Realistic?
http://www.sinkers.org/actup-demoApr2199/downtownDCApr2199-11.jpg
Overall, the AACO is providing relatively thorough outreach programs for HIV prevention in Philadelphia. They have HIV-testing in 40 locations across the city, fund the needle exchange program, provide housing for those living with HIV, and fund small, locally-run outreach programs in several communities. Yet, by making a few small changes and adding one significantly important program, the AACO could dramatically improve the state of the AIDS epidemic in Philadelphia. The total cost of improvements--that is distributing condoms and HIV tests in homeless shelters, administering comprehensive HIV surveys in hospitals, enhancing the PPP, and establishing YoPAA in area YMCAs—would equal $134,972. With a prevention budget of over 5.5 million from federal funds alone, all of the listed improvements would cost only 2.4% of Philadelphia’s HIV prevention budget. Not only are these programs extremely cost-effective, but they also focus intently on the areas that need HIV outreach the most and they target demographics that are the most at risk. Ultimately, including these culturally and socially specific programs in the existing HIV prevention initiatives would result in a dramatic improvement in the HIV/AIDS epidemic.
Description of Proposed Solutions:
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Target Demographic |
Areas Employed |
Description |
Annual Cost |
See the problem |
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Solution 1: The Shelters |
Homeless, poor |
Homeless shelters including: In Community (19107); Our Brothers Place (19123); and Project Home 19121 |
Medical care workers administer rapid HIV tests and distribute condoms. Also, provide educational HIV information. |
$20,250 for condoms; $33,750 for testing. Total: $54,000 |
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Solution 2: The Hospitals |
African American Men (on the down low) |
Hospitals and clincs across the city (specifically in zips 19107 and 19104) |
Medical staff follows a three part HIV-risk evaluation. 1- administer HIV questionnaire to patients, 2- provide educational information, 3- give referral for treatment if necessary |
Training medical staff? |
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Solution 3: The Streets |
IDUs |
NE Phila. (19132 and 19121) and Nicetown (19140) |
Increase number of sites and hours of operation of PPP |
An additional $10,388 |
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Solution 4: YoPAA |
Youth |
YMCAs in West Market (19139), NE Phila.(19121), and Center City (19102) |
Community leaders pair up with University staff to develop a community-specific HIV prevention program for pre-adolescents |
$70,584 |
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Total |
$134,972 |
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Total Annual Budget for AACO |
$34,000,000 |
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AACO money allocated to Prevention |
5,500,000 |
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Percent Cost of Solutions in AACO Prevention Budget |
2.35% |
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