U.S. Department of Health and Human Services: Health Resources and Services Administration Ryan White HIV/AIDS Program Ryan White HIV/AIDS Program - State Profiles
       

The United StatesState Overview


An image of The United States.

The following section provides information for the entire population of the United States in 2014.

Population Size1

The estimated population of the United States and Puerto Rico in 2014 was 318,907,401.

Population Living with an HIV Infection2

The estimated adult and adolescent population living with diagnosed HIV infection, regardless of stage of disease, in the United States and 6 dependent territories in 2014 was 950,723.

New Diagnosis of HIV Infection2

The estimated number of adults and adolescents newly diagnosed with HIV infection in the United States and 6 dependent territories in 2014 was 44,784. The term "diagnosis of HIV infection" is defined as a new diagnosis of HIV infection, regardless of the stage of disease.

Estimated Percent of the United States Population in 2014 by Household Income Level3

Estimated Percent of the United States Population in 2014 by Household Income Level3
Household Income Level Percent
Below 100% of the Federal Poverty Level (FPL) 14.8
Between 100-199% of the FPL 18.6
Between 200-299% of the FPL 16.3
300% of the FPL and Above 50.4

Estimated Percent of the United States Population in 2014 by Health Care Coverage Type4

Estimated Percent of the United States Population in 2014 by Health Care Coverage Type4
Health Care Coverage Type Percent
Private 66.0
Private Only 53.1
Medicaid 19.5
Medicaid Only 13.1
Medicare 16.0
Medicare Only 6.1
Other Public 36.5
Public Only 23.6
Multiple Types 12.9
Uninsured 10.4

A It is possible to be covered by more than one health care coverage type. Therefore, the pie chart only includes those categories that form a partition of all clients.

The United StatesRyan White HIV/AIDS Program Grant Recipient and Provider Characteristics5

An image of The United States.

The following section provides information for Ryan White HIV/AIDS Program grant recipients and providers in the United States in 2014. Visit the HIV/AIDS Bureau’s website for a list of grant recipients by Program Part.

 

Ryan White HIV/AIDS Program Grant Recipients and Providers in the United States in 2014 by Program Part

Ryan White HIV/AIDS Program Grant Recipients and Providers in the United States in 2014 by Program Part
Program Number of Grant Recipients Number of Providers
Part A 53 1,003
Part B 54 865
Part C 356 440
Part D 115 264
SPNS 0 --
AETC 0 --
Oral Health 0 --
Total 578 1,739 (N)

1,119 Provider(s) received funding from multiple Program Parts.

Ryan White HIV/AIDS Program Funding Received by Grant Recipients in the United States in 2014 by Program Part§

Data currently unavailable

Ryan White HIV/AIDS Program Service Providers in the United States in 2014 by Type

Ryan White HIV/AIDS Program Service Providers in the United States in 2014 by Type
Types of Organizations Number Percent
Hospitals 338 19.4
Community & Mental Health Centers 255 14.7
Community-based Organizations 666 38.3
Health Departments 243 14.0
Other 237 13.6
Total (N) 1,739

The United States Ryan White HIV/AIDS Program Client Characteristics5

An image of The United States.

The following section provides socio-demographic and health-related information on all Ryan White HIV/AIDS Program clients in the United States in 2014.

Ryan White HIV/AIDS Program grant recipients have many providers under subcontract, and each provider completes a Ryan White HIV/AIDS Program Services Report (RSR). Although RSR data are unduplicated at the provider level, an individual client may receive services from multiple providers. Thus, any summary of the total number of clients served and their socio-demographic characteristics, whether at the grant recipient, State, or national level, may result in duplicated client counts.

This information is only collected on clients receiving an OAMC service, and not on all clients receiving RWHAP services.

The denominator for viral suppression is the total number of clients who had at least one Outpatient/Ambulatory Medical Care (OAMC) visit and had at least one viral load reported.

ADAP clients are not included in the data in this section.

