HRSA HAB administers the Ryan White HIV/AIDS Program (RWHAP), which provides a comprehensive system of HIV primary medical care, medications, and essential support services for low-income people with HIV who are uninsured and underserved. The RWHAP Part D — Grants for Coordinated HIV Services and Access to Research for Women, Infants, Children, and Youth (WICY) — provides funding for outpatient, ambulatory, family-centered primary and specialty medical care and support services for women, infants, children, and youth living with HIV. The WICY population has benefited from advances in HIV prevention, treatment, and care. Despite the improvements in the prevention of HIV, retention in care, and viral suppression, challenges persist amongst populations targeted by RWHAP Part D program. These challenges have changed since the beginning of the epidemic, and there has been limited consideration over the years on how best to leverage RWHAP Part D funds for greater national impact, including its role in engaging/re-engaging new and out-of-care WICY populations.
In September 2018, WRMA and its subcontractor, Mission Analytic Group, was awarded a contract by HRSA HAB for the purpose of determining factors to reimagine the RWHAP Part D and maximize its resources for greater national impact. A Part D Recipient Listening Session at the 2018 National Ryan White Conference on HIV Care and Treatment and a Technical Expert Panel (TEP) in the Spring of 2020 were held and key themes were identified and presented to HRSA HAB. Secondary analyses were also completed of several datasets including HIV surveillance data, RWHAP Services Report (RSR) client-level data, and allocations data. Finally, a literature review provided valuable context in which to complete these analyses and provide recommendations. Through these activities, the WRMA team worked toward identifying gaps and potential future directions for the RWHAP Part D Program. Based on these analyses and a strong understanding of the RWHAP Part D and context in which it operates, we recommended HRSA HAB consider three areas for next steps: training and technical assistance, addressing disparities, and HRSA HAB-level policies.