at the following MA agencies: Fenway Health Massachusetts Alliance of Portuguese Speakers Whittier Street Health Center HCV, and STI testing Comprehensive prevention with HIV positives Condom distribution Evidence based interventions Ryan White HIV/AIDS Program Part D $1,790,334 Resources support health department personnel and direct service contracts to provide services to women, infants, children and youth supported through the MassCARE program. HRSA also directly awards funds for this population to three community-based medical agencies in Massachusetts. Medical case management Peer support Clinical quality management (CQM) Diagnosed with HIV Engaged in care Retained in care Achieving viral suppression HRSA Bureau of Primary Health Care and CDC (Partnerships for Care) $644,049 Resources support health department personnel and costs associated with administering services funded under this cooperative agreement. Field epidemiology services, including partner services MA HIV/AIDS Surveillance Program Engaged in care Retained in care Achieving viral suppression CDC (CoRECT) $500,000 Resources support health department personnel, awards to collaborating health centers, and Field epidemiology services, including partner services Engaged in care Retained in care Achieving
costs associated with administering services funded under this cooperative agreement. MA HIV/AIDS Surveillance Program viral suppression Housing Opportunities for Persons with HIV/AIDS (HOPWA) $308,246 Resources support personnel and costs associated with delivery of services at four agencies. Housing search and advocacy Medical case management Adherence support Benefits coordination Engaged in care Retained in care Achieving viral suppression State Programs and Resources Funding Source Funding Amount Funded Service Providers Funded Services HIV Care Continuum Step(s) Impacted MassHealth (MA Medicaid) $381,295,909 (State FY2016) MassHealth resources are managed by the Commonwealth of Massachusetts. Medical care and treatment services Expanded access to Medicaid for non-disabled PLWH under 200% FPL under an 1115 Medicaid waiver Diagnosed with HIV Engaged in care Retained in care Achieving viral suppression State Budget Appropriations $33,370,000 (State FY2017) Resources support direct service contracts with community-based medical and Client outreach and engagement Integrated HIV, HCV, and STI Diagnosed with HIV Engaged in care Retained in based
agencies: 39 services contracts to provide HIV prevention and screening services 40 service contracts to provide Medical Case Management and health related support services One service contract to administer the HIV Drug Assistance Program testing and linkage to care and treatment Comprehensive prevention with HIV positives Condom distribution Field epidemiology services, including partner services Medical case management Health related support services for PLWHA, including nutrition, housing, legal, peer services and acupuncture HIV/AIDS Surveillance care Achieving viral suppression Retained Revenue Account $7,500,000 in manufacturer rebates Resources support the HIV Drug Assistance Program (HDAP) Coverage for the full cost of drugs for uninsured HIV+ individuals Health insurance premium assistance HIV medication copayment assistance Engaged in care Retained in care Viral suppression HRSA, AND HUD Massachusetts receives significant financial support from the federal government, namely through the awarding of funds from cooperative agreements and competitive grants that support HIV/AIDS
Expand capacity to provide out-of-care line lists to community-based non-medical providers for the purpose of promoting engagement and retention in medical care Improve capacity for dissemination of local (city, neighborhood) disease surveillance data to inform local-level disease response, in collaboration with local public health agencies Develop capacity for HIV providers to coordinate with the Massachusetts HIV/AIDS Surveillance Program to verify engagement in care Expand implementation of Electronic Health Record Support for Public Health (ESPnet) to directly query electronic medical records to monitor HIV, STD, and viral hepatitis diagnosis, and improve the quality and timeliness of care and treatment services Improve provider capacity to use HIV surveillance and Electronic Medical Record (EMR) data to improve the delivery of HIV prevention and care services. OF The integration of prevention and care services has long been identified as top priority for HIV service programs. Overwhelmingly, participants highlighted the need for additional flexibility across prevention and care funding streams to meet the needs of both HIV+ and at-risk populations. Suggested strategies include: Streamline funding for prevention and care services into a single contract procurement Support contractual scopes of service that are responsive to social determinants of health for individuals both living with and at risk for HIV infection Expand allowable service scopes to include housing search, advocacy, and transitional or permanent placement services for persons at high risk for HIV infection, who are homeless or unstably housed Provide flexibility for medical and non-medical providers to leverage federal and state funds across