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Ryan White HIV/AIDS Program, Part F: AIDS Education
and Training Programs
|
FY
2007
Actual |
FY
2008
Enacted |
FY
2009
Estimate |
FY
2009 +/-
FY 2008 |
BA |
$34,701,000
|
$34,094,000
|
$28,700,000
|
($5,394,000) |
Authorizing
Legislation: Title XXVI, Section 2692(a) of the Public
Health Service Act, as amended.
FY
2009 Authorization |
$34,700,000 |
Allocation
Method |
Competitive
Grants, Cooperative Agreements and Contracts |
Program
Description and Accomplishments
The
AETCs––a network of 11 regional centers
with more than 130 local performance sites and four
national centers––offer specialized clinical
education and consultation on HIV/AIDS transmission,
treatment, and prevention to front-line healthcare
providers, including physicians, nurses, physician
assistants, dentists and pharmacists. The clinical
management of HIV/AIDS, particularly the use of highly-active
antiretroviral therapy
(HAART) is the central focus of training. The AETCs
target training to providers who serve minority populations,
the homeless, rural communities, incarcerated persons,
federally qualified community and migrant health centers,
and Ryan White HIV/AIDS Program sites. AETC trained
providers are more competent with regard to HIV issues
and more willing to treat persons living with HIV
than other primary care providers. The AETCs provide
education in a variety of formats including skills
building workshops, hands-on preceptorships and mini-residencies,
on-site training and technical assistance. Clinical
faculty also provides timely clinical consultation
in person, or via the telephone or internet. Based
in leading academic centers across the country, the
AETCs use nationally recognized faculty and HIV researchers
in the development, implementation, and evaluation
of the education and training offered. The AETC program
has provided an estimated 800,000 training interaction/sessions
to HIV/AIDS providers, including more than 64,000
persons trained between July 1, 2006 and June 30,
2007.
The AETC program provided training interventions to
44% racial/ethnic minorities in 2004. In FY 2005,
the proportion of racial/ethnic minority health care
providers participating in the AETC training interventions
programs was 43% which met the target.
Program Assessment Rating Tool: The
AETC program was included in the combined PART reassessment
conducted in 2007 for the Ryan White HIV/AIDS Program.
The Program received an Effective rating. See Summary
of Request for more details.
Funding
includes costs associated with grant reviews, processing
of grants through the Grants Administration Tracking
and Evaluation System (GATES) and HRSA’s electronic
handbook, and follow-up performance reviews.
Funding
History
FY |
Amount |
FY
1999 |
$19,994,000
|
FY
2000 |
$26,644,000
|
FY
2001 |
$31,598,000 |
FY
2002 |
$35,282,000 |
FY
2003 |
$35,550,000 |
FY
2004 |
$35,335,000 |
FY
2005 |
$35,051,000
|
FY
2006 |
$34,646,000 |
FY
2007 |
$34,701,000 |
FY
2008 |
$34,094,000 |
Budget
Request
The FY 2009 Request of $28,700,000 is $5,394,000 less
than the FY 2008 Enacted level. This level will decrease
the AETC Program’s level of services for health
care providers. The AETCs are an important part of
the Ryan White HIV/AIDS Program and play a vital role
in ensuring the highest quality of care among providers.
HRSA will continue to prioritize for the AETCs interactive
training that demonstrates effectiveness to change
provider behavior. This request will help meet the
program’s performance goal to, “Maintain
the proportion of racial/ethnic minority health care
providers participating in the AETC intervention programs”.
The FY 2009 target for the proportion of racial/ethnic
minority health care providers participating in AETC
training interventions is set at 43%.
# |
Key
Outcomes |
FY
2004 Actual |
FY
2005 Actual |
FY 2006 |
FY 2007 |
FY
2008 Target/ Est. |
FY
2009
Target/ Est. |
Target/ Est. |
Actual |
Target/ Est. |
Actual |
Long
– Term Objective: Increase Collaborative Efforts
to Improve the Capacity and Efficiency of the
Public Health and Health Care Systems |
21.V.B.1 |
Proportion of racial/ethnic minority
health care providers participating in AETC training
intervention programs. |
44% |
43% |
43% |
Mar-08 |
43% |
Mar-09 |
43% |
43% |
# |
Key
Outputs |
FY
2004
Actual |
FY
2005
Actual |
FY
2006 |
FY
2007 |
FY
2008 Enacted |
FY
2009 Target/ Est. |
Target/
Est. |
Actual |
Target/
Est. |
Actual |
Long
– Term Objective: Increase Collaborative Efforts
to Improve the Capacity and Efficiency of the
Public Health and Health Care Systems |
|
Regional
Centers |
11 |
11 |
|
11 |
|
11 |
11 |
11 |
|
Local
Performance Sites |
130 |
130 |
|
130 |
|
130 |
130 |
130 |
|
National
Centers |
4 |
4 |
|
4 |
|
4 |
4 |
4 |
|
Appropriated
Amount ($ Million) |
$35.34
|
$35.05
|
|
$34.65
|
|
$34.70
|
$34.09
|
$28.70
|
|