Skip directly to site content Skip directly to search


Español  Other Languages


Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People
 Search

		Submit


Sexually Transmitted Diseases (STDs)


Section Navigation
			
			CDC Home








Ending the HIV Epidemic in the U.S. (EHE): Scaling Up HIV Prevention Services in STD Specialty Clinics						Print
																Related Pages
										**On This Page**
			Scaling Up HIV Prevention Services in STD Specialty ClinicsAddressing Under-Resourced STD Clinics with the Minority HIV/AIDS FundAward RecipientsPromising PracticesThrough the Ending the HIV Epidemic (EHE) initiative, the Department of Health and Human Services (HHS) has set an ambitious goal of reducing all new HIV infections in the U.S. by 90% by 2030. To support this goal, HHS has provided multiple funding opportunities to jurisdictions, including continued investments in STD specialty clinics.Scaling Up HIV Prevention Services in STD Specialty ClinicsIn January 2020, CDC announced the Notice of Funding Opportunity (NOFO): PS20-2010: Integrated HIV Programs for Health Departments to Support Ending the HIV Epidemic in the United States (EHE) to support the development and implementation of programs tailored to ending the HIV epidemic in America.
Component C of this NOFO focuses on implementing strategies and activities that scale up HIV prevention services to reach populations that access care in STD clinics. This funding aims to strengthen the infrastructure of STD clinics, which serve a high volume of people from racial, ethnic, sexual and gender minority groups. STD clinics play a vital role in the EHE initiative because:
They serve populations who are not engaged in HIV prevention programs, or primary healthcare system for their STD and HIV prevention care;
They serve as an important healthcare setting for patients who may not otherwise have access to healthcare services;
STDs are associated with a higher risk of acquiring HIV and indicate increased risk of HIV acquisition in future and potential need for pre-exposure prophylaxis (PrEP).Success StoriesTurning the Page on HIV: New CDC Initiative Fuels Progress in STD ClinicsThree CDC-funded jurisdictions scaled up HIV prevention services in STD clinics to deliver critical HIV prevention strategies to the populations who need them most.PS20-2010 Component C Strategies
With Component C funding, recipients focus on implementing five strategies to scale up HIV prevention services to reach populations that receive and seek care in STD clinics.
Assess or re-assess clinic infrastructure to document HIV prevention services, identify gaps, and assess service quality.
Implement evidence-based approaches to scale up HIV prevention capacity in STD clinics, including self-collected STD testing, express visits, HIV testing and viral load assessment.
Expand the capacity of STD clinics to offer PrEP, post-exposure prophylaxis (PEP), and strengthen clinic and laboratory capacity for recommended follow-up visits for people on PrEP.
Optimize linkage to, retention in, and re-engagement with HIV medical care.
Facilitate partnerships with other community HIV clinical providers, health departments, and community-based organizations providing HIV prevention services and collaborating in the implementation of EHE.Top of PageAddressing Under-Resourced STD Clinics with the Minority HIV/AIDS Fund
In August 2020, a new investment from the Minority HIV/AIDS Fund (MHAF) aimed to specifically address under-resourced STD clinics. This investment leverages the current CDC-funded National Network of Sexually Transmitted Diseases Clinical Prevention Training Centers (NNPTC)  to bolster training and technical assistance efforts so STD specialty clinics can better provide HIV prevention services. Activities include providing onsite or distance-based (web or phone) consultations, guidance to conduct clinic assessments, in-person site visits, and resources.Top of PageAward RecipientsPS20-2010 Component C RecipientsRecipients of Supplemental MHAF Award for NNPTCTop of PagePromising Practices
Maryland Department of Public Health / Prince George’s County Health Department
November 2023
The *Prince George’s County Health* *Department*(PGCHD) in Maryland recently restructured their HIV PrEP program leading to a twofold increase in their ability to engage with diverse populations. A key contributor to the increased engagement was the **launch of a new team dedicated to providing PrEP** **services**. The team is comprised of one PrEP manager and two PrEP counselors who provide PrEP education, assessments, follow up and referrals, and work closely with an onsite HIV/STI physician. Through collaboration with Disease Intervention Specialists and health department staff conducting outreach activities, the team has seen a notable increase in young LGBTQ+ people accessing PrEP services. Most recently, PGCHD implemented a broader-reaching social media campaign for all county residents, including women and heterosexual men who may not be represented in other PrEP advertising. PGCHD plans to continue expanding PrEP services by adding a nurse and community health workers to their team, and by strengthening partnerships with the county’s domestic violence program, CBOs working with priority populations, and community providers.
Louisiana Department of Health / Open Health Care Clinic (East Baton Rouge Parish)
November 2023
Open Health Care Clinic is increasing its use of technology through the implementation of **digital check-in and self-scheduling solutions.** This strategic move is geared towards optimizing patient interactions, curbing wait times, and boosting the clinic’s efficiency. A notable advantage of the new system is that patients can conveniently check in up to a week prior to appointments and proactively update their records, expediting the overall process. The digital check-in system also bolsters patient privacy by minimizing the need for personal information exchanges with front desk staff. To address diverse patient preferences, the clinic also offers conventional check-in alternatives. Open Health Care Clinic’s dedication to elevating the patient experience is fostering a more streamlined, person-centered healthcare system.
