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

Joan Jacobs
OMH
301/443-4761
For information on the business and administrative
management of OMH grants contact:
Carolyn Williams
Grants Management Officer
OMH
301/443-9870

Anyone wishing to receive regular announcements
about extramural funding opportunities offered
through OMH may be added to that mailing list free
of charge by contacting:
Minority Resource Center
1-800/444-6472, or
301/587-1938

I ndian Health Services

The Indian Health Service (IHS) provides a comprehensive health services delivery system for
American Indians and Alaska Natives with opportunity for maximum tribal involvement in developing and managing programs to meet local health
needs. The goal of IHS is to raise the health level
of the Indian and Alaska Native people to the highest
possible level by assisting Indian Tribes in developing their health programs, assisting Indian Tribes in
coordinating health planning and in evaluating health

programs, providing comprehensive health care services, and serving as the principal Federal advocate
for Indians in the health field. The IHS is made up
of seven national administrative offices and eleven
area offices. (See Figure 1.9)
IHS programs and activities related to HIV disease
fall into three basic areas: surveillance, information
and education/prevention services, and AIDS drugs
and treatment.

IHS FY '91 HIV Funding

Risk Assessment and Prevention........................................$.
Surveillance........................................ $ 50,000
Information and Education/Prevention Services...........................
High-Risk or Infected Persons............................ 100,000
School-Age and College-Age Youth........................ 100,000
Community Awareness Programs......................... 50,000
Health-Care Workers.................................... 60,000
Urban Indian Programs.................................. 646,000
Prevention Services..................................... 497,000
Clinical Health Services Research and Delivery.........................
AIDS Drugs and Treatment............................... 300,000
TOTAL............................................$

50,000
1,453,000
300,000
1,803,000

In FY 1987 IHS established AIDS objectives and
policies which included activities related to monitoring disease reporting, voluntary HIV testing, referral to anonymous HIV test sites, patient surveys,
public information campaigns, health education, risk
reduction, and patient counseling. Specific HIV funding for IHS was first appropriated in FY 1989, making independent HIV-related programs more feasible.
The IHS strategy for HIV activities is reservationbased prevention programs involving Indian communities, tribal governments, school officials, patients involved in high-risk behavior, and health-care
workers.

Surveillance is done in cooperation with the CDC,
ensuring coordinated and accurate data collection on
American Indians and Alaska Natives. Information
and Education/Prevention services target specific
populations with unique programs.
Working through its established health-care
delivery system, the IHS has trained IHS and tribal
health-care professionals to provide HIV-related services, counseling and education to clients. IHS and
tribal alcohol and substance abuse counselors have
been trained to screen for high-risk behavior. Women
served by prenatal clinics are screened for high-risk

76

Reproduction By Permission Only

@1991 ASAP

76 Reproduction By Permission Only ~1991 ASAP