Ryan White HIV/AIDS Program Number of Clients Served in the United States

The estimated number of clients served by Ryan White HIV/AIDS Program providers in the United States in 2014 was 502,655.

19,460 clients also received services in another state. A total of 522,115 clients were served.

Note: Nationally, 19,460 clients were seen in more than one state.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Gender

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Gender
Gender Number Percent
Male 344,785 70.4
Female 139,443 28.5
Transgender 5,249 1.1
Total 489,477

Gender designations in this report are male, female, or transgender. Transgender is an umbrella term used to identify persons whose sex assigned at birth does not match current gender identity or expression. Gender-related data are based on client self-report.

Gender was not reported for 438 client(s) (< 1%).

Total (N) = 489,915

Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Race/Ethnicity

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Race/Ethnicity
Race/Ethnicity Number Percent
White (not Hispanic) 136,949 26.7
Black or African-American (not Hispanic) 239,537 46.8
Asian (not Hispanic) 5,873 1.1
Native Hawaiian/Pacific Islander (not Hispanic) 852 < 1
American Indian/Alaska Native (not Hispanic) 2,375 < 1
Hispanic 112,833 22.0
Multiracial (not Hispanic) 9,143 1.8
Total 507,562

Race/Ethnicity was not reported for 4,652 client(s) (< 1%).

Total (N) = 512,214

Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Age

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Age
Age Number Percent
Under 2 2,951 < 1
2 - 12 3,620 < 1
13 - 24 29,566 5.8
25 - 44 189,947 37.1
45 - 64 262,571 51.3
65 and Above 23,361 4.6
Total 512,016

Age was not reported for 198 client(s) (0.0%).

Total (N) = 512,214

Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by HIV/AIDS Status

Ryan White HIV/AIDS Program Clients in the United States in 2014 by HIV/AIDS Status
HIV/AIDS Status Number Percent
HIV-positive not AIDS 233,793 46.6
HIV-positive, AIDS Status Unknown 43,162 8.6
CDC-defined AIDS 215,285 42.9
HIV Indeterminant (Infants Only) 0 --
HIV-negative 9,252 1.8
Total 501,492

HIV/AIDS status was not reported for 10,722 client(s) (2.1%).

Total (N) = 512,214

CDC defines AIDS when the number of CD4 cells fall below 200 cells per cubic millimeter of blood (200 cells/mm3), or if a person develops one or more opportunistic illnesses, regardless of the CD4 count. Opportunistic infections include Invasive Cervical Cancer, Herpes Simplex, Kaposi’s Sarcoma, Lymphoma, Tuberculosis, Pneumonia (recurrent), among others.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Risk Factor

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Risk Factor
Risk Factor Number Percent
Men Who Have Sex With Men (MSM) 207,383 40.5
Injection Drug Use (IDU) 36,679 7.2
Heterosexual 189,591 37.0
Perinatal 11,975 2.3
Receipt of Transfusion of Blood 0 --
Hemophilia/coagulation 0 --
Other 4,688 < 1
Total 461,586

Risk Factor was not reported for 50,628 client(s) (9.9%).

Total (N) = 512,214

"--" indicates a percentage of 0.0.

Percentages < 1 are denoted as such.

The United StatesRyan White HIV/AIDS Program Client Clinical Outcomes5

An image of The United States.

The following section provides viral suppression and retention in care information on all Ryan White HIV/AIDS Program Clients who are in clinical care in the United States in 2014.

Viral suppression is the percentage of people living with HIV (PLWH) who had at least one outpatient ambulatory medical care (OAMC) visit during the calendar year and at least one viral load reported, with the last viral load result of <200 copies/mL. In 2014 81.4% of Ryan White HIV/AIDS Program clients in the United States achieved viral suppression.

Retention in care is the percentage of PLWH who had at least one OAMC visit by September 1 of the calendar year, with a second visit at least 90 days after. In 2014 80.4% of Ryan White HIV/AIDS Program clients in the United States were retained in care.

The denominator for viral suppression is the total number of clients who had at least one OAMC visit and had at least one viral load reported.

