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Table
of Contents:
Description of Title IV Service Providers
- Title
IV Service Providers
- Types
of Organizations Receiving Title IV Funds by Grantee
- Ownership
Status of Provider Organizations Receiving Title IV Funds
- Populations
Especially Targeted for Outreach or Services among Providers
Receiving Title IV Funds
Description
of HIV positive and affected clients receiving Title IV services
- Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV Providers by Gender
- Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV Providers by Age
- Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV Providers by Ethnicity
- Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV Providers by Race
- Total
HIV Positive Clients Receiving Title IV Services from Title
IV Providers by Exposure
Description
of Title IV/YI Service Providers
- 2003
Ryan White CARE Act Title IV/YI
- Types
of Organizations Receiving Title IV/YI Funds by Grantee
- Ownership
Status of Provider Organizations Receiving Title IV/YI Funds
- Populations
Especially Targeted for Outreach or Services among Providers
Receiving Title IV/YI Funds
Description
of HIV positive and affected clients receiving Title IV/YI
services
- Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV/YI Providers by Gender
- Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV/YI Providers by Ethnicity
- Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV/YI Providers by Race
- Total
HIV Positive Clients Receiving Title IV Services from Title
IV/YI Providers by Exposure
- Data
Considerations
DESCRIPTION
OF TITLE IV SERVICE PROVIDERS
Title
IV Service Providers
- Organizations
receiving Title IV grants use Title IV funds to provide
comprehensive, community-based, culturally competent services
to the following populations, and their affected families:
1) HIV infected women, 2) HIV infected and exposed infants
(<2 years of age), 3) HIV infected children (2-12 years
of age, and 4) HIV infected adolescents/youth (13-24 years
of age).
- Range
of services is designed to provide a continuum of care,
and includes primary and specialty medical care, psychosocial
services, and logistical support as well as outreach for
case finding and prevention in the context of care
- 246
providers funded by 73 Ryan White CARE Act Title IV grantees
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OF CONTENTS
Types
of Organizations Receiving Title IV Funds by Grantee
N=73
Grantees
- Source:
2003 CARE Act Data Report, Section 1, Item 7
- “Other
facility” includes solo/group private medical practice,
agencies reporting for multiple fee-for-service providers,
and other facilities
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OF CONTENTS
Ownership
Status of Provider Organizations Receiving Title IV Funds
N=246
providers
- Source:
2003 CARE Act Data Report, Section 1, Item 9
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OF CONTENTS
Populations
Especially Targeted for Outreach or Services among Providers
Receiving Title IV Funds
N=246
providers
- Source:
2003 CARE Act Data Report, Section 1, Item 15
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OF CONTENTS
DESCRIPTION
OF HIV POSITIVE AND AFFECTED CLIENTS RECEIVING TITLE IV SERVICES
Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV Providers by Gender
N=83,949
duplicated clients
- Source:
2003 CARE Act Data Report, Section 6.2, Item 65
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OF CONTENTS
Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV Providers by Age
N=83,949
duplicated clients
- Source:
2003 CARE Act Data Report, Section 6.2, Items 65, 66, 67,
and 68
- Percentages
may not sum to 100 percent due to rounding error
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Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV Providers by Ethnicity
N=83,949
duplicated clients
- Source:
2003 CARE Act Data Report, Section 6.2, Item 66
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Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV Providers by Race
N=84,910
duplicated clients
- Source:
2003 CARE Act Data Report, Section 6.2, Item 67
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OF CONTENTS
Total
HIV Positive Clients Receiving Title IV Services from Title
IV Providers by Exposure
N=61,319
HIV positive clients
- Source:
2003 CARE Act Data Report, Section 6.2, Item 68
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OF CONTENTS
DESCRIPTION
OF TITLE IV/YI SERVICE PROVIDERS
2003
Ryan White CARE Act Title IV/YI
- Supports
programs that specifically address the unique issues surrounding
the identification, enrollment, and retention of youth in
care
- Purpose
is to increase the number of HIV-positive youth aged 13-24
(with special emphasis on adolescents aged 13-19) receiving
primary medical care and support services in a youth-sensitive
environment by: 1) Expanding or enhancing existing networks
of youth-serving, youth-sensitive providers that can deliver
a continuum of care that links counseling and testing and
primary medical care; 2) Linking a wide range of supportive
services; and 3) Providing opportunities for youth to participate
in clinical research
- 39
providers funded by 16 Title IV/YI grantees
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OF CONTENTS
Types
of Organizations Receiving Title IV/YI Funds by Grantee
N=16
grantees
- Source:
2003 CARE Act Data Report, Section 1, Item 7
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OF CONTENTS
Ownership
Status of Provider Organizations Receiving Title IV/YI Funds
