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Programs:
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Title
IV:
Services for Women, Infants, Children, Youth and Their Families
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CARE Act programs
are required to serve women, infants, children and youth living with HIV
disease, but Title IV addresses the needs of these populations specifically.
Services include:
- Primary and specialty
medical care;
- Psychosocial services;
- Logistical support
and coordination; and
- Outreach and case
management.
Title IV programs
enhance client access to care and to clinical trials and research. Participation
in clinical research has increased among Title IV clients; in 2000, it
grew to 7,992 clients. Clinical research helps ensure that all patients
have access to the best treatments.
Implementation
What is known as the Title IV program today was first implemented in 1988
as the Pediatric AIDS Demonstration Program. It became part of the CARE
Act in 1994 and was expanded to create better links between medical and
support services. A special focus of the Title IV program is to help identify
HIV-positive pregnant women and connect them with care that can improve
their health and prevent perinatal transmission. The Title IV program
has improved access to a comprehensive system of health and social services
for populations least able to cope with HIV/AIDS.
Clients
From 1999 to 2000 the number of people served through Title IV increased
18 percent. In 2000:
- Title IV provided
services to 53,051 clients, 54 percent of whom were HIV infected;
- Of the clients
with known race/ethnicity, the majority (88 percent) were minorities;
- Of clients age
13 and older, 78 percent were female, more than one-half of whom reported
exposure to HIV through heterosexual contact.
Funding
The FY 2002 appropriation was $71 million. Since 1988, the Title IV Program
and Pediatric AIDS Demonstration Program have provided more than $474.5
million in funding to States and communities.
* Clients may have received more than one service.
Ryan
White CARE Act Title IV Clients by Ethnicity, 2000 (N=53,051)
Ryan White CARE Act Title IV Appropriations FY 1999FY 2002
(in millions of dollars)
Title IV: Number of Clients Served by Type of Service,*
2000
Dental
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4,328 |
Family
planning |
6,722 |
Substance
abuse services |
2,776 |
Mental
health services |
7,947 |
TB
screening |
8,849 |
Other
clinical research |
3,198 |
Clinical
trials |
4,794 |
Developmental
assessment/Early educational intervention |
4,600 |
Prenatal
care |
2.609 |
HIV
specialty care |
22,986 |
Primary
medical care |
26,074 |
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