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

7ENTERS FOR DISEASE CONTROL

The Centers for Disease Control (CDC) is responsible for a national program of prevention and control of communicable and vector-borne diseases, and
prevention of chronic diseases; improvement of
laboratory conditions, and assurance of safe, healthful
working conditions for Americans of all occupations.
The CDC protects the nation's public health by conducting ongoing studies, initiating activities toward
the goals of prevention and control of diseases and
other preventable conditions, and responding immediately to public health emergencies.
CDC is comprised of nine major operating components, as shown in Figure 1.4: the Center for Infectious Diseases (CID), the Center for Prevention
Services (CPS), the Center for Chronic Disease
Prevention and Health Promotion (CCDPHP), the
National Institute for Occupational Safety and Health
(NIOSH), the Public Health Practice Program Office
(PHPPO), the International Health Program Office
(IHPO), the National Center for Health Statistics
(NCHS), the Epidemiology Program Office (EPO),
and the Center for Environmental Health and Injury
Control (CEHIC). Although the National AIDS Information/Education Program (NAIEP), also shown in
Figure 1.4, is not structurally part of CDC's nine
major components, it is intimately involved in CDC's
response to HIV.
As the HIV epidemic has spread, a greater portion
of CDC's overall budget has been allocated to HIV
programs. As Table 3.G shows, HIV funding at CDC
has grown from less than 1% of its overall budget
in FY '82 at the beginning of the epidemic, to more
than 41% in FY '91.
CDC has stated its mission for HIV programs: to
prevent HIV infection and reduce associated morbidity and mortality. All of CDC's AIDS/HIV efforts are
directed toward this mission and employ a range of
traditional public health intervention strategies:
assessing risks, implementing prevention programs,
developing prevention technologies, and building
prevention capacities.
CDC has developed goals related to its AIDS/HIV
mission which constitute the foundation of all
AIDS/HIV programs and activities:
Goal 1-Assessing Risks: To assess over time, and in
a variety of settings and populations, the status and

characteristics of the AIDS/HIV epidemic and the
prevalence of HIV infection; the risk of HIV infection associated with behaviors, practices, and occupations; and the impact of HIV infection on other health
conditions. CDC's assessment activities include
surveillance, epidemiology, and laboratory-based
investigations.
Goal 2-Implementing Prevention Programs: To
design, support, and evaluate intervention activities
that reduce risky and promote safe behaviors, prevent HIV transmission, and reduce associated morbidity and mortality among persons infected with
HIV. This includes designing and supporting prevention programs, and evaluating HIV-prevention
programs.
Goal 3-DevelopingPrevention Technologies: To develop and test diagnostic and prevention technologies
for HIV, promote the rapid transfer of appropriate
methodologies into clinical and public-health practice,
and promote the use of a scientific knowledge base
in the development of public policy related to HIV.
This goal involves the development of technologies,
and promotion of scientific knowledge in public policy
and public-health practice.
Goal 4-Building Prevention Capacities: To build or
strengthen HIV-prevention capacities and promote
collaboration among governmental, public, and
private agencies and organizations at local, state,
regional, national, and international levels. Particular
emphasis is needed to strengthen prevention
capacities and promote collaboration with groups
serving populations disproportionately affected by
HIV, such as racial and ethnic minority populations.
Successful accomplishment of this prevention goal
includes strengthening local, state, national, and international capacity to deal effectively with the
epidemic and its demands.
CDC's programs related to the AIDS/HIV mission
and goals are managed by its various centers, institutes and offices (CIOs) as illustrated in Table 3.H
CDC's appropriated FY '91 budget for AIDS/HIV
is presented below by function. These functions are
conducted by the CIOs shown on Table 3.H. Descriptions of each center's type of activities, following the
budget, provide an overview of the distribution of
functions within the CDC.

~1991 ASAP

Reproduction By Permission Only

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~1991 ASAP Reproduction By Permission Only 41