N=39
providers
- Source:
2003 CARE Act Data Report, Section 1, Item 9
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OF CONTENTS
Populations
Especially Targeted for Outreach or Services among Providers
Receiving Title IV/YI Funds
N=39
providers
- Source:
2003 CARE Act Data Report, Section 1, Item 15
TABLE
OF CONTENTS
DESCRIPTION
OF HIV POSITIVE AND AFFECTED CLIENTS RECEIVING TITLE IV/YI SERVICES
Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV/YI Providers by Gender
N=3,744
duplicated clients
- Source:
2003 CARE Act Data Report, Section 6.2, Items 65
- These
data include only clients between ages 13 and 24 receiving
Title IV/Youth Initiative services
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OF CONTENTS
Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV/YI Providers by Ethnicity
N=3,744
duplicated clients
- Source:
2003 CARE Act Data Report, Section 6.2, Items 66
- These
data include only clients between ages 13 and 24 receiving
Title IV/Youth Initiative services
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OF CONTENTS
Total
HIV Positive and Affected Clients Receiving Title IV Services
from Title IV/YI Providers by Race
N=3,744
duplicated clients
- Source:
2003 CARE Act Data Report, Section 6.2, Items 67
- These
data include only clients between ages 13 and 24 receiving
Title IV/Youth Initiative services
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OF CONTENTS
Total
HIV Positive Clients Receiving Title IV Services from Title
IV/YI Providers by Exposure
N=2,178
duplicated clients
- Source:
2003 CARE Act Data Report, Section 6.2, Items 68
- These
data include only clients between ages 13 and 24 receiving
Title IV/Youth Initiative services
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OF CONTENTS
Data
Considerations
These
data can not be compared with Title I, II, III, IV, or Title
IV/Youth Initiative data prior to 2002. In previous years,
HRSA/HAB used separate, Title-specific data systems to collect
client and service information from RWCA grantees and providers.
Providers who received funding from multiple RWCA sources
were required to complete separate data reporting forms for
each Title-funding they received. Under the new CADR reporting
system, all providers, even those who are multiply-funded,
complete one CADR, and report on all clients served regardless
of funding source. This provides HRSA/HAB with a comprehensive
understanding of how RWCA funds are being used to deliver
health care services to families living with and affected
by HIV disease.
Ryan
White CARE Act providers have the option of reporting on eligible
or funded services[1]. When they report on
eligible services, providers are reporting on any service
permitted under any Title of the CARE Act, regardless of whether
or not the providers use a specific Title to pay for these
services. Conversely, if providers report on funded services,
the data they report only includes those services that were
actually paid for using CARE Act funds. Reporting eligible
services provides a comprehensive picture of the services
being delivered to HIV-positive clients.
The 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, there is
no way of knowing that the counts of individuals served by
one provider are not also included in the counts of another
service provider. Thus, aggregating provider data to the national
level result in duplicate client counts.
Clients
served include all individuals who had at least one visit
for any eligible service provided by a Title IV provider during
the reporting period, regardless of additional funding source.
An affected
client is a family member or partner of an infected client
who received case management or other supportive services
during the calendar year. Affected clients include those who
are HIV negative as well as those with unknown HIV status.
Affected clients include those receiving Title I and II Early
Intervention Services. Affected family members of HIV positive
patients are served under Title IV.
“New”
clients include clients whose first receipt of services from
the provider agency occurred during the reporting period.
Since
these data are aggregated at the national or grantee level,
clients that may have been new to one provider could be continuing
services to another service provider.
Revisions
to Office of Management and Budget (OMB) Directive 15, which
provides recommendations to Federal agencies on standardized
procedures for collecting and reporting race and ethnicity
data, resulted in a change in the way CARE Act program data
on race and ethnicity were collected in 2002. In accordance
with OMB recommendations, providers were asked to report the
number of unduplicated clients who identify themselves as
Hispanic or Latino/a, regardless of race. Providers were then
asked to report the number of unduplicated clients in each
of six racial groups. Clients reported as Hispanic or Latino/a
in the previous item were to be accounted for in the question
about race. At the provider level, this allows for the distinction
between persons identifying with, for example, Hispanic ethnicity/origin,
African-American race and Hispanic ethnicity/origin, White
race. Due to the fact that CADR data are aggregated they cannot
be combined to determine the proportion of minority clients
served.
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[1]
All grantees and providers must report on eligible services
unless they have prior permission from their HRSA project
officer to report only funded services.
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