The National Collaborative HIV/AIDS Awareness Project (NCHAAP) is part of the Indian Health Service’s (IHS) implementation plan to meet the three goals of the National HIV/AIDS Strategy in Indian Country for federally-recognized Tribes and Tribal organizations in the interest of improving Indian health care.
The goal of NCHAPP is to increase the capacity of Native communities to address HIV and AIDS. This will be achieved by creating strategic opportunities for Tribes and Tribal entities to access technical assistance and community-based prevention materials. Educational materials will be developed through comprehensive community input, all under the guidance and advice of the IHS HIV/AIDS Program, to focus on identified high risk populations.
The National Native American AIDS Prevention Center (NNAAPC) is the only national, HIV-specific, Native organization in the United States. Founded in 1987, NNAAPC is recognized as the leading resource for HIV information in Indian Country by community members, federal funders, and other national Native organizations. NNAAPC has earned this reputation through high quality and culturally appropriate training, technical assistance, materials development, advocacy, and continuity of service.
As such, NNAAPC was selected by NIHB, as a subcontractor, to operate the National Collaborative HIV/AIDS Awareness Project. NNAAPC and NIHB have a long history of collaboration which is evidenced by an MOU that honors the expertise of NIHB in working for the health of tribal and reservation-based communities and the experience of NNAAPC in advancing the state of HIV/AIDS prevention amongst all Native peoples.
For more information about the Indian Health Service HIV/AIDS Program, please visit:
For more information about the National Native American AIDS Prevention Center, please visit:
Fact Sheets on HIV/AIDS:
There are currently 13 different national HIV/AIDS Awareness Days that serve to call attention to the impact that the epidemic has had in certain populations. Each day is a reminder that HIV is very much still a public health concern, and that without dedicated energy, resources, staff, and programming, the epidemic will continue to grow. It is also a day to honor those that have passed from AIDS related complications, are currently living with HIV, and those that spend their professional and personal time battling this disease.
For more information on all of the awareness days, please visit:
March 10th is National Women and Girls HIV/AIDS Awareness Day (NWGHAAD). HIV has a disproportionate impact on women and girls across the globe and new infections are continuing to rise among women domestically. This is a day to call attention to the epidemic amongst all of our women and girls, and to the unique impact the epidemic has had on women- and even more so, what we can do to construct a more gender-responsive approach to how we craft our prevention programs for women and girls. Visit http://www.womenshealth.gov/nwghaad for more information and resources (including social media resources and PSAs) that can support local efforts.
The Office of Women’s Health is hosting webinar titled, "Ongoing Care and Treatment: Women with HIV/AIDS" in honor of National Women and Girls HIV/AIDS Awareness Day. The webinar will be held on Monday, March 10, 2014, 2:00pm to 3:00pm EDT. The hour-long webinar will include presenters from the HHS Office on Women’s Health and the Office of Population Affairs, the Centers for Disease Control and Prevention, and the Black Women’s Health Imperative, as well as NWGHAAD Ambassador Tamika Williams. To register CLICK HERE.
March 20th is National Native HIV/AIDS Awareness Day (NNHAAD). March 20th is the first day of spring and marks a special time in the life of many Native peoples. It is this day that NNHAAD seeks to celebrate life by challenging Native people to create a greater awareness of HIV/AIDS in our communities. HIV rates continue to rise among American Indian, Alaska Native, and Native Hawaiian people, and community action has the best chance to reverse this trend. Use this day to create voice for you and your community. Visit http://www.nnhaad.org to see what resources are available to support NNHAAD in your community, register your local event, and to see what events are taking place across the country, or visit the National Native American AIDS Prevention Center’s (NNAAPC) website at www.nnaapc.org for important educational resources.
In honor of NNHAAD, NNAAPC is partnering with the Texas/Oklahoma AIDS Education & Training Center and the Urban Inter-Tribal Center of Texas to host a free, day-long webinar series, on March 28, 2014. The series will feature sessions on:
Participants can pick and choose which session they would like to attend. For more information on the sessions, times, registration, and continuing education credits, CLICK HERE (PDF).
On May 21, 2014, the Centers for Disease Control and Prevention (CDC) launched the latest communication campaign under its Act Against AIDS initiative – Start Talking. Stop HIV. This new national HIV prevention campaign is the result of input from more than 500 gay and bisexual men from various racial and ethnic groups, ages, and geographic areas across. The campaigns features short videos that promote and encourage men to proactively talk about HIV, their HIV status and using condoms. Visit www.cdc.gov/actagainstaids/campaigns/starttalking for more information and to view the videos.
This type of guideline is used by the US government to set national norms for health providers. It is the first such national guideline issued anywhere for PrEP use. It provides instructions for health providers about providing TDF/FTC as PrEP for individuals at "substantial risk for HIV infection". This is a significant step to making this PrEP strategy a well-understood and accessible option for men and women living in the United States. Ideally other countries and global agencies will replicate this important step.
The new guidelines replace CDC’s prior interim guidance documents, and come two years after the US Food and Drug Administration approved daily TDF/FTC for use in HIV prevention. The guidelines explain the evidence for PrEP to date and give step-by-step instructions for doctors and other health providers about how to safely prescribe and monitor PrEP for people with different risk factors for HIV infection. There is also a section on “financial case-management issues” to help providers address barriers to access. The main guidelines were published alongside a providers' supplement with additional materials and tools for clinicians who prescribe PrEP.
The guidelines are an important reference tool for advocates and individuals seeking PrEP, since they lay out the arguments and evidence for a strategy that is still unfamiliar or relatively unknown to some providers.
