By Jeffrey S. Crowley
On the campaign trail, President Barack Obama promised a renewed commitment to fighting the HIV/AIDS epidemic. As the Director of the White House Office of National AIDS Policy ( ONAP ) , I understand that we cannot solve this problem overnight, but we are taking crucial steps towards that end.
My office is tasked with coordinating the continuing efforts of the government to reduce the number of HIV infections and provide care and support services to people living with HIV/AIDS across the United States. The President has made a strong commitment to developing a national HIV/AIDS strategy, which is a top priority for ONAP. I have begun meeting with various stakeholders on this issue to seek their input. As we work to craft a national strategy, we are prepared to engage the government and the public to ask tough questions to achieve the President's goals of reducing HIV incidence, getting all people living with HIV/AIDS into care, and addressing health disparities.
Indeed, the President's Budget seeks to increase access to health care among uninsured and underinsured HIV positive individuals and reduce HIV infections. The Budget provides a $107 million increase in funding to increase access to care and treatment for people living with HIV/AIDS and reduce HIV infections. This includes an additional $53 million for Centers for Disease Control ( CDC ) —for a total of $745 million in 2010—to reduce HIV infections and increase knowledge of their status. Specifically, increased CDC funding will allow states and local health departments to expand evidence-based prevention interventions and test 600,000 additional persons with HIV and identify 6,000 new HIV infections per year, with an emphasis on gay and bisexual men of all races/ethnicities, African Americans and Latinos.
The remaining $54 million increase will go toward the Health Resources and Services Administration's Ryan White HIV/AIDS program to expand access to health care among uninsured and underinsured individuals living with HIV/AIDS in the United States and to help reduce HIV/AIDS related health disparities. These additional resources mean a total of $2.267 billion in funding will be provided for this program, which offers access to primary health care and support services for low-income people living with HIV/AIDS in the United States. And on May 17, the Department of Health and Human Services ( HHS ) provided $1.79 billion through the Ryan White HIV/AIDS Program to ensure that people living with HIV/AIDS continue to have access to life-saving health care and medications.
The Administration is also taking to steps to help prevent new HIV infections. In early April, along with HHS and CDC, we launched a new five-year national communication campaign, "Act Against AIDS." Every 9 � minutes another person in America becomes infected with HIV, the campaign highlights this alarming statistic and aims to combat complacency about the HIV/AIDS crisis in the United States.
The campaign features public service announcements and online communications, as well as targeted messages and outreach to the populations most severely affected by HIV/AIDS, beginning with African-Americans, with subsequent phases focusing on Latinos and other communities disproportionately impacted. The President's budget continues this campaign by including $9 million in 2010 for these efforts.
Finally, recognizing that the challenge of HIV/AIDS is not limited to our borders, the president's fiscal year 2010 budget requests $8.6 billion—and $63 billion over six years—to shape a new, comprehensive global health strategy. This request builds on the success of the President's Emergency Plan for AIDS Relief launched by President Bush by more than doubling funding during this six year period compared to the previous period.. President Obama is going one important step further by also including new funding for maternal child health, neglected diseases, capacity building and other programs that will, combined, kick off a comprehensive global health strategy.
President Obama is working hard to help stop the spread of HIV/AIDS, and to provide treatment to those living with HIV/AIDS. This is only the beginning, but we are going to bring forth the change that America needs on this critical issue.
Jeffrey Crowley, MPH, is the director of the White House Office of National AIDS Policy and Senior Advisor on Disability Policy.
