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Programs:
Special Projects of National Significance (SPNS)

The SPNS Program advances knowledge and skills in the delivery of health and support services to underserved populations diagnosed with HIV infection. SPNS grants fund innovative models of care and support the development of effective delivery systems for HIV care. The SPNS Program is considered the research and development arm of the Ryan White CARE Act and provides the mechanisms to:

Initiatives Initiatives
Grant Information Grantee Information
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  1. assess the effectiveness of particular models of care
  2. support innovative program design
  3. promote replication of effective model
Pie chart-Ryan White CARE Act Special Projects of National Significance (SPNS) Sites, by Organization (N=72): Community Clinics 26%; Community-based Organizations 7%; University Clinics 29%; Evaluation Ctrs. 17%; Local or State Health Depts. 15%; Misc./Non-profits 6%.

In order to meet program goals, funded organizations must contain a strong evaluation component and disseminate information necessary for effective replication.

The current SPNS effort began in 1991 with some of the first Federal grants to target adolescents and women living with HIV. Today, a portfolio of 72 grants, funded either solely by the HIV/AIDS Bureau or in partnership with other Federal agencies, including the Centers for Disease Control and Prevention, address tomorrow’s issues in HIV care.

The SPNS Program is an integral link to all CARE Act programs. While it provides an opportunity to develop new services, the program places great emphasis on the legislative mandates to assess the effectiveness of models of care and promote their replication. As CARE Act grantees develop innovative services, the SPNS Program will provide the funding and expertise for grantees to evaluate innovations and disseminate findings to the HIV community. Current priorities include:

  • Supporting the coordination and integration of existing services for Native Americans/Alaska Natives living with HIV and other co-morbidities
  • Improving the quality of HIV care
  • Collaborating with CDC on interventions for HIV-positive substance abuse users and continuity of care for incarcerated individuals
  • Assessing innovations in serving those with chemical dependencies
  • Continuing the U.S./Mexico border health effort
  • Assessing primary prevention strategies for HIV-positive persons
  • Evaluating effective strategies for bringing individuals into care for HIV treatment
  • Improving care and treatment of HIV+ persons of Caribbean descent
  • Assessing technological advances in order to improve HIV medical care
 


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