The National HIV Prevention Inventory provides the first, comprehensive inventory of HIV prevention efforts at the state and local levels in the United States. Based on a survey of 65 health departments, including all state and territorial jurisdictions and six U.S. cities, the Inventory is intended to offer a baseline picture of how HIV prevention is delivered across the country in an effort to provide policymakers, public health officials, community organizations, and others with a more in depth understanding of HIV prevention and the role played by health departments in its delivery.

1. HIV Prevention in the U.S.: The National HIV Prevention Inventory

7. NHPI Analysis—Jurisdictions by HIV/AIDS Prevalence AL AR GA ID IN KY MO MT NV OH SC SD TX VA WY OK ME AK CO LA UT CA KS MS FL NM AZ ND MN IA WI MI NE WA PA NC TN WV OR Low Prevalence Moderate Prevalence High-to-Mod Prevalence High Prevalence Directly-funded localities (Chicago, Houston, LA County, New York City, Philadelphia and San Francisco) IL NY HI NH VT RI MA CT NJ DE MD DC

8. NHPI Domestic HIV Prevention Funding

10. NHPI Domestic HIV Prevention Funding

13. NHPI Community Planning

14. NHPI HIV Testing *All states implement targeted HIVCTR

15. NHPI HIV Testing Comparison of NHPI data and 2006 NASTAD HIV testing data; “Increased” = initiated and/or expanded testing.

17. NHPI Partner Services

18. NHPI Partner Services Partner Notification Partner Elicitation

19. NHPI Partner Services

20. NHPI Health Education / Risk Reduction

21. NHPI Health Education / Risk Reduction

22. NHPI Other HIV Prevention Strategies

23. NHPI Public Information Message Themes Target Audiences

24. NHPI Collaboration and Integration “ Purview” = AIDS director has oversight of program.

25. NHPI Collaboration and Integration

26. NHPI Collaboration and Integration

27. NHPI Challenges and Consequences CLIENT LEVEL CONSEQUENCES Top Ranked Challenges Faced by Health Department HIV Prevention Programs (n=57) Rank Funding 1 Capacity of community / clinical partners to access target population 2 Capacity of community / clinical partners to provide services 3 Workforce 4 Data collection and reporting requirements 5 Top Ranked Consequences Faced by Health Department HIV Prevention Programs (n varies) Rank Appropriate prevention interventions are not available for high-risk populations 1 Clients are not able to be proactively recruited into prevention programs 2 Clients are not able to be retained in prevention programs 3 Fewer community based partners are currently funded 4 Targeted high-risk individuals are not be tested 5 Resources are diverted from actual programming to meet the needs of other requirements 6 Relationships with non-traditional partners have not been established 7 Fewer community based partners are in existence 8 Inability to fill prevention staff positions due to lack of qualified technical expertise 9 Inability to fill prevention staff positions due to lack of resources 10

28. NHPI Challenges and Consequences

29. NHPI The Future Scale Up Scale Back