prevention and care funding streams Cross-train prevention and medical case management staff to provide continuous levels of care, regardless of funding source(s) or HIV status of clients served Develop an integrated set of prevention and care quality monitoring standards Include support for certified Community Health Workers (CHWs) as members of integrated HIV prevention and care teams as a component of service contracts HIV The Massachusetts HIV care continuum is an important tool to assess the impact of publicly funded HIV/AIDS prevention and care services. Data from the Massachusetts HIV care continuum indicates higher levels of engagement in care, retention in care, and viral suppression when compared to nationwide data; yet disparities persist by race/ethnicity, age, gender, and exposure mode. Closing the remaining gaps along the continuum of care, especially for populations experiencing lower rates of viral suppression and retention in care, was highlighted as a priority. Additional service needs to improve health outcomes were identified, including:
Through 2021 Implement rectal and pharyngeal screening for STIs to identify MSM engaging in high risk sexual activity MSM, YMSM, racial/ethnic minority MSM BIDLS Division of STD Prevention MA State Public Health Laboratory (MSPHL) OHA funded health promotion and disease prevention programs Number of STI screenings conducted Number of STI positive MSM linked to STI treatment Ongoing Deploy Field Epidemiologists to provide rapid linkage to medical care and HIV Partner Services for MSM diagnosed with acute HIV infection MSM diagnosed with acute HIV infection BIDLS Division of STD Prevention MA State Public Health Laboratory OHA funded HPDP programs Number of MSM diagnosed with acute HIV infection linked to medical care Through 2021 Expand upon existing training focused on ‘Talking with Clients About Sex’ with publicly-funded HIV, HCV, STI testing programs to increase levels of sexual risk assessment and risk reduction planning services MSM, YMSM, racial/ethnic minority MSM Office of HIV/AIDS OHA funded health promotion and disease prevention programs Number of training series delivered Number of field-based staff trained Through 2021 Implement universal STI testing and treatment in all OHA that provide health promotion and disease prevention services MSM, YMSM, racial/ethnic minority MSM Office of HIV/AIDS OHA funded health promotion and disease prevention programs Number of STI+ individuals identified Percent of STI+ provided treatment Objective 1.2: By 2021, eliminate newly diagnosed HIV infections among PWID Timeframe Activity Target Population Responsible Parties Data Indicators Through 2021 Expand the number of SSPs in the Commonwealth PWID Local boards of health (for SSP approval) OHA OHA-funded HPDP programs Number of SSP’s Number of syringes collected Number of syringes distributed
Through 2021 Expand support for outreach and linkage services in settings that serve PWID, and in venues where PWID congregate or reside PWID OHA OHA-funded HPDP programs Number of clients reached through population targeting efforts Through 2021 Expand access to Overdose Education and Naloxone Distribution services in the context of comprehensive health promotion services for PWID PWID OHA OHA-funded HPDP programs Bureau of Substance Abuse Services (BSAS) Number of programs providing OEND services Number of enrollments in OEND services Number of refills Number of reported overdose reversals Ongoing Deploy Field Epidemiologists to provide rapid linkage to medical care and HIV Partner Services for PWID diagnosed with acute HIV infection PWID diagnosed with acute HIV infection BIDLS Division of STD Prevention MSPHL OHA funded HPDP programs Percent of PWID diagnosed with acute HIV infection linked to medical care Ongoing Administer access to health insurance premium and medication co-payment assistance through the HIV Drug Assistance Program to all income-eligible PWID with HIV infection Income eligible PWID living with HIV OHA MA HIV Drug Assistance Program Percent of income-eligible HIV+ PWID enrolled in HDAP Ongoing Sustain access to HIV and HCV in OHA-funded sites and support referral and linkage to medical care providers for individuals diagnosed with HCV infection PWID OHA MSPHL OHA funded HPDP programs Proportion of HIV/HCV tests conducted among PWID Percent of individuals linked to HCV medical care and treatment Through 2021 Implement universal STI testing and treatment in all OHA funded-sites that provide health promotion and disease prevention services PWID OHA OHA funded HPDP programs Number of STI+ individuals identified Percent of STI+ provided treatment
