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

grams under CDC's operational goals. IHPO has no
appropriated AIDS/HIV funds for FY 1991, but participates in activities related to Goal 4 of CDC's
AIDS/HIV program, targeting the strengthening of
international prevention capacities by: collaborating
with the WHO through assignment of CDC personnel to international activities to prevent HIV infection (in conjunction with CID and CCDPHP); and collaborating at multilateral and bilateral levels on the
strengthening of national STD control programs
which will concurrently advance efforts to prevent
the spread of HIV infection (in conjunction with
CPS).

IHPO FY '91 Extramural HIV Funding
No significant portion of IHPO's budget will be
spent on extramural grants or contracts related to
HIV. For more information on IHPO HIV programs
contact:
Jerry L. Brimberry
404/639-0301

1 EALTH RESOURCES AND SERVICES ADMINISTRATION

The goal of the Health Resources and Services Administration (HRSA) is to improve health services for
all citizens and develop health-care systems which
are adequately financed, comprehensive, interrelated, and responsive to needs of individuals and
families at all levels of society.
HRSA's four main administrative components are:
The Bureau of Health Care Delivery and Assistance
(BHCDA), the Bureau of Health Professions (BHPr),
the Bureau of Health Resources Development
(BHRD), and the Maternal and Child Health Bureau
(MCHB). (See Figure 1.5)
Programs managed by HRSA's four bureaus focus
on general health services and resource issues such
as access, equity, quality and cost of care, including:
* supporting state and community efforts to plan,
organize and provide health care, especially to
underserved urban and rural residents, migrant
workers, the homeless, mothers and children, and
other groups with special needs;
* addressing issues and problems uniquely related
to rural health care services;
* improving training, deployment and effectiveness
of professionals staffing the nation's health-care
system;
* increasing the number of minorities in health
professions;
* monitoring the number of health professionals
and training requirements, and ensuring competence
through quality assurance programs;
* providing primary care physicians, psychiatrists,
dentists, and other health professionals through the
National Health Service Corps to areas with a shortage of such services;
* administering the National Organ Transplant Act

by disseminating information on organ donation, procurement, and transplantation, and promoting
increased availability of organs and tissues;
* providing health services for Hansen's Disease
patients and other designated beneficiaries;
* monitoring developments affecting health
facilities and service programs of federally aided
health-care institutions;
* helping Federal managers raise employee and
workplace health standards to the highest possible
level, to increase the Government's productivity and
decrease liability; and
* developing cooperative efforts with the private
sector and public health systems to enhance and
extend HRSA programs.
In keeping with its overall mission, HRSA is an integral part of the Federal Government's campaign to
stop the spread of AIDS/HIV. HRSA administers the
following AIDS/HIV-related programs:
Service Demonstration Projects. Since 1986,
more than $66,600,000 have funded AIDS Service
Demonstration Projects. Current projects are in the
nation's standard metropolitan statistical areas with
the highest cumulative prevalence of AIDS cases.
The range of services developed through the projects
includes preventive, treatment, and support services
for patients, their families, and friends. Special
emphasis is on targeting outreach, education, and
prevention services to minority populations and IVdrug users at risk for acquiring AIDS/HIV. When
possible, HRSA demonstration projects are coordinated with those funded through other Federal programs or private sources.
Pediatric AIDS. The first Pediatric AIDS Health
Care Demonstration grants were awarded in 1988.
The purposes of these projects are to demonstrate

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~1991 ASAP

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