The denominator for retention in care is the total number of clients with an OAMC visit before September 1st.

This information is only collected on clients receiving an OAMC service, and not on all clients receiving RWHAP services.

ADAP clients are not included in the data in this section.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Gender and Viral Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Gender and Viral Suppression and Retention in Care
  Viral Suppression Retention in Care
Gender Denominator Percent Denominator Percent
Male 200,093 82.1 191,109 79.6
Female 80,865 80.2 78,281 82.4
Transgender 2,719 74.0 2,646 78.4
Total 512,080   272,036  

Gender designations in this report are male, female, or transgender. Transgender is an umbrella term used to identify persons whose sex assigned at birth does not match current gender identity or expression. Gender-related data are based on client self-report.

Gender was not reported for viral suppression for 134 client(s). The proportion of viral suppression for those clients was 72.4%.

Gender was not reported for retention in care for 157 client(s). The proportion of retention in care for those clients was 61.8%.

( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Race/Ethnicity and Viral Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Race/Ethnicity and Viral Suppression and Retention in Care
  Viral Suppression Retention in Care
Race/Ethnicity Denominator Percent Denominator Percent
White (not Hispanic) 70,112 86.6 67,749 78.9
Black or African-American (not Hispanic) 132,079 77.1 126,317 79.8
Hispanic 69,183 84.0 66,470 83.3
Asian (not Hispanic) 3,424 89.1 3,265 79.8
Native Hawaiian/Pacific Islander (not Hispanic) 392 80.9 375 74.4
American Indian/Alaska Native (not Hispanic) 1,192 83.0 1,136 76.7
Multi-racial (not Hispanic) 5,343 82.8 5,141 81.1
Total 510,128   510,474  

Race/Ethnicity was not reported for viral suppression for 2,086 client(s). The proportion of viral suppression for those clients was 82.1%.

Race/Ethnicity was not reported for retention in care for 1,740 client(s). The proportion of retention in care for those clients was 66.8%.

( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Age and Viral Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Age and Viral Suppression and Retention in Care
  Viral Suppression Retention in Care
Age Denominator Percent Denominator Percent
Under 2 51 52.9 53 67.9
2 - 12 970 85.5 949 90.8
13 - 24 16,239 64.6 14,731 75.0
25 - 44 113,159 77.1 106,718 77.4
45 - 64 141,915 85.9 138,360 82.8
65 and Above 11,369 92.0 11,275 85.7
Total 512,106   272,086  

Age was not reported for viral suppression for 108 client(s). The proportion of viral suppression for those clients was 82.4%.

Age was not reported for retention in care for 107 client(s). The proportion of retention in care for those clients was 89.7%.

( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Health Care Coverage Type and Viral Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Health Care Coverage Type and Viral Suppression and Retention in Care
  Viral Suppression Retention in Care
Health Care Coverage Type Denominator Percent Denominator Percent
Private Employer 17,865 88.3 17,083 80.6
Private Individual 14,696 87.8 14,052 77.4
Medicare 24,566 87.4 24,077 83.4
Medicaid 88,553 78.8 85,873 81.3
Other 11,259 83.6 10,859 80.0
Uninsured 83,454 77.4 77,353 78.8
Multiple Types 19,956 86.3 18,991 81.2
Total 507,540   506,816  

A It is possible to be covered by more than one health care coverage type.

Health Care Coverage Type was not reported for viral suppression for 4,674 client(s). The proportion of viral suppression for those clients was 83.2%.

Health Care Coverage Type was not reported for retention in care for 5,398 client(s). The proportion of retention in care for those clients was 59.9%.

( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Household Income as a Percentage of the Federal Poverty Level and Viral Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Household Income as a Percentage of the Federal Poverty Level and Viral Suppression and Retention in Care
  Viral Suppression Retention in Care
Income Denominator Percent Denominator Percent
At or Below 100% FPL 176,449 78.9 169,482 80.4
Between 101-138% of the FPL 32,830 84.9 31,748 82.6
Between 139-250% of the FPL 39,535 87.4 37,932 81.8
Between 251-400% of the FPL 14,462 87.2 13,813 79.5
Total 500,214   500,071  

Household Income was not reported for viral auppression for 12,000 client(s). The proportion of viral suppression for those clients was 80.2%.