Jefferson County Department of Health / Alabama Department of Public Health
August 2023
The Jefferson County Department of Health in Birmingham, Alabama, has increased clinic capacity at all three of its sexual health clinics by implementing an express STI service model, known as Fast Track. The clinic uses a set of pre-appointment questions to triage patients requesting services. Once triaged, patients without symptoms can easily schedule a Fast Track visit for HIV/STI testing. During the visit, a Disease Intervention Specialist provides specimen collection instructions, patient education, risk-reduction counseling, and referral for HIV PrEP, if needed. Fast Track allows patients to receive timely notification of their test results, and visits have steadily increased since the program’s introduction in late-2019. From 2020 to 2022, the Fast Track Program increased its patient volume from 888 to 1863 visits, with plans to further expand Fast Track services through the implementation of online self-scheduling. As of July 2023, clinics have completed 1252 visits since the start of the year. With Fast Track in place, providers can dedicate more of their appointment time to patients with symptoms suggestive of an STI, and patients with or without symptoms can more easily receive the timely STI and HIV testing services they need.
Fulton County Board of Health / Georgia Department of Public Health
August 2023
The Neighborhood Union Health Center of Fulton County Board of Health in Atlanta, Georgia, has launched express clinic services for oral HIV PrEP. To remain on PrEP, CDC guidance recommends that clients follow up with their providers every three months and complete lab tests before the client’s next PrEP refill. Depending on the timing of the follow-up visit, repeat lab tests may include HIV, bacterial STIs (syphilis, gonorrhea, chlamydia), triglyceride and cholesterol levels, and tests to assess kidney function. Prior to launching the program, all appointments were in-person and at least an hour long, limiting the number of clients that could be seen each day for PrEP appointments or other sexual health services. With the Neighborhood Union Express Clinic in place, clients only need to meet with a provider once per year, and this can be in-person or via telehealth.  Since the program’s launch, a typical PrEP follow-up visit for repeat testing only takes 10-15 minutes. Once results are received, the client is seen by a provider if there are any concerns. Providing express services for oral HIV PrEP has increased Neighborhood Union’s capacity to offer convenient, client-centered PrEP care.
Orange County Department of Health / California Department of Public Health
August 2023
The Orange County Department of Health in Orange County, California, launched a rapid antiretroviral therapy (rART) program at the local *17th Street Testing, Treatment and Care Clinic*. Since the program’s launch in 2020, the clinic has linked over 247 clients newly diagnosed with HIV to rART and reengaged 65 clients into HIV medical care. For clients previously lost to follow-up, the program has designed workflows that incorporate community partnerships, HIV-related data and reporting, and review of patient medical records to improve reengagement outcomes. The clinic also utilizes public health investigators and case managers to reengage clients into care. They are trained to be socially, culturally, and linguistically competent with an understanding of the social determinants of health that affect a client’s ability to take their HIV treatment regimen as prescribed. The program is able to link clients to longer-term HIV medical care and support services based on each client’s needs and service eligibility (e.g., insurance status, income level, existing provider relationships, etc.).  Since the launch of the program, 76 percent of clients the clinic has reengaged into HIV care have achieved viral suppression.
County of San Diego Health and Human Services Agency / California Department of Public Health
August 2023
In August 2023, the HIV, STD, and Hepatitis Branch of Public Health Services in the *County of San Diego Health and Human Services Agency* implemented a **doxycycline as sexually transmitted infection (STI) post-exposure prophylaxis (doxy as STI PEP) program** in their regional clinics. Having a bacterial STI, like primary or secondary syphilis, can increase someone’s risk of getting or transmitting HIV. For that reason, doxy as STI PEP is part of a syndemic approach to reduce new HIV infections and STI/HIV-related illness in the region among populations disproportionately affected by STIs and HIV. Eligible clients who are interested in doxy as STI PEP receive a 14-tablet (7-dose) starter pack and are a written prescription for additional medication. The doxy as STI PEP program has generated considerable interest among eligible clients. In the first 17 days of program implementation, 23 clients started doxy as STI PEP.
Marion County / Indiana State Department of Health
May 2023
The *Bell Flower Clinic of the Marion County Public Health Department* in Indianapolis, Indiana, has successfully increased patient engagement thanks to a recent communication campaign focused on **PrEP awareness** in gay and bisexual men. Since the campaign launched in early November 2022, referrals, visits, and PrEP prescriptions at the clinic have more than doubled. The secret to the campaign’s success was including eye-catching, sex-positive messages on popular dating apps, posters, and bus wraps displayed around the city. Another key component of the campaign was gathering community member feedback to ensure that the messaging resonated with and reached the intended audiences. In the future, the Bell Flower Clinic plans to build upon the momentum of the campaign by expanding its work with lessons learned from its recent success.Top of PageResourcesInfographic – Reversing the Rise in STIs: Integrating Services to Address the Syndemic of STIs, HIV, Substance Use, and Viral Hepatitis (April 2023)
CDC’s Ending the HIV Epidemic website
America’s HIV Epidemic Analysis Dashboard (AHEAD)
Funding Opportunity Announcement PS20-2010: Integrated HIV Programs for Health Departments to Support Ending the HIV Epidemic in the United States
							
