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

A. Counseling, Testing, Referral and Partner
Notification (CTRPN).
Cooperative agreements for state and local CTRPN
activities to promote safer behavior in individuals
who are either infected with HIV or engage in activities that place them at risk of infection. CTRPN
goals are:
* To provide a convenient opportunity for persons
to learn their HIV status (testing), as an alternative
to attempting to donate blood to learn this
information;
* To provide education to initiate behavior change
and reduce risk behaviors;
* To prevent the spread of HIV by providing HIVinfected persons with information about how to avoid
transmitting the virus to others;
* To provide information about benefits of medical
evaluation and treatment for persons with low
CD4-cell counts;
* To refer HIV-infected persons to medical personnel capable of providing follow-up care and medical
management of HIV-related illnesses;
* To identify sex/needle-sharing partners of HIVinfected individuals who need to be aware of their
risk of HIV infection;
* To provide counseling, testing, and referral to
identified sex and/or needle-sharing partners; and
* To encourage sex and needle-sharing partners
to avoid any future behavior that might result in HIV
infection.
B. Health Education/Risk Reduction
CPS provides HIV prevention cooperative agreement funding to state and local agencies-and
through them to CBOs-to conduct activities such as:
* Group counseling of seropositive individuals and
street outreach programs targeting IV-drug users,
male and female prostitutes, run-away and homeless
youth, and other high-risk persons not in treatment
or not receiving social services. These projects may
be conducted in correctional facilities, shelters, housing projects, community health centers, mobile vans,
and churches.
* Programs to educate health-care workers on the
methods of prevention of HIV transmission in healthcare settings.
* Periodic knowledge, attitude, belief and behavior
(KABB) surveys of high-risk populations to monitor
changes among the population and develop ap
propriate program objectives based on the survey
information.

C. Minority Initiatives
Although all prevention efforts benefit minority
populations, CPS has provided cooperative agreement funding in the past primarily for special initiatives providing HIV-prevention services to racial/
ethnic minorities at risk. The majority of these funds
have been subcontracted by state and local health
departments to minority CBOs to assist them in providing educational and other prevention activities in
their own communities.
D. Public Information
Awards are directed toward education of the
general public through a variety of means: local
hotlines, distribution of CDC's America Responds to
AIDS (ARTA) materials, and developing materials
to reach populations for which no other materials are
available (i.e., populations with specific language
needs). Posters, brochures, videos, public service
announcements, and public transportation advertising have been funded under this program. All projects managed here complement those funded
through NAIEP.
2. Direct Funding of Minority and other CBOs
In addition to programs already described, CPS
provides some funds and technical assistance directly
to CBOs in the metropolitan areas statistically most
heavily impacted by HIV. In FY '90, awards were
made to 98 CBOs which represent and serve minority and other populations. The program's purposes
are to provide assistance to CBOs for development
and demonstration of innovative HIV prevention programs; and establish a collaboration among CBOs,
HIV education/prevention service agencies, and
public organizations (such as local and state health
departments).
Demonstration projects have included youth in
high-risk situations; general education; peer education; social service agency and drug treatment
facility-based education; theatre; programs designed
to encourage people to receive HIV counseling,
testing, follow-up; home-based interventions; and
prevention oriented follow-up and behavior reinforcement of HIV-positive persons and their families.
3. National AIDS Minority Organizations
National and regional AIDS minority organizations
are funded under this initiative to provide culturally
relevant HIV-prevention messages to minorities at

risk for HIV infection and to provide technical
assistance to CBOs.

~1991 ASAP

Reproduction By Permission Only

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~1991 ASAP Reproduction By Permission Only 49