July 2006
TITLE IV: SERVICES FOR WOMEN, INFANTS, CHILDREN, YOUTH AND THEIR FAMILIES
ll Ryan White Comprehensive AIDS Resources Emergency (CARE) Act programs are required to serve women, infants, children, and youth living with HIV disease, but Title IV addresses the needs of these populations specifically.
Title IV funds the following services:
- Family-centered primary and specialty medical care
- Support services
- Logistical support and coordination.
In addition, Title IV programs must educate clients and/or their parents about clinical trials and research.
IMPLEMENTATION
What is known as the Title IV program today was first implemented in 1988 as the Pediatric AIDS Demonstration Program. It became part of the CARE Act in 1994 and was expanded to create better links between medical and support services. A special focus of the Title IV program is to help identify HIV-positive pregnant women and connect them with care that can improve their health and prevent perinatal transmission. The Title IV program has improved access to a comprehensive system of health and social services for populations least able to cope with HIV/AIDS.
CLIENTS
From 2002 to 2004, the number of people served through Title IV increased 26 percent. In 2004:
- Title IV provided services to 93,623 clients, 73 percent of whom were HIV infected.
- Of the clients with known race, the majority (69 percent) were members of racial minority groups.
- Of the clients with known ethnicity, about 1 in 4 (24 percent) were Hispanic.
- Of clients age 13 and older, 65 percent were female.
FUNDING
The FY 2006 appropriation was $72.7 million. Since 1994, the Title IV Program and Pediatric AIDS Demonstration Program have provided more than $681.6 million in funding to States and communities. For a current list of Title IV grantees, visit http://granteefind.hrsa.gov.
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