					
							Last Reviewed:  October 19, 2023						Source: 	Division of STD Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention
					Facebook
        Twitter
        LinkedIn
        Syndicate homeSexually Transmitted Diseases (STDs)
Diseases & Related Conditionsplus icon
Bacterial Vaginosis (BV)
Chlamydia
Gonorrhea
Hepatitis
Herpes
HIV/AIDS & STDs
Human Papillomavirus (HPV)
*Mycoplasma genitalium (Mgen)*
Pelvic Inflammatory Disease (PID)
STDs & Infertility
STDs during Pregnancyplus icon
Fact Sheet
Detailed Fact Sheet
Statistics
Treatment and Care
Archive
STD Risk and Oral Sex
Syphilis
Trichomoniasis
Other STDsplus icon
Archive
Life Stages and Populationsplus icon
Adolescents and Young Adultsplus icon
Adolescents and Technology
Adolescents and STDs Fact Sheet
Gay, Bisexual and Other MSMplus icon
Gay Men & STDs Fact Sheet
Preventionplus icon
Guidance During Disruption of STD Clinical Services
Just Diagnosed?
Which STD Tests Should I Get?
STD Lowdown Infographic
Program Management & Evaluation Toolsplus icon
Effective Interventions
Gap Assessment Toolkit
Internet Partner Services Toolkit
Outbreak Response Resourcesplus icon
Congenital Syphilis HAN Template
Disseminated Gonococcal Infection HAN Template
Gonorrhea with Reduced Susceptibility HAN Template
LGV HAN Template
Practical Use of Program Evaluation
Program Operations Guidelines
S.P.A.C.E. Monkey
STD Informatics and Surveillance
Projects & Initiativesplus icon
EHE: Scaling Up HIV Prevention Services in STD Specialty Clinics
Gonococcal Isolate Surveillance Project (GISP)
Disease Interventionplus icon
Disease Intervention Training Centers
National Disease Intervention Specialists (DIS) Recognition Day
Resources
National Network of Prevention Training Centers (NNPTC)
STD PCHDplus icon
CDC DIS Workforce Development Funding
Guidance
STD Health Equityplus icon
Community Approaches to Reducing STDs
Sexual Health Cultural Competence Resources
Archive
STD Surveillance Network (SSuN)
Archive
Statisticsplus icon
STI Surveillance 2022
Gonococcal Isolate Surveillance Project Profiles
Syphilis Supplement
STI Prevalence, Incidence, and Cost Estimatesplus icon
At A Glance
Social Media Materials
Indian Health Service Reports
Social Media & Moreplus icon
The State of STIs Infographicplus icon
Customizable
HTML version
SDSB Contacts
Archive
Tools & Materialsplus icon
Brochuresplus icon
The Facts Brochures
Fact Sheets
Infographics
Provider Pocket Guides
Social Media Resources
Videos and Podcastsplus icon
Let’s Talk About Sexual Health
Safe in the City
Webinars
Widgets
Archive
Trainingplus icon
STD Prevention Courses
SASSI – SAS Training
STD Clinical Slidesplus icon
STD Clinical Slides
STD Picture Cardsplus icon
STD Picture Cards
Treatment and Screeningplus icon
Availability of STI Testing & Treatment Products
Duty to Warn
Expedited Partner Therapyplus icon
Gonorrhea Guidance
Legal Status of EPT
Legal/Policy Toolkit
Laboratory Information
Prenatal Syphilis Screening Laws
STD QCSplus icon
STD QCS Webinar Questions
STI Treatment Guidelines, 2021
A Guide to Taking a Sexual History
Additional Resources
Archive
About the Division of STD Preventionplus icon
STI Funding at Workplus icon
STI Prevention Success Stories
Success Bulletins
Strategic Plan 2022-2026
Fundingplus icon
Funding Archive
Archive


