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Funding & Programming: Ending the HIV Epidemic Initiative (EHE)

EHE Jurisdictions and Local Partner Sites (LPS):

  • Maryland - Montgomery County, Prince George's County, Baltimore City: University of Maryland, Baltimore, and Johns Hopkins University
  • Pennsylvania - Philadelphia County: Health Federation of Philadelphia
  • Washington, DC: Howard University

 

Training Goals for the EHE Jurisdictions:

  • Diagnose: LPS provide training and technical assistance (TA) to integrate HIV testing into primary care, offer TA on clinic workflow analysis to facilitate increased HIV testing, train healthcare teams on testing approaches and counseling using the National HIV Curriculum (NHC), and provide TA on testing methods and laboratory issues.

  • Treat: LPS provide training on clinical guidelines within programs, webinars, and TA, translate clinical findings and best practices in care to improve outcomes, provide preceptorships to clinicians for education on clinical management, and link clinicians to HIV treatment consultation services at the NCCC and clinical experts at MAAETC sites.

  • Prevent: LPS conduct ongoing outreach to community health centers to assess capacity to prescribe PrEP, including robust routine HIV screening and clear linkage to care protocols, and provide TA and training as needed. 

  • Respond: LPS collaborate with local and state health departments to identify community training and TA needs in response to clusters of new HIV cases.

 

Approaches:

  • Provide training and technical assistance specifically tailored to meet the training needs of healthcare team members in the EHE-funded jurisdictions

    • When DHHS HIV clinical guidelines are updated regarding screening, prevention, and treatment, LPS disseminate the updates regionwide and reach out to offer site-specific training and TA to ensure primary care, community health centers, and HIV providers are aware of the changes.

    • The MAAETC has a dedicated EHE page where upcoming EHE webinars and archived (on-demand) content can be found: https://www.maaetc.org/p/ehemaaetc 
      Archived content is divided into sections by the 4 EHE Key Strategies

  • Maintain strong relationships with EHE-jurisdiction Ryan White Planning Groups, Ryan White A and B funded providers, community health centers, and hospital emergency departments to assess gaps in HIV testing, treatment, and prevention services.

    • LPS assists in the implementation of jurisdictional EHE plans as well as in the planning, design, and delivery of local HIV prevention and care services vital to the initiative’s success.

  • The LPS within the EHE jurisdictions collaborate with local and state health departments to identify community training and TA needs in response to clusters of new HIV cases.

BACKGROUND

Ending the HIV Epidemic in the U.S. (EHE), announced in 2019, aims to end the HIV epidemic in the United States by 2030. Agencies across the U.S. Department of Health and Human Services (HHS) developed an operational plan to achieve this goal, accompanied by a request for increased annual funding—including for AETC programs.

EHE leverages critical scientific advances in HIV prevention, diagnosis, treatment, and outbreak response. It focuses on 57 geographic areas where HIV transmission occurs most frequently, providing these jurisdictions with additional resources, expertise, and technology to support the development and implementation of locally tailored EHE plans. In the MAAETC region, the focus areas include Philadelphia, Baltimore, and Washington, D.C.

The initiative seeks to reduce new HIV infections by 75% by 2025 and by 90% by 2030—potentially averting an estimated 250,000 HIV infections.

EHE is structured around four key strategies: Diagnose, Treat, Prevent, and Respond.

MAAETC & EHE

The MAAETC works with a broad range of partners across all sectors of society, including people with or at risk for HIV; city, county, and state health departments; local clinics and healthcare facilities; healthcare providers; providers of medication-assisted treatment for opioid use disorder; professional associations; advocates; community- and faith-based organizations; and academic and research institutions.

MAAETC supports the implementation of jurisdictional EHE plans and contributes to the planning, design, and delivery of HIV prevention and care services essential to the initiative’s success.

Local Partners (LPs) in Baltimore, Philadelphia, and Washington, D.C. maintain collaborative relationships with Ryan White Planning Groups, Ryan White Part A and B-funded providers, community health centers, and hospital emergency departments to identify and address gaps in HIV testing, treatment, and prevention services.

LPs conduct ongoing outreach to community health centers to assess their capacity to prescribe PrEP, support status-neutral HIV screening, and implement clear linkage-to-care protocols. Technical assistance and training are provided as needed.

In response to new HIV case clusters, LPs in EHE jurisdictions collaborate with local and state health departments to identify community training and TA needs.

LPs also ensure providers remain up to date when HHS updates HIV clinical guidelines for screening, prevention, and treatment. Updates are disseminated across the region, and LPs offer site-specific training and TA to primary care providers, community health centers, and experienced HIV clinicians.

In 2023, LPs responded to increased demand for training and TA related to newer injectable PrEP and HIV treatment options. They engage expert presenters to lead interactive trainings, case discussions, clinical preceptorships, and practical implementation sessions—translating updated clinical guidelines into actionable protocols for healthcare teams and patient education.

BACKGROUND

Ending the HIV Epidemic in the U.S. (EHE), announced in 2019, aims to end the HIV epidemic in the United States by 2030. Agencies across the U.S. Department of Health and Human Services (HHS) developed an operational plan to achieve this goal, accompanied by a request for increased annual funding—including for AETC programs.

EHE leverages critical scientific advances in HIV prevention, diagnosis, treatment, and outbreak response. It focuses on 57 geographic areas where HIV transmission occurs most frequently, providing these jurisdictions with additional resources, expertise, and technology to support the development and implementation of locally tailored EHE plans. In the MAAETC region, the focus areas include Philadelphia, Baltimore, and Washington, D.C.

The initiative seeks to reduce new HIV infections by 75% by 2025 and by 90% by 2030—potentially averting an estimated 250,000 HIV infections.

EHE is structured around four key strategies: Diagnose, Treat, Prevent, and Respond.

MAAETC & EHE

The MAAETC works with a broad range of partners across all sectors of society, including people with or at risk for HIV; city, county, and state health departments; local clinics and healthcare facilities; healthcare providers; providers of medication-assisted treatment for opioid use disorder; professional associations; advocates; community- and faith-based organizations; and academic and research institutions.

MAAETC supports the implementation of jurisdictional EHE plans and contributes to the planning, design, and delivery of HIV prevention and care services essential to the initiative’s success.

Local Partners (LPs) in Baltimore, Philadelphia, and Washington, D.C. maintain collaborative relationships with Ryan White Planning Groups, Ryan White Part A and B-funded providers, community health centers, and hospital emergency departments to identify and address gaps in HIV testing, treatment, and prevention services.

LPs conduct ongoing outreach to community health centers to assess their capacity to prescribe PrEP, support status-neutral HIV screening, and implement clear linkage-to-care protocols. Technical assistance and training are provided as needed.

In response to new HIV case clusters, LPs in EHE jurisdictions collaborate with local and state health departments to identify community training and TA needs.

LPs also ensure providers remain up to date when HHS updates HIV clinical guidelines for screening, prevention, and treatment. Updates are disseminated across the region, and LPs offer site-specific training and TA to primary care providers, community health centers, and experienced HIV clinicians.

In 2023, LPs responded to increased demand for training and TA related to newer injectable PrEP and HIV treatment options. They engage expert presenters to lead interactive trainings, case discussions, clinical preceptorships, and practical implementation sessions—translating updated clinical guidelines into actionable protocols for healthcare teams and patient education.