Household Income was not reported for retention in care for 12,143 client(s). The proportion of retention in care for those clients was 69.0%.

( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Risk Factor and Viral Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Risk Factor and Viral Suppression and Retention in Care
  Viral Suppression Retention in Care
Risk Factor Denominator Percent Denominator Percent
Men Who Have Sex With Men (MSM) 121,192 82.8 115,391 79.4
Injection Drug Use 19,875 81.0 19,490 82.0
Heterosexual 113,416 81.0 108,802 82.0
Perinatal 5,281 69.0 5,218 84.4
Receipt of Transfusion of Blood -1 -- -1 --
Coagulation -1 -- -1 --
Other 2,292 85.3 2,221 81.4
Total 268,160   257,069  

Risk Factor Type was not reported for viral suppression for 15651 client(s). The proportion of viral suppression for those clients was 79.6%.

Risk Factor Type was not reported for retention in care for 15124 client(s). The proportion of retention in care for those clients was 73.1%.

( . ) Indicates missing data.

The United StatesRyan White HIV/AIDS Program Services Received5

An image of The United States.

The following section provides information on the services received by all Ryan White HIV/AIDS Program clients in the United States in 2014.

Ryan White HIV/AIDS Program Clients Receiving a Core Medical Service in the United States in 2014 by Service Type

Ryan White HIV/AIDS Program Clients Receiving a Core Medical Service in the United States in 2014 by Service Type
Core Medical Service Number of Clients Percent of All Clients Median Visits Per Client Total Visits
Outpatient Ambulatory Care 307,200 60.0 3.0 1,421,609
Medical Case Management 285,531 55.7 5.0 2,796,012
Oral Health Care 92,418 18.0 2.0 275,185
Mental Health Services 69,325 13.5 2.0 372,866
Medical Nutrition Therapy 43,032 8.4 1.0 103,714
Outpatient Substance Abuse Treatment 18,690 3.6 2.0 218,073
Early Intervention Services 20,267 4.0 2.0 84,710
Home & Community-based Services 1,614 < 1 5.0 31,061
Home Health Care 659 < 1 3.0 6,818
Hospice Care 116 0.0 15.0 5,948

Clients may receive more than one service. Only the top ten Core Medical Services for the United States are shown.

Ryan White HIV/AIDS Program Clients Receiving a Support Service in the United States in 2014 by Service Type

Ryan White HIV/AIDS Program Clients Receiving a Support Service in the United States in 2014 by Service Type
Service Type Number of Clients Percent of All Clients
Non-Medical Case Management 150,515 29.4
Medical Transportation Services 74,860 14.6
Treatment Adherence 69,386 13.5
Health Education / Risk Reduction 68,013 13.3
Food Bank / Home-Delivered Meals 54,155 10.6
Psychosocial Support Services 44,391 8.7
Outreach Services 32,724 6.4
Referral to Health Care / Support Services 42,676 8.3
Emergency Financial Assistance 23,272 4.5
Housing Services 15,159 3.0
Legal Services 12,189 2.4
Linguistics Services 2,508 < 1
Residential Substance Abuse Services 1,575 < 1
Pediatric Developmental Assessment / Early Intervention Services 895 < 1
Child Care Services 812 < 1
Respite Care 121 0.0
Rehabilitation Services 120 0.0
Permanency Planning 113 0.0
Total Clients 593,484

Clients may receive more than one service.

The United StatesRyan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP)6

An image of The United States.

The following section provides socio-demographic and medical information on all Ryan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP) clients in the United States in 2014.

ADAP Number of Clients Served

The estimated number of clients served by ADAP in the United States in 2014 was 268,636. A total of 38,299 new clients were served.