About CDC
					Contact Us
					800-232-4636
 Facebook Twitter Instagram LinkedIn Youtube Pinterest Snapchat
 CONTACT CDC
				Contact Us
							Call 800-232-4636
							Email Us
			ABOUT CDC
				About CDC
							Jobs
							Funding
			POLICIES
				Accessibility
							External Links
							Privacy
							Policies
							No Fear Act
							FOIA
							OIG
							Nondiscrimination
							Vulnerability Disclosure Policy
			CONNECT WITH US
				Facebook
								Twitter
								Instagram
								LinkedIn
							Youtube
								Pinterest
								Snapchat
								Email
			LANGUAGES
				Español
							繁體中文
							Tiếng Việt
							한국어
							Tagalog
							Русский
							العربية
							Kreyòl Ayisyen
							Français
							Polski
							Português
							Italiano
							Deutsch
							日本語
							فارسی
							English


U.S. Department of Health & Human Services
			Accessibility
			External Links
			Privacy
			Policies
			No Fear Act
			FOIA
			Nondiscrimination
			OIG
			Vulnerability Disclosure Policy
			USA.gov


Exit Notification / Disclaimer Policy Close
 Links with this icon  indicate that you are leaving the CDC website. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website.
				Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
				You will be subject to the destination website's privacy policy when you follow the link.
				CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Website Disclaimers
 Cancel Continue