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Notice of Funding Opportunity Announcement PS22-2209: Transgender Status-Neutral Community-to-Clinic Models to End the HIV Epidemic
This Notice of Funding Opportunity announcement is available at www.grants.gov. To view the entire announcement, go to www.grants.gov and click on the “Search Grants” tab. Then select the “Posted” Opportunity Status and enter the word “HIV Prevention or PS22-2209” in the Keyword(s) field, then click “Search”. To learn more about the CDC application process, visit grants.gov How to Apply for Grants webpage.
Executive Summary
Transgender (TG) persons, especially transgender women (TGW), have a high lifetime risk of acquiring HIV. Black/African American (Black) and Hispanic/Latino (Hispanic) TGW have the highest prevalence of HIV among TG persons. Many TG persons experience poverty, homelessness, stigma, discrimination, and abuse; have mental health and substance use disorders; and need essential support services. In this demonstration project, organizations will be funded to work in transgender health care organizations (TG clinics) in collaboration with transgender-serving community-based organizations (TG CBOs) to develop models for community-to-clinic, status-neutral HIV prevention and care services. Recipients will provide comprehensive, co-located health services including HIV testing, preexposure prophylaxis (PrEP), gender-affirming hormone therapy, primary health care, and navigation. Navigation will be used to link TG persons as needed to services for mental health and substance use disorders and essential support services. Recipients will work with TG CBOs to engage TG persons in HIV testing and education and navigate them to TG clinics. Key outcomes in the project include an increased number of TG persons who initiate, adhere to, and persist with PrEP; increased rates of viral suppression among TG persons with diagnosed HIV; and an increased number of TG persons with unmet needs who receive services for mental health and substance use disorders and other essential support services.
Purpose
This NOFO will fund organizations to work in TG clinics and partner with TG CBOs to develop community-to-clinic models for integrated status-neutral HIV prevention and care services, gender-affirming services including hormone therapy, and primary health care. Navigation will also be used to link TG persons to services as needed for mental health and substance use disorder and other essential support services. These models will increase use of HIV prevention and treatment by TG persons to decrease HIV transmission and improve overall health and wellbeing.