Note: A new ADAP client is an individual who has applied to the state ADAP for the first time ever and meets that ADAP's financial, medical, and other eligibility criteria. A new client may not necessarily be receiving medications or insurance assistance. The client may be on the waiting list, or may not have requested ADAP services.

Ryan White HIV/AIDS Program ADAP Clients in the United States in 2014 by Gender

ADAP Clients in the United States in 2014 by Gender
Gender Number Percent
Male 209,165 77.9
Female 57,760 21.5
Transgender 1,573 < 1
Total 268,498

Gender designations in this report are male, female, or transgender. Transgender is an umbrella term used to identify persons whose sex assigned at birth does not match current gender identity or expression. Gender-related data are based on client self-report.

Gender was not reported for 138 client(s) (< 1%).

Total (N) = 268,636

Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program ADAP Clients in the United States in 2014 by Race/Ethnicity

ADAP Clients in the United States in 2014 by Race/Ethnicity
Race/Ethnicity Number Percent
White (not Hispanic) 86,541 32.2
Black or African-American (not Hispanic) 102,614 38.2
Asian (not Hispanic) 4,354 1.6
Native Hawaiian/Pacific Islander (not Hispanic) 499 < 1
American Indian/Alaska Native (not Hispanic) 1,194 < 1
Hispanic 66,485 24.8
Multiracial (not Hispanic) 1,603 < 1
Total 263,290

Race/ethnicity was not reported for 5,346 client(s) (2.0%).

Total (N) = 268,636

Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program ADAP Clients in the United States in 2014 by Age

ADAP Clients in the United States in 2014 by Age
Age Number Percent
Under 2 15 < 1
2-12 190 < 1
13-24 11,665 4.3
25-44 110,549 41.2
45-64 133,563 49.7
65 and Above 12,654 4.7
Total (N) 268,636

Age was not reported for 0 client(s) (0.0%).

Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program ADAP Expenditures in the United States in 2014 by Type

ADAP Expenditures in the United States in 2014 by Type
Expenditure Type Number Percentage of All Expenditures
Health Care Coverage $ 1,496,899,991 81.6
Dispensing and Administrative Costs $ 0 --
Pharmaceuticals $ 337,903,555 18.4
Flex Policy $ 0 --
Total (N) $ 1,834,803,546  

Ryan White HIV/AIDS ADAP Clients in the United States in 2014 by Household Income as a Percentage of the Federal Poverty Level (FPL)

Ryan White HIV/AIDS Program Clients in the United States in 2014 by Household Income as a Percentage of the Federal Poverty Level (FPL)
Household Income Level Number Percent
At or Below 100% FPL 128,418 47.8
Between 101-138% of the FPL 34,984 13.0
Between 139-200% of the FPL 46,386 17.3
Between 201-250% of the FPL 21,523 8.0
Between 251-400% of the FPL 27,918 10.4
Above 400% of the FPL 4,438 1.7
Total 263,667  

Household income was not reported for 4,969 client(s) (1.9%).

Total (N) = 268,636

The United StatesRyan White HIV/AIDS Program Oral Health Programs7

An image of The United States.

The following section provides socio-demographic and service information on the two Ryan White HIV/AIDS Program Oral Health programs (Dental Reimbursement and Community-Based Dental Partnership Programs) clients in the United States in 2014.

Oral Health Programs Number of Clients Served

The estimated number of clients served by Oral Health Programs in the United States in 2014 was 45,475.

Ryan White HIV/AIDS Program Oral Health Programs Clients in the United States in 2014 by Gender

Oral Health Programs Clients in the United States in 2014 by Gender
Gender Number Percent
Male 31,731 69.8
Female 13,476 29.6
Transgender 264 < 1
Total 45,471

Gender designations in this report are male, female, or transgender. Transgender is an umbrella term used to identify persons whose sex assigned at birth does not match current gender identity or expression. Gender-related data are based on client self-report.

Gender was not reported for 4 client(s) (0.0%).

