenges meeting their basic needs, such as housing.

Reducing HIV-Related Health Disparities

  1. Step 1: Reduce HIV-related mortality in communities at high risk for HIV infection.
  2. Step 2: Adopt community-level approaches to reduce HIV infection in high-risk communities.
  3. Step 3: Reduce stigma and discrimination against people living with HIV.

Achieving a More Coordinated National Response to the HIV Epidemic in the United States

  1. Step 1: Increase the coordination of HIV programs across the Federal government and between Federal agencies and state, territorial, tribal, and local governments.
  2. Step 2: Develop improved mechanisms to monitor, evaluate, and report on progress toward achieving national goals.

President’s Memorandum to Federal Agencies

To launch the implementation of the National HIV/AIDS Strategy, President Obama issued on July 13, 2010, the following message to the Cabinet Secretaries and heads of all Federal agencies involved in implementing the strategy.

As we approach the thirtieth year of an HIV/AIDS epidemic in the United States, new actions are needed to prevent HIV infection and better serve people living with HIV. The actions we take now will build upon a legacy of global leadership, sustained national commitment, and heroic efforts on the part of Americans from all parts of the country and all walks of life to end the HIV epidemic in the United States and around the world. I am committed to renewing national leadership to fight HIV/AIDS here at home, as we continue our efforts to fight HIV/AIDS around the world. My Administration has engaged in an extensive process to engage Americans and listen to their ideas for improving our national response to HIV/AIDS.

Today, I am releasing a National HIV/AIDS Strategy for the United States (Strategy) and a National HIV/AIDS Strategy Federal Implementation Plan (Federal Implementation Plan) which identifies specific actions to taken by Federal agencies to implement the Strategy’s goals. While we already do many things right in addressing HIV/AIDS, successful implementation of the Strategy will require new levels of coordination, collaboration, and accountability. This will require the Federal Government to work in new ways across agency lines, as well as in enhanced and innovative partnerships with State, tribal, and local governments. Government cooperation at all levels, however, is not enough. Success will require the commitment of all parts of society, including businesses, faith communities, philanthropic organizations, the scientific and medical communities, educational institutions, people living with HIV, and others. It is also necessary to sustain public commitment to ending the epidemic, and this calls for regular communications between governments at all levels to identify the challenges we face and report the progress we are making.

The President’s Memorandum to Federal Agencies is divided into six sections:

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Presidential Advisory Council on HIV/AIDS

The Presidential Advisory Council on HIV/AIDS (PACHA) will play an advisory role in the implementation and monitoring of the NHAS.

Community Ideas Report

Community Ideas for Improving the Response to the Domestic HIV Epidemic.  A Report on a National Dialog on HIV/AIDS.

Last fall, the Office of National AIDS Policy (ONAP) asked Americans to give us their input for the National HIV/AIDS Strategy. We have released a report of the major themes that we heard from the public.

I am tired of telling teenagers that their HIV test is positive... Every 17-year-old I diagnose with HIV represents 60 to 80 years of transmission potential [and] each represents nearly a million dollars in healthcare costs over their lifetime.
All too often, people suffering from multiple chronic conditions receive little to no coordination of their health care from the various specialists that they regularly interact with. Adapt chronic health care models that emphasize outpatient primary care, patient education, and multiple-condition health care coordination.
Let people of color develop their own messages that work, not outside people telling them how and what they need to do. Help develop and educate grassroots CBOs and ASOs about how to serve the community they are in.