2004
RYAN WHITE CARE ACT
ANNUAL DATA SUMMARY
Introduction
The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act
provides funding to States, cities, and public or private nonprofit
entities to improve the quality and availability of care for medically
underserved individuals and families affected by HIV/ AIDS. Reflecting
the diversity of communities across the country, CARE Act funds
may be used to develop, organize and deliver an array of medical,
health, and social support services to people living with HIV/AIDS.
Within this range of services, the CARE Act provides financial assistance
for services that otherwise would not be available to these vulnerable
populations. Refer to page 2 for more information on the CARE Act.
BACKGROUND
Every year, recipients of CARE Act funds are required to report
to the Health Resources and Services Administration’s HIV/AIDS Bureau
(HRSA/HAB) how those funds have been used to provide services to
low-income and underserved individuals and families living with
HIV/AIDS. The Ryan White CARE Act Data Report (CADR) is the annual
reporting instrument that must be completed by agencies and organizations
receiving funds to describe: 1) characteristics of their organization;
2) the number and characteristics of clients they served; 3) the
types of services provided; 4) the number of clients receiving these
services; and 5) the number of client visits by type of service.
Agencies/organizations that provide counseling and testing services
report on the number of individuals receiving these services. In
addition, providers of ambulatory/ outpatient medical care provide
information on the outcomes of their services.
This annual summary contains five sections describing how CARE
Act funds are used in communities around the nation. The document
includes data from provider agencies/organizations receiving CARE
Act funds that reported CADR data in 2004. These providers received
funding from one or more of the following CARE Act programs: Title
I, Title II (with ADAP reported separately), Title III-EIS, Title
IV, and/or Title IV-Youth. Comparisons are made with CADR data reported
in previous years.
DATA LIMITATIONS
Given the structure of the CADR, the specific CARE Act program
that funded particular cliThe utility of CADR data is limited by
duplicated client counts. CADR data as collected and reported by
individual providers are generally unduplicated. However, since
an individual client may receive services from more than one provider,
and because the CADR does not collect client-level data with unique
identifying information, there is no way of knowing that the counts
of individuals served by one service provider are not also included
in the counts of another service provider. Thus, aggregating the
provider data to the national level results in duplicate client
counts. ent services can not be determined. Although service organizations
may be funded by multiple CARE Act programs, these providers are
required to complete only one CADR that includes information on
all services provided, regardless of the funding source. Note that
CADR sections 1 and 2 report the characteristics of providers and
clients, respectively. By contrast, CADR sections 3,4,5,7, and 8
describe the types of services provided by CARE Act-funded service
organizations and the number of clients receiving these services,
regardless of the Ryan White CARE Act funding stream.
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