Total (N) = 45,475

Ryan White HIV/AIDS Program Oral Health Programs Clients in the United States in 2014 by Age

Oral Health Programs Clients in the United States in 2014 by Age
Age Number Percent
Under 2 0 --
2-12 167 < 1
13-24 1,517 3.3
25-44 19,289 42.4
45-65 22,278 49.0
65 and Above 2,123 4.7
Total 45,374

Age was not reported for 101 client(s) (< 1%).

Total (N) = 45,475

Ryan White HIV/AIDS Program Oral Health Programs Clients in the United States in 2014 by Household Income as a Percentage of the Federal Poverty Level (FPL)

Oral Health Programs Clients in the United States in 2014 by Household Income as a Percentage of the Federal Poverty Level (FPL)
Household Income Level Number Percent
At or Below 100% FPL 27,978 61.5
Between 101-200% of the FPL 7,906 17.4
Between 201-300% of the FPL 2,117 4.7
Above 300% of the FPL 1,304 2.9
Total 39,305

Household income was not reported for 6,170 client(s) (13.6%).

Total (N) = 45,475

Ryan White HIV/AIDS Program Oral Health Programs Client Visits in the United States in 2014 by Service Type

Oral Health Programs Client Visits in the United States in 2014 by Service Type
Service Type Number of Visits
Diagnostic 70,897
Restorative 47,286
Oral Health Education 33,977
Preventive 33,213
Periodontic 24,785
Oral and Maxillofacial Surgery 23,248
Prosthodontic 23,419
Tobacco Prevention 16,774
Nutrition Counseling 13,733
Emergency Services 11,367
Oral Medicine 6,446
Other 5,873
Endodontic 5,888
Anesthesia 5,146

The United StatesPerformance Indicators5

An image of The United States.

U.S. Department of Health and Human Services (HHS) Performance Indicators

The U.S. Department of Health and Human Services (HHS) common core indicators are seven measures developed to monitor HHS-funded HIV/AIDS prevention, treatment, and care services. HHS Indicators are evaluated using results from Ryan White HIV/AIDS Program recipients to help provide a marker and assess progress toward achieving the result.

HHS Performance Indicators for the United States in 2014
  HHS INDICATORS HAB MEASURE RESULT
HIV Positivity Percentage of HIV tests that were HIV positive. Percentage of HIV tests that were HIV positive. 0.9%
Retention in HIV Medical Care Percentage of clients with an HIV diagnosis who had at least one HIV medical care visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between the first medical visit in the 6 month period and the last medical visit in the subsequent 6 month period. Data not reported. ---
Viral Suppression Among Persons in HIV Medical Care Percentage of clients with an HIV diagnosis with a viral load <200 copies/mL at last test. Percentage of HIV positive clients who had at least one Outpatient/Ambulatory Medical Care (OAMC) visit and had at least one viral load reported whose last viral load was <200 copies. 81.4%
Late HIV Diagnosis Percentage of clients diagnosed with AIDS within 3 months of a diagnosis of HIV. Data not reported. ---
Linkage to HIV Medical Care Percentage of clients who attended a routine HIV medical care visit within 3 months of HIV diagnosis. Data not reported. ---
Antiretroviral Therapy (ART) Among Persons in HIV Medical Care Percentage of clients with an HIV diagnosis who were prescribed ART. Data not reported. ---
Housing Status Percentage of clients with an HIV diagnosis and receiving HIV services who were homeless or unstably housed. Percentage of HIV positive clients who were unstably housed. 4.7%
Back to top

The National HIV/AIDS Strategy (NHAS) Performance Indicators

NHAS goals were developed to re-focus the nation’s response to the HIV epidemic in the United States and to undertake a more coordinated response. NHAS goals are evaluated using results from Ryan White HIV/AIDS Program recipients to help provide a marker and assess progress towards achieving the goals.

Note that the NHAS goals are National targets and a compilation for work across the Federal government. The result shown applies only to the Ryan White HIV/AIDS Program in support of these goals.

