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The HIV/AIDS Program Home: Caring for the Underserved

 

AIDS EDUCATION AND TRAINING CENTERS PROGRAM

The AIDS Education and Training Centers (AETC) Program of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act supports a network of more than 11 regional centers (and more than 130 associated sites) that conduct targeted, multidisciplinary education and training programs for health care providers treating people with HIV/AIDS. The AETCs serve all 50 States, the District of Columbia, the Virgin Islands, Puerto Rico, and the six U.S. Pacific Jurisdictions. The AETC Program increases the number of health care providers who are effectively educated and motivated to counsel, diagnose, treat, and medically manage people with HIV disease, and to help prevent high-risk behaviors that lead to HIV transmission.

PROVIDER TRAINING

Training is targeted to providers who serve minority populations, the homeless, rural communities, incarcerated persons, and Ryan White CARE Act-funded sites. AETCs focus on training primary health care clinicians (physicians, physician assistants, nurses, nurse practitioners, dentists, pharmacists); training activities are based on assessed local needs. Emphasis is placed on interactive, hands-on training and clinical consultation to assist providers with complex issues related to the management of highly active antiretroviral therapy. AETCs collaborate with CARE Act-funded organizations, area health education centers, community-based HIV/AIDS organizations, and medical and health professional organizations. During the 2005-2006 grant year, more than 118,760 participants attended AETC training events. Clinicians trained by AETCs have been shown to be more competent with regard to HIV issues and more willing than other primary care providers to treat people living with HIV disease.

NATIONAL CENTERS

Several national, cross-cutting components of the AETC program support and complement the regional training centers. In 1999, the National Minority AIDS Education and Training Center (www.nmaetc.org) was established with funding from the Congressional Black Caucus Minority AIDS Initiative to benefit minorities who are disproportionately affected by HIV/AIDS. Working with the schools of medicine of historically black colleges and universities, the center offers clinical consultation and support to minority providers, builds networks among those clinicians, and expands educational resources to increase the number of minority clinicians providing quality care to people who are HIV positive.

Other program components include the National Resource AETC, the National Evaluation AETC, and the National HIV/AIDS Clinicians’ Consultation Center. The resource center is a Web-based HIV/AIDS training resource (www.aids-ed.org) that supports the training needs of the regional AETCs through coordination of HIV/AIDS training materials, rapid dissemination of late-breaking advances in treatment and changes to treatment guidelines, and critical review of patient education materials. The evaluation center is responsible for program evaluation activities, including assessing effectiveness of the AETCs’ education, training, and consultation activities. The National HIV/AIDS Clinicians Consultation Center (www.ucsf.edu/hivcntr) has three national hotlines for healthcare providers: (1) timely responses to clinical questions related to treatment of persons with HIV infection (·WARMLINE·: 800-933-3413); (2) perinatal HIV consultation and referrals (888-448-8765); and (3) how to respond to possible health care worker exposure to HIV and other blood-borne pathogens (PEPline: 888-448-4911).

The FY 2006 appropriation for the AETC program was $34.7 million.

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CARE Act programs work with cities, States, and local community-based organizations to provide services to more than 500,000 individuals each year who do not have sufficient health care coverage or financial resources for coping with HIV disease. The majority of CARE Act funds support primary medical care and essential support services. A smaller but equally critical portion is used to fund technical assistance, clinical training, and research on innovative models of care. The CARE Act, which was first authorized in 1990, is currently funded at  $2.06 billion.    

 

AETCs (as of August 2006)

  • Northwest AETC
    University of WashingtonCenter for Health Education and Research
    Seattle, Washington
  • Pacific AETC
    University of California Department of Family and Community Medicine
    San Francisco, California
  • Mountain Plains Regional AETC University of Colorado Health Sciences Center Denver, Colorado
  • Midwest AETC University of Illinois at Chicago
  • Texas-Oklahoma AETC
    Parkland Health and Hospital System
    Dallas, Texas
  • Delta Region AETC LSU Health Sciences Center
    School of Public Health New Orleans, Louisiana
  • Florida/Caribbean AETC
    University of South Florida Center for HIV Education and Research
    Tampa, Florida
  • Southeast AETC
    Emory University School of Medicine
    Department of Family and Preventive Medicine Atlanta, Georgia
  • Pennsylvania/Mid-Atlantic AETC
    University of Pittsburgh Graduate School of Public Health
    Pittsburgh, Pennsylvania
  • The New England AIDS Education and Training Center University of Massachusetts Medical School
     Boston, Massachusetts
  • New York/New Jersey AETC
    Columbia University Mailman School of Public Health
    New York, New York

AETC National Centers

  • National Minority AETC
    Howard University Washington, D.C.
  • National AETC Resource Center Francois-Xavier Bagnoud Center
    University of Medicine & Dentistry of Newark, New Jersey
  • National Evaluation AETC
    AIDS Policy Research Center University of California, San Francisco
    San Francisco, California
  • National HIV/AIDS Clinicians’ Consultation Center
    University of California, San Francisco
    San Francisco, California