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

CDC FY '91 Extramural HIV Funding
Of CDC's total FY '91 $494,660,000 HIV budget,
approximately 71.5% (or $353,700,000) will fund extramural programs. Table 3.I explains the overall
distribution of these funds in terms of recipient
organizations and groups. Programs and projects
primarily funded relate to risk assessment and
prevention.
As Table 3.I indicates, approximately 62.2% (or
$220,000,000) of CDC's extramural HIV funding is
directed to state and local health agencies. These
awards are in response to congressional mandate and
take the form of block or formula grants. In addition,
the Table shows another 5.3% (or $18,700,000)
directed to state and local education agencies.
A portion of the monies appropriated in FY '91 for
HIV funding fall under Title III of the Comprehensive AIDS Resources Emergency (CARE or Ryan
White) Act, passed by Congress in late 1990. CDC
shares administration responsibilities for Title III
money with HRSA. Programs which fall under Title III are primarily Counseling, Testing, Referral and
Partner Notification grants under the CDC AIDS
Prevention and Surveillance Cooperative
Agreements managed through CPS and CID.
Although CBOs are unable to access most of these
block or formula funds directly from CDC, they may
tap into some of them through grants or contracts
offered by state and local health and education agencies. Every CBO interested in receiving outside funding should contact these and other state and local
agencies to learn what funding opportunities exist.
CDC's extramural funding represents monies from
virtually all CIOs conducting HIV-related projects,
directed in the general areas described below. In each
case, extramural funding is tied to the goal-related
activities managed in that CIO. CDC operates on the
same extramural funding timetable as NIH. All
awards must be announced within six months of the
application deadline to maintain the momentum of
AIDS/HIV projects nationwide, and in that way
impact the epidemic.
Listed below are more specifics on extramural
funding as well as the HIV coordinator in each area
who can answer questions related to current programs. In addition, Appendix E lists all CPS State
HIV coordinators who could provide information on

AIDS/HIV programs in your area. Specific questions
about grants and contracts may be directed to:

Carolyn Russell
CDC Grants Management Office
404/842-6655
Martin Hirsch
CDC Contracting Officer
404/842-6541
Center for Prevention Services
The Center for Prevention Services (CPS) manages
programs and projects related to all of CDC's HIV
operational goals. CPS FY 1991-appropriated
AIDS/HIV funding is $225,510,625. CPS conducts programs related to all four of CDC's
AIDS/HIV goals.
Activities related to Goal 1 focus on surveillance,
epidemiologic and laboratory-based investigations,
including: using HIV seroprevalence and surveillance
data to evaluate and target prevention activities (in
conjunction with CCDPHP); studying HIV trends in
public HIV counseling and testing sites; using sexually transmitted disease (STD) surveillance to
measure risk behavior in populations at risk for HIV
infection; diagnosing tuberculosis (TB) patients for
HIV; conducting studies to assess the risk of TB and
AIDS among tuberculin-positive persons during
stages of HIV infection; assessing the role of illicit
drug use and exchange of sex for drugs in STD/HIV
transmission; studying the effect of HIV infection on
initial manifestations of, and response to, treatment
of syphilis and chancroid; assessing the role of lesions
caused by STDs in facilitating HIV transmission;
assessing efficacy of anti-TB drug regimens among
TB patients with HIV infection; conducting preventive therapy efficacy studies among persons with
both TB and HIV infection (in conjunction with CID);
studying TB infectiousness among TB patients with
HIV infection; and studying autopsies in endemic
areas to assess frequency of HIV infection among
persons who die without AIDS diagnosis (in conjunction with CID).
CPS activities related to Goal 2 focus on HIVprevention program design and support, and evaluation, including: supporting health departments, CBOs
and other agencies through HIV counseling, testing,
referral and partner notification services, health
education/risk reduction programs, and public information campaigns directed to individuals whose
behaviors place them at highest risk of HIV acquisition and/or transmission; providing financial and
technical assistance to national, regional, local
organizations serving HIV prevention needs of

minorities and others at risk; supporting education
programs aimed at school- and college-aged youth in

@1991 ASAP

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