Current degree of progression A striped orange bar indicates the current degree of progress toward the Goal.

Goal has been reached A solid green bar indicates that the Goal has been reached or exceeded.

Measure less than baseline A striped gray bar indicates that the 2014 measure is less than the Baseline value and that the Goal has not been achieved.

Example:

NHAS Performance Indicators for the United States in 2014
  NATIONAL TARGET HAB MEASURE RESULT
Reducing HIV-Related Health Disparities By 2015, increase the proportion of HIV diagnosed gay and bisexual men with undetectable viral load by 20% Percentage of HIV positive clients who are men who have sex with men (MSM) as a risk factor and had at least one Outpatient/Ambulatory Medical Care (OAMC) visit whose last viral load count was <200 copies.
72%
86%

83%

By 2015, increase the proportion of HIV diagnosed Blacks with undetectable viral load by 20% Percentage of HIV positive clients who are Black and had at least one OAMC visit whose last viral load count was <200 copies.
63%
76%

78%

By 2015, increase the proportion of HIV diagnosed Latinos with undetectable viral load by 20% Percentage of HIV positive clients who are Hispanic and had at least one OAMC visit whose last viral load count was <200 copies.
74%
89%

84%

Increasing Access to Care and Improving Health Outcomes for People Living with HIV/AIDS By 2015, increase the proportion of newly diagnosed patients linked to clinical care within three months of their HIV diagnosis from 65% to 85% Data not reported. ---
By 2015, increase the proportion of clients who are in continuous care (at least 2 visits for routine HIV medical care in 12 months at least 3 months apart) from 73% to 80% Percentage of HIV positive clients with an OAMC visit before September First who had another visit at least 90 days later.
73%
80%

80%

Increase the percentage of Ryan White recipients with permanent housing from 82% to 86% Percentage of Ryan White clients that were stably housed.
82%
86%

83%

FHousing status variable - Excerpted from the RSR Instruction Manual

Stable Permanent Housing includes the following:

  • Renting and living in an unsubsidized room, house, or apartment.
  • Owning and living in an unsubsidized house or apartment.
  • Unsubsidized permanent placement with families or other self-sufficient arrangements.
  • Housing Opportunities for Persons with AIDS (HOPWA)-funded housing assistance, including Tenant-Based Rental Assistance (TBRA) or Facility-Based Housing Assistance, but not including the Short-Term Rent, Mortgage and Utility (STRMU) Assistance Program.
  • Subsidized, non-HOPWA, house or apartment, including Section 8, the HOME Investment Partnerships Program, and Public Housing.
  • Permanent housing for formerly homeless persons, including Shelter Plus Care, the Supportive Housing Program (SHP), and the Moderate Rehabilitation Program for SRO Dwellings (SRO Mod Rehab).
  • Institutional setting with greater support and continued residence expected (psychiatric hospital or other psychiatric facility, foster care home or foster care group home, or other residence or long-term care facility).

Temporary Housing includes the following:

  • Transitional housing for homeless people.
  • Temporary arrangement to stay or live with family or friends.
  • Other temporary arrangement such as a Ryan White Program housing subsidy.
  • Temporary placement in an institution (e.g., hospital, psychiatric hospital or other psychiatric facility, substance abuse treatment facility, or detoxification center).
  • Hotel or motel paid for without emergency shelter voucher.

Unstable Housing Arrangements include the following:

  • Emergency shelter, a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings, including a vehicle, an abandoned building, a bus/train/subway station/airport, or anywhere outside.
  • Jail, prison, or a juvenile detention facility.
  • Hotel or motel paid for with emergency shelter voucher.

These defenitions are based on:

  • Housing Opportunities for Persons With AIDS (HOPWA) Program, Annual Progress Report (APR), Measuring Performance Outcomes, form HUD-40110-C.
  • McKinney-Vento Act, Title 42 US Code, Sec. 11302, General definition of homeless individual.

L Data are reported by calendar year. Therefore, HAB is unable to calculate this measure, which requires data over a 24 month period.