Embedded Files
Path to progress capabilities
CREATIVE DISRUPTION
DIFFERENTIATION
OPERATIONAL EFFICIENCY
SEEING how the world behaves
ZOOM in to see how each part is unique and plays a critical role in the whole.
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Zoom out to see how all of the parts are connected in one interrelated system of systems
MAPPING what is found
Make unexpected associations among previously unrelated ideas to blaze new paths to the future.
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Provide a context to what is seen to gain insights and successfully communicate complex relationships
UNDERSTANDING causes and effects
Rapidly create and test may models as a way to “experience” specific cause and effect relationships in search of he best course of action
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Use modeling and simulation to deepen understanding of the entries system’s behaviour and provide a basis on which to experiment
BELIEVING in possibility of new outcomes
Build the best possible case for the specific course of action that promises the largest impact for the least effort
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Tap into the intrinsic motivations of stakeholders ad marshal the will to overcome the status quo
ACTING to design build and improve the way the world works
Create a culture that has a bias to experimentation followed by action one that accepts failure WITHIN defined risk parameters as the price of disruptive innovation.
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Continue to refine actions by revisiting each stage in the path to passions for profits. Breakthrough ideas will always
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CHALLENGES
CHALLENGES
African Americans face a number of challenges that contribute to the higher rates of HIV infection. The greater number of people living with HIV (prevalence) in African American communities and the fact that African Americans tend to have sex with partners of the same race/ethnicity means that they face a greater risk of HIV infection with each new sexual encounter.
HIGHER RATES OF SEXUALLY TRANSMITTED INFECTIONS
African American communities continue to experience higher rates of other sexually transmitted infections (STIs) compared with other racial/ethnic communities in the United States. Having an STI can significantly increase the chance of getting or transmitting HIV by 5 times.
LACK OF AWARENESS
Lack of awareness of HIV status can affect HIV rates in communities. Almost 73,600 HIV-infected people in the African American community in 2011 were unaware of their HIV status. Diagnosis late in the course of HIV infection is common, which results in missed opportunities to get early medical care and prevent transmission to others.
Social Determinants of Health and Structural Factors
The term social determinants of health (SDH) refers to the overlapping social structures and economic systems (e.g., social environment, physical environment, health services, and structural and societal factors) that are responsible for most health inequities. Addressing the SDH that adversely affect health outcomes may advance efforts in reducing disparities in HIV diagnosis rates between populations. Addressing the SDH also helps to quantify health differences between populations or geographic areas and can provide insight for identifying populations or areas that may benefit from HIV testing, prevention, and treatment initiatives.
SOCIOECONOMIC ISSUES WITH POVERTY
The poverty rate is higher among African Americans than other racial/ethnic groups. The socio economic issues associated with poverty—including limited access to high-quality health care, housing, and HIV prevention education—directly and indirectly increase the risk for HIV infection, and affect the health of people living with and at risk for HIV. These factors may explain why African Americans have worse outcomes on the HIV continuum of care, including lower rates of linkage to care, retention in care, being prescribed HIV treatment, and viral suppression. New data from 2010 indicate that 75% of HIV-infected African Americans aged 13 or older are linked to care, 48% are retained in care, 46% are prescribed antiretroviral therapy, and only 35% are virally suppressed.
Stigma, fear, discrimination, homophobia, and negative perceptions
Stigma, fear, discrimination, homophobia, and negative perceptions about HIV testing can also place too many African Americans at higher risk. Many at risk for HIV fear discrimination and rejection more than infection and may choose not to seek testing.
Continue to Support the National HIV/AIDS Strategy (NHAS) and Expand Investments in Prevention, Care, and Research.
The Budget expands access to HIV/AIDS prevention and treatment activities and supports the goals of the National HIV/AIDS Strategy to
reduce HIV incidence;
increase access to care and optimize health outcomes for people living with HIV;
and reduce HIV-related health disparities.
By providing resources for Affordable Care Act implementation, the Budget will support increased health care coverage for thousands of people living with HIV/AIDS and expand access to HIV testing for millions of Americans.
The Budget makes smarter investments by prioritizing HIV/AIDS resources within high-burden communities and among high-risk groups, including gay men, black Americans and Latino Americans.
Compared to 2012, the Budget increases domestic discretionary Health and Human Services (HHS) HIV/AIDS funding by $73 million and Veterans Affairs (VA) HIV/AIDS funding by $155 million.
Overall, total U.S. Government-wide spending on HIV/AIDS increases from $27.8 billion in FY 2012 to $29.7 billion in the FY 2014 Budget.
Increase Funding for HIV/AIDS Prevention and Service Integration.
The Budget includes $833 million, an increase of $10 million for the Centers for Disease Control and Prevention (CDC) to continue implementing the goals of the National HIV/AIDS Strategy by preventing HIV/AIDS among high-risk communities using evidence-based interventions.
The Budget redirects $40 million from less effective activities to support a new $40 million Community High-Impact Prevention initiative to improve systems that link persons recently diagnosed with HIV to care.
The Budget also increases funding for data collection by $10 million to improve timeliness of data and invests $10 million to build the infrastructure and capacity that State Public Health Departments and community-based organizations will need to bill private insurers for infectious disease testing.
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