State of Nevada

SCALABILITY OF INTERVENTIONS

Scalability is the ability of a system, process, or intervention to adapt to meet a larger population in a cost-effective manner. HIV testing and condom distribution are scalable interventions implemented by each Nevada jurisdiction.

HIV testing is expected to be maintained at the same level, or increase annually, based on available resources and targeted priority populations. Jurisdictions are directed, based on the HIV testing strategies and processes listed above, to achieve at least a 1% positivity rate within funded testing activities and target 75-85% of tests to high-risk populations.

The partnership between the state Ryan White Part B, Southern Nevada Part A, the Southern Nevada Health District, and the state HIV Prevention Program of implementing the ARTAS intervention is an example of scaling up linkage to care initiatives addressing the vulnerabilities and needs of newly diagnosed individuals. This model is being reviewed for implementation in other jurisdictions in Nevada.

ethnic/racial communities, as embedded within the heterosexual community as it has been in the MSM community.

For the past two years, the Nevada State Health Division has worked on the Nevada Administrative Code changes that would require laboratories to report all CD4 counts and all viral loads to the State. This will be useful in prevention efforts, by giving local health jurisdictions another surveillance tool to target those who are either out of care, or not adhering to their drug regimens. We anticipate full approval of these changes to the Nevada Administrative Code in early 2013, during the 77th Legislative Session.

Condom distribution is a hallmark of HIV prevention activities.

Increasing the number of condoms distributed and made accessible to high-risk populations will be enhanced by jurisdiction. The Essential Elements of Condom Distribution Programs (www.effectiveintervention.org) are addressed in each jurisdiction reinforcing availability, accessibility, and acceptance.

1. Provide condoms free of charge.

2. Conduct wide-scale distribution.

3. Implement a social marketing campaign to promote condom use (by increasing awareness of condom benefits and normalizing condom use within communities).

4. Conduct both promotion and distribution activities at the individual, organizational, and environmental levels.

5. Target:

a. Individuals at high-risk

b. Venues frequented by high-risk individuals

c. Communities at greatest risk for HIV infection

d. The general populations within jurisdictions with high HIV incidence.

6. Supplement the condom distribution program with more intense risk reduction interventions, or other prevention or health services, for individuals at highest risk.

Integrate distribution program activities within other community-level intervention approaches to promote condom use and other risk reduction behaviors.

7. Establish organizations support for condom distribution and promotion activities in traditional and non-traditional venues.

8. Conduct community-wide mobilization efforts to support and encourage condom use.

Funded Agencies and Resources

Please refer to attachment A for denoting current agencies responsible for HIV prevention activities funded by PS12-1201.

http://health.nv.gov/PDFs/HIV_STD_TB/Nevada2012JurisdictionalHIVPreventionPlanAddendum.pdf

Current Partners to Enhance and/or Maintain

Engagement