Objective 1.3: By 2021, eliminate perinatal HIV transmission Timeframe Activity Target Population Responsible Parties Data Indicators Ongoing Utilize clinical chart review to ensure levels of ART prescription to HIV+ pregnant women meets 100% performance expectation HIV+ pregnant women OHA John Snow Inc. (subcontractor that conducts clinical chart review Percent of HIV+ pregnant women that are prescribed ART Ongoing Collaborate with the Part D MassCARE program to implement Fetal Infant Mortality Review for any HIV+ infant born in Massachusetts HIV+ pregnant women OHA Part D MassCARE Program Number of Fetal Infant Mortality Reviews conducted Objective 1.4: By 2021, achieve a reduction in the proportion of cases reported to Massachusetts HIV Surveillance Program with No Identified Risk (NIR) from 25% to 15% of all reported cases Timeframe Activity Target Population Responsible Parties Data Indicators Through 2021 Deploy HIV surveillance epidemiologists to follow up with all providers submitting CRF’s with incomplete exposure mode data Medical providers submitting HIV case report forms OHA BIDLS Division of STD Prevention Number of providers engaged by Field Epidemiologists Percent of CRFs with missing data Through 2021 Provide education and technical assistance to medical providers who complete HIV Case Report forms regarding the importance of complete and accurate reporting of exposure mode Medical providers submitting HIV case report forms OHA Number of technical assistance sessions provided Percent of CRFs with missing data Through 2021 Develop Corrective Action Plans with any publicly funded agency that submits CRF’s with incomplete exposure mode data Medical providers submitting HIV case report forms OHA Number of corrective action plans developed and completed Objective 1.5: By 2021, establish a baseline understanding of new infections among individuals, and set health outcomes benchmarks to improve the quality and effectiveness of prevention and care services Timeframe Activity Target Population Responsible Parties Data Indicators
Through 2021 Standardize all HIV, STD, and HCV surveillance and data collection forms to include documentation of both ‘sex at birth’ and ‘current gender identity' individuals OHA MA HIV Surveillance Program Completion of updated forms Through 2021 Provide education and technical assistance to medical providers who complete HIV Case Report forms regarding the importance of complete and accurate reporting of exposure mode individuals OHA MA HIV Surveillance Program (MAHSP) Number of technical assistance sessions provided Through 2021 Monitor completion of ‘sex and birth’ and ‘gender identity’ data fields and deploy epidemiologic follow up with any agency failing to report complete data, or reporting conflicting or inconsistent information individuals OHA Number of corrective action plans developed and completed By 2021 Provide capacity building to publicly-funded HIV prevention and care programs to develop and implement transgender sensitivity and competency training plans individuals OHA OHA funded HPDP programs Number of capacity building sessions provided By 2021 Perform frequent data analysis (minimum biannually) to monitor trends in HIV infection among population and share with Transgender Health Advisory Group individuals OHA MAHSP Transgender Health Advisory Group Completion of data analysis Number of engagements with advisory group 2: HIV Objective 2.1: By 2021, 90% of newly diagnosed HIV+ individuals will be successfully linked to care within 45 days of the date of diagnosis Timeframe Evaluative Activity Target Population Responsible Parties Data Indicators Ongoing Utilize HIV surveillance data to identify population groups, geographic regions, and provider agencies with suboptimal linkage to care, and deploy tailored interventions Newly diagnosed HIV+ individuals Office of HIV/AIDS (OHA) MA HIV Surveillance Program OHA-funded HPDP programs Proportion of clients linked to care within 45 days
Ongoing Deploy Field Epidemiologists to intervene with all persons diagnosed with acute HIV infection within 24 hours of diagnosis, and link them to care within 72 hours of diagnosis Individuals diagnosed with acute HIV infection OHA BIDLS Division of STD Prevention Percent of individuals with acute HIV infection linked to care within 72 hours of diagnosis Through 2021 Deploy Field Epidemiologists to follow up with all individuals newly diagnosed with HIV infection, and provide direct linkage to an HIV medical provider Newly diagnosed HIV+ individuals OHA BIDLS Division of STD Prevention Number of newly diagnosed individuals connected to a Field Epidemiologist Percent of newly diagnosed individuals linked to medical care via Field Epi. Ongoing Expand the services of the Benefits Resource Infectious Disease Guidance and Engagement (BRIDGE) team to ensure HDAP services are maximally accessible to individuals newly diagnosed with HIV infection Newly diagnosed HIV+ individuals OHA HIV Drug Assistance Program (HDAP) HDAP BRIDGE Team Number of income eligible newly diagnosed individuals enrolled in HDAP Through 2021 Expand utilization of interdisciplinary teams to outreach to newly diagnosed individuals in community-based settings and provide intensive linkage to care supports Newly diagnosed HIV+ individuals OHA funded HPDP programs Assessment of workforce capacity to meet needs of newly diagnosed HIV+ individuals Through 2021 Design and implement education and training activities that aim to reduce HIV-associated stigma Newly diagnosed HIV+ individuals Office of HIV/AIDS Description of activities and number of training activities conducted Objective 2.2: By 2021, improve Massachusetts HIV Care Continuum outcomes to 90/90/90 (90% diagnosed; 90% retained in care; and 90% of PLWH virally suppressed) Timeframe Activity Target Population Responsible Parties Data Indicators Ongoing Expand targeted testing initiatives to reach disproportionately Individuals at risk for HIV OHA Proportion of HIV tests