The HHS Panel on Antiretroviral Guidelines for Adults and Adolescents has published the updated Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and AdolescentsKey additions and revisions to the guidelines include:
For a complete preview of key updates to the guidelines, please see What's New in the Guidelines. Additions and revisions are also highlighted in yellow throughout the text and tables of the PDF version of the guidelines.
To view or download the guidelines, go to the Adult and Adolescent ARV Guidelines section of AIDSinfo.
April 10th is National Youth HIV & AIDS Awareness Day. It is a day to all attention to the impact that HIV has had our Native youth across the country. NIHB is honored to help facilitate the National Native Youth Council on HIV & AIDS in partnership with the National Native American AIDS Prevention Center and the National Youth Sexual Health Network. The Council created a brief video and posted it YouTube depicting a conversation they were having about HIV and HIV risk among Native youth. They share powerful words and powerful thoughts that can’t help but get your mind thinking, “Are we doing all that we can to support and protect our youth?”
Join the Youth Council on April 24th at 1:00pm Mountain Time/3:00pm Eastern Time for webinar to further this discussion and debut some materials targeting Native youth. Contact Alvin Chee at firstname.lastname@example.org for more information.
The January 2014 issue of the IHS Primary Care Provider included an article entitled, "Standing at the Intersection of HIV/AIDS, Violence against Women and Girls, and Gender Related Health Disparities in Native Communities." This resource described the high rate of domestic violence and sexual assault in Indian Country and how this violence intersects with elevated HIV risk and related health disparities experienced by AI/AN women. The article continues to discuss three major actions that can be undertaken to address the health needs of survivors of violence.
This clinical report provides guidance for the pediatrician in addressing the psychosocial needs of adolescents and young adults living with HIV, which can improve linkage to care and adherence to life-saving antiretroviral (ARV) therapy. Recent national case surveillance data for youth (defined here as adolescents and young adults 13 to 24 years of age) revealed that the burden of HIV/AIDS fell most heavily and disproportionately on African American youth, particularly males having sex with males. To effectively increase linkage to care and sustain adherence to therapy, interventions should address the immediate drivers of ARV compliance and also address factors that provide broader social and structural support for HIV-infected adolescents and young adults. Interventions should address psychosocial development, including lack of future orientation, inadequate educational attainment and limited health literacy, failure to focus on the long-term consequences of near-term risk behaviors, and coping ability. Associated challenges are closely linked to the structural environment. Individual case management is essential to linkage to and retention in care, ARV adherence, and management of associated comorbidities. Integrating these skills into pediatric and adolescent HIV practice in a medical home setting is critical, given the alarming increase in new HIV infections in youth in the United States.
The number of American Indians and Alaska Natives that tested positive for the Human Immunodeficiency Virus (HIV) rose by 8.7% between 2007 and 2011. This was the largest percent increase among any race/ethnicity. Tribes have responded to this growing concern by stepping up both prevention and testing efforts. More and more Native clinics are adopting routine HIV testing as a standard clinical practice. However, in order to align this practice with community demand and need, it will be important for clinical and administrative staff to understand the technology and testing options that are available. HIV tests have come a long way – from waiting two weeks for test results twenty years ago to twenty minutes and now waiting just one minute...
New treatments for Hepatitis C (HCV) are on the horizon, and this raises questions about how new medicines affect those people living with HIV and actively taking HIV medications. A new study on the efficacy of sofosbuvir in combination with interferon and ribavirin as a means to treat HCV in people co-infected with HIV has recently released promising results*. The hope was to discover a new HCV medicine that has very few to no interactions with HIV anti-retroviral medications. The results of the study were shared during the IDWeek Conference in October, 2013 and showed that overall 91% of study participants (n=23) achieved a sustained virologic response within 12 weeks with very few adverse events among the participants, and little drug-drug interactions.
*Rodriguez-Torres, M., Rodriguez-Orengo, J., Gaggar, A., et al. (October 2-6, 2013). Sofosbuvir and peginterferon alfa-2a/ribavirin for treatment-naïve genotype 1-4 HCV-infected patients who are coinfected with HIV. IDWeek 2013; San Francisco, CA. Abstract 714
To help stop the spread of HIV and sexually transmitted diseases (STDs), the Indian Health Service (IHS) supported the development of a Tribal HIV/STD Training Kit and Policy Guide. The training kit gives tribes and tribal organizations information on how to work with tribal council members, school boards, health directors, and other partnering programs on ways to prevent the transmission of HIV and STDs.
The training kit contains facts about sexual health, tools for assessing community readiness to implement a sexual health program, information to guide policy development, case studies of effective models for change, and additional resources to strengthen community sexual health activities and policies.
The kit also provides recommendations to American Indians and Alaska Natives on healthy lifestyle choices. Tribal health advocates can use the kit to guide discussions with tribal leaders and develop ideas for effective disease prevention strategies. The training kit can be downloaded from the IHS website at http://www.ihs.gov/hivaids/.
The training kit is a collaborative effort with the U.S. Department of Health and Human Services’ Office of Minority Health Resource Center and the Northwest Portland Area Indian Health Board. It is being released in conjunction with the International AIDS Conference being held in Washington, D.C., the week of July 22.
In the latest post from the series "Notes on Health Insurance and Reform," Jen Kates, Vice President and Director of Global Health & HIV Policy at the Kaiser Family Foundation, examines different insurance pathways for people with HIV and how the Affordable Care Act (ACA) is expanding coverage options for this population. The post includes a series of infographics depicting these eligibility pathways prior to the ACA, after the ACA was enacted but before 2014, and as of 2014 and beyond.