A Guide to Fiscal Year 1991 Federal Funding for HIV Disease: How Dollars are Spent How to Access Them

The following section of the guide identifies
specifically where FY '91 dollars are appropriated for
HIV Disease. The text explains amounts spent on
specific programs, intramurally and extramurally, to
the extent possible with information available from
each agency, department, or office.
In general, anyone seeking funds must look to
DHHS, the agency with virtually all AIDS/HIV
monies. USAID is the only other agency which has
significant extramural funds, but those are targeted
to organizations working outside the United States.
Within the Department of Health and Human Services NIH, CDC, HRSA, ADAMHA, HCFA, and
SSA oversee the majority of funds. Because HCFA
(Medicaid/Medicare) and SSA represent entitlement
programs, however, those seeking funding for
research, community-based care facilities, or prevention education programs should look to NIH, CDC,
HRSA, ADAMHA, or other DHHS offices, either
directly or through block grant programs.
Virtually all DHHS agencies fund AIDS/HIV
research to some degree. Those with extramural
money available include NIH, CDC, ADAMHA, and
AHCPR.
Support for local care-giving facilities will find the
greatest potential for extramural funds through certain CDC centers, institutes or offices (CIOs) and
HRSA.
Those involved in prevention education programs
should look to CDC, ADAMHA, OASH and IHS for
ideas, and resources, and to CDC, ADAMHA, and
OASH for some extramural assistance.
Ethnic/racial minority AIDS/HIV program funding
is a priority in all departments and agencies; most

extramural funds are available through CDC,
ADAMHA, and OASH.
Support for programs targeting IV-drug users are
generally found in ADAMHA and CDC.
Pediatric programs can be found in NIH, CDC, or
HRSA. And those targeting adolescents and teens
follow the same pattern.
Projects concerned with women and AIDS/HIV can
be found within NIH, HRSA, CDC, ADAMHA, and
OASH, but most often do not segment women out
as a separate target population.
Programs for and concerning health-care professionals are generally managed by HRSA, CDC, NIH,
and AHCPR.
Although each agency and department within
DHHS (and undoubtedly the entire Federal Government) are similar in many ways, they have their own
particular character. So, a glance at overall trends
of funding and priorities must be followed up with
a look at each specific department, agency and office.
This guide, while it provides many specifics, is a
beginning point. It is based on information readily
available at the time it was compiled. Personnel and
programs within any government agency are
somewhat fluid, making it difficult to pin down every
project and program goal. And while the Federal
Government has appropriated funds for AIDS/HIV
on many fronts, these are limited and cannot cover
every aspect of the issue. Funding through state and
local health and education agencies, and through
private foundations often complements federally
generated or funded programs.

~1991 ASAP

Reproduction By Permission Only

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