impacted population groups and populations with low rates of HIV testing in community-based medical and non-medical agencies acquisition OHA-funded HPDP programs conducted among impacted population groups Ongoing Deploy Field Epidemiologists to intervene with all persons diagnosed with acute HIV infection within 24 hours of diagnosis, and link them to care within 72 hours of diagnosis Individuals diagnosed with acute HIV infection OHA BIDLS Division of STD Prevention Proportion of individuals with acute HIV infection linked to care within 72 hours of diagnosis Through 2021 Deploy Field Epidemiologists to follow up with all individuals newly diagnosed with HIV infection, and provide direct linkage to an HIV medical provider Newly diagnosed HIV+ individuals OHA BIDLS Division of STD Prevention Proportion of newly diagnosed individuals connected to Field Epidemiologist Number of newly diagnosed individuals linked to medical care via Field Epi. Ongoing Expand the services of the Benefits Resource Infectious Disease Guidance and Engagement (BRIDGE) team to ensure HDAP services are maximally accessible to individuals newly diagnosed with HIV infection Newly diagnosed HIV+ individuals OHA HIV Drug Assistance Program (HDAP) HDAP BRIDGE Team Number of income eligible newly diagnosed individuals enrolled in HDAP Through 2021 Expand routine HIV testing in primary care practices, obstetrics and labor and delivery, community health centers, and hospitals with capacity to provide immediate linkage and engagement in HIV medical care Individuals at risk for HIV acquisition OHA OHA-funded HPDP programs Non-OHA funded medical programs Percentage of pregnant women who report receiving an HIV test in PRAMS dataset By 2021 Integrate direct service procurements for prevention and care into a single contract, to enable a seamless continuum of services for persons living with and at risk for HIV infection Individuals at-risk for HIV acquisition PLWH OHA OHA funded HPDP programs Establishment of integrated service procurement
By 2021 Establish a mechanism to provide expedited access to HIV Drug Assistance Program (HDAP) coverage for all individuals diagnosed with HIV infection during the acute phase Individuals diagnosed with acute HIV infection OHA OHA funded HPDP programs MA HDAP Percent of eligible individuals diagnosed with acute HIV infection enrolled in HDAP Objective 2.3: By 2021, eliminate progression to AIDS among PLWH Timeframe Activity Target Population Responsible Parties Data Indicators Ongoing Utilize HIV electronic laboratory reporting (ELR) surveillance data to identify PLWH who are out of care or not virally suppressed, and deploy Field Epidemiologists in coordination with medical care teams to promptly reengage patients into care and treatment PLWH Office of HIV/AIDS (OHA) MA HIV Surveillance Program BIDLS Division of STD Prevention Number of out of care PLWH reengaged into medical care Number of suppressed PLWH reengaged into medical care Ongoing Continue to administer access to health insurance premium and medication co-payment assistance through the HIV Drug Assistance Program to all income-eligible persons with HIV infection Income eligible PLWH OHA MA HIV Drug Assistance Program Number of income-eligible PLWH enrolled in HDAP Ongoing Implement acuity-based medical case management (MCM) services in all regions of the state to ensure access to health systems navigation, clinic- and community-based interventions to promote engagement and retention in care, and adherence support to maximize rates of viral suppression PLWH OHA OHA-funded HPDP providers Number of clients enrolled in state and HRSA funded MCM services Rates of linkage and engagement in care among PLWH accessing MCM services Rates of viral suppression among PLWH accessing MCM services Through 2021 Expand efforts to reduce stigma by supporting a diverse HIV workforce in the Commonwealth, including the use of HIV+ peers, community health PLWH OHA OHA-funded providers Assessment of workforce capacity to meet needs of PLWH
seamless linkage to medical care and treatment Percent of new and known HIV and HCV positive individuals linked to care Through 2021 Design and distribute educational materials to medical providers about the availability of medication co-payment assistance through HDAP for HIV/HCV co-infected individuals, including co-infected persons who are incarcerated Individuals with HIV and HCV OHA MA HDAP Number of educational materials provided Through 2021 Integrate behavioral health and substance abuse treatment services into prevention and care programs that serve PWID and other persons managing substance use disorders Individuals with HIV and HCV OHA OHA-funded HPDP programs Number of referrals made to behavioral health programs and substance use treatment Through 2021 Release an educational campaign directed to persons who inject drugs (PWID), with a focus on young PWID about the availability and benefits of HCV care and treatments Individuals with HIV and HCV OHA OHA funded HPDP programs Number of individuals reached via campaign Through 2021 Utilize HIV Drug Assistance Program (HDAP) data to identify co-infected program enrollees who