Awards $6.2 Million for Integration of HIV, Hepatitis, STD,
and Tuberculosis Services
The U.S. Centers for Disease Control and Prevention
(CDC) announced last week that it will award more
than $6 million to fund demonstration projects to
facilitate integration and collaboration among providers
of prevention and care services for HIV, viral hepatitis,
other sexually transmitted diseases (STDs), and tuberculosis.
CDC will monitor and evaluate the projects to identify
innovative approaches that can serve as models for
other health departments.
is the text of the recent CDC press release describing the new
awards $6.2 million for integration of health services
Program Collaboration and Service Integration (PCSI) initiative
to enable six demonstration project areas to extend the reach
of prevention services
Centers for Disease Control and Prevention announced today that
it will award a total of $6.2 million over the next three years
to health departments in six areas to combine and streamline
health services for diseases with similar characteristics, such
as HIV/AIDS, sexually transmitted diseases (STDs), viral hepatitis
and tuberculosis. The awards aim to increase collaboration among
programs and integration of prevention, testing and treatment
services for these infections, which may be interrelated due
to characteristics such as risk, transmission or other factors.
New York City, North Carolina, Philadelphia, San Francisco,
Texas and Washington, DC, will receive the annual awards to
begin demonstration projects that follow this approach. With
CDC guidance, each area will tailor its project to meet local
needs, taking into account prevalence of disease, number of
new infections and which communities are most impacted. The
projects will be monitored and evaluated by CDC on an ongoing
basis to identify innovative and effective evidence-based strategies,
programs and services that can serve as future models for other
health departments across the country.
"These funds will enable health departments in six areas
with high burden of disease to evolve beyond their current disease-specific
prevention approaches and begin providing more comprehensive
services, which ultimately should save time, resources and lives,"
said Kevin Fenton, MD, director of CDC's National Center for
HIV/AIDS, STDs, Viral Hepatitis and TB Prevention. "Service
integration provides one-stop shopping for a wide range of health
services, which can eliminate repeated registration periods
and reduce numerous administrative barriers facing people who
live in underserved areas."
HIV, STDs, hepatitis and tuberculosis share many behavioral,
social, environmental and biological factors. Many of the same
behaviors that put people at risk for HIV infection put them
at risk for acquiring STDs and hepatitis. Additionally, STDs
can facilitate the transmission of HIV, and HIV/AIDS increases
the risk of developing tuberculosis and the progression of liver
disease in those with chronic hepatitis C.
Co-infection is much higher among certain diseases and among
certain populations. For example:
25 percent of people with HIV are also infected with the
hepatitis C virus.
57 percent of new HIV infections are among men who have
sex with men (including those who also inject drugs), and
63 percent of new syphilis cases are among men who have
sex with men.
half of all new HIV infections are among African-Americans
and 42 percent of all tuberculosis cases among people born
in the United States are also among African-Americans.
majority of tuberculosis cases are among racial and ethnic
highest rates of chlamydia and gonorrhea -- bacterial infections
that can cause infertility in women -- are among teenage
girls and young women.
high prevalence of co-infection, many prevention strategies
and services focus on diagnosing and treating just one infection.
Program collaboration and service integration can simplify existing
processes, accelerate disease prevention, and have a greater
overall impact on the well-being of those infected with these
diseases by combining prevention, testing and other services.
collaboration and service integration is part of CDC's strategy
for streamlining and coordinating efforts across disease areas
to increase the effectiveness of current public health efforts.
Providing a single point of entry for multiple services such
as health care, welfare assistance, adult education and other
services at a single location minimizes duplication of services
and extends the reach of services to communities with the greatest
need. Additionally, improving collaboration within health departments
and with CDC will help identify populations with multiple related
risks, maximize prevention opportunities, and provide surveillance
and other data vital to assessing changing disease trends. It
will also enable more flexible responses to intertwined epidemics.
For more information, please visit: www.cdc.gov/nchhstp/programintegration.
for Disease Control and Prevention. CDC awards $6.2 million
for integration of health services. Press release. September