NU62PS924808
Cooperative Agreement
Overview
Grant Description
High impact HIV prevention and surveillance programs for health departments - The City of Houston (COH), located primarily within Harris County, experiences a higher burden of HIV than both the State of Texas and the whole nation.
People of color with male-to-male sexual contact (MSM) especially African American and Hispanic residents, and youth of color (ages 13-24) have been disproportionately impacted by both HIV and other STIs.
In 2022, the rate of new diagnoses among the people of color was 3 times that of whites.
The majority of the people newly diagnosed with HIV were identified as having MSM.
Of these, a majority (83.7%) was MSM of color (MSMOC), with 32.1% African American, 51.6% Hispanic/Latino, and 4.7% other/multiple races.
White MSM made up 11.6% of new HIV diagnoses among MSM that year.
Evidence indicates increases in HIV transmission are highly plausible without extensive uptake of preexposure prophylaxis (PrEP) and increases in viral suppression.
In December 2019, the COH signed the Fast-Track Cities Paris Declaration to end the epidemic by 2030 and committed to meet a set of targets.
These targets are to ensure that 90 percent of people living with HIV (PLWH) will know their status, that 90 percent of all PLWH will receive sustained anti-retroviral treatment and that 90 percent of all PLWH on anti-retroviral treatment will achieve viral suppression.
The current burden in Houston calls for enhanced strategies and activities to achieve these goals and end the epidemic.
Of those diagnosed, 76.2% had at least one HIV medical visit/lab or prescription for treatment in 2021, 58% had been retained in care over the course of the year, and 62.8% had a suppressed viral load.
In the phase of ending the HIV epidemic by 2030, utilizing PS20-2010 (Integrated HIV Programs for Health Departments to Support Ending the HIV Epidemic [EHE] in the United States) and PS18-1802 (Integrated HIV Surveillance and Prevention Programs for Health Departments), the Houston Health Department (HHD) in collaboration with other stakeholders has initiated the implementation of evidence-based HIV surveillance and prevention strategies.
To further implement the activities informed by the Houston EHE plan, the HHD prepared this funding application.
In this application, the HHD proposes enhanced and new innovative high-impact HIV surveillance and prevention activities.
Specifically, the HHD will:
(1) Increase and expand HIV testing through community-based screenings and routine opt-out screenings;
(2) Rapidly link and treat PLWH to increase viral suppression through rapid ART initiation, and enhancing referrals to care and ancillary services;
(3) Increasing the uptake and participation in PrEP/nPEP implementing fast track services for PrEP/nPEP, injectable PrEP services, and expanding same-day PrEP initiation to reach vulnerable populations; and implementing a sharps disposal pilot project;
(4) Collaborating with local planning bodies, community groups and stakeholders to ensure quality prevention and care services.
Implementing these activities, the HHD will achieve the EHE initiative goals by ensuring increased knowledge of HIV status, increased linkage and reengagement to HIV medical care and treatment, increased viral suppression, and increased PrEP uptake.
People of color with male-to-male sexual contact (MSM) especially African American and Hispanic residents, and youth of color (ages 13-24) have been disproportionately impacted by both HIV and other STIs.
In 2022, the rate of new diagnoses among the people of color was 3 times that of whites.
The majority of the people newly diagnosed with HIV were identified as having MSM.
Of these, a majority (83.7%) was MSM of color (MSMOC), with 32.1% African American, 51.6% Hispanic/Latino, and 4.7% other/multiple races.
White MSM made up 11.6% of new HIV diagnoses among MSM that year.
Evidence indicates increases in HIV transmission are highly plausible without extensive uptake of preexposure prophylaxis (PrEP) and increases in viral suppression.
In December 2019, the COH signed the Fast-Track Cities Paris Declaration to end the epidemic by 2030 and committed to meet a set of targets.
These targets are to ensure that 90 percent of people living with HIV (PLWH) will know their status, that 90 percent of all PLWH will receive sustained anti-retroviral treatment and that 90 percent of all PLWH on anti-retroviral treatment will achieve viral suppression.
The current burden in Houston calls for enhanced strategies and activities to achieve these goals and end the epidemic.
Of those diagnosed, 76.2% had at least one HIV medical visit/lab or prescription for treatment in 2021, 58% had been retained in care over the course of the year, and 62.8% had a suppressed viral load.
In the phase of ending the HIV epidemic by 2030, utilizing PS20-2010 (Integrated HIV Programs for Health Departments to Support Ending the HIV Epidemic [EHE] in the United States) and PS18-1802 (Integrated HIV Surveillance and Prevention Programs for Health Departments), the Houston Health Department (HHD) in collaboration with other stakeholders has initiated the implementation of evidence-based HIV surveillance and prevention strategies.
To further implement the activities informed by the Houston EHE plan, the HHD prepared this funding application.
In this application, the HHD proposes enhanced and new innovative high-impact HIV surveillance and prevention activities.
Specifically, the HHD will:
(1) Increase and expand HIV testing through community-based screenings and routine opt-out screenings;
(2) Rapidly link and treat PLWH to increase viral suppression through rapid ART initiation, and enhancing referrals to care and ancillary services;
(3) Increasing the uptake and participation in PrEP/nPEP implementing fast track services for PrEP/nPEP, injectable PrEP services, and expanding same-day PrEP initiation to reach vulnerable populations; and implementing a sharps disposal pilot project;
(4) Collaborating with local planning bodies, community groups and stakeholders to ensure quality prevention and care services.
Implementing these activities, the HHD will achieve the EHE initiative goals by ensuring increased knowledge of HIV status, increased linkage and reengagement to HIV medical care and treatment, increased viral suppression, and increased PrEP uptake.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Houston,
Texas
United States
Geographic Scope
County-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 21% from $9,619,210 to $11,619,210.
City Of Houston was awarded
Enhanced HIV Prevention & Surveillance Program Houston Health Department
Cooperative Agreement NU62PS924808
worth $11,619,210
from National Center for HIV, Viral Hepatitis, STD, and TB Prevention in August 2024 with work to be completed primarily in Texas United States.
The grant
has a duration of 4 years 9 months and
was awarded through assistance program 93.939 HIV Prevention Activities Non-Governmental Organization Based.
The Cooperative Agreement was awarded through grant opportunity High-Impact HIV Prevention and Surveillance Programs for Health Departments.
Status
(Ongoing)
Last Modified 12/20/24
Period of Performance
8/1/24
Start Date
5/31/29
End Date
Funding Split
$11.6M
Federal Obligation
$0.0
Non-Federal Obligation
$11.6M
Total Obligated
Activity Timeline
Transaction History
Modifications to NU62PS924808
Additional Detail
Award ID FAIN
NU62PS924808
SAI Number
NU62PS924808-520795539
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
City Or Township Government
Awarding Office
75CDC1 CDC OFFICE OF FINANCIAL RESOURCES
Funding Office
75CVJ0 CDC NATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TUBERCULOSIS PREVENTION
Awardee UEI
GULQZBMP2SR3
Awardee CAGE
1L6P9
Performance District
TX-17
Senators
John Cornyn
Ted Cruz
Ted Cruz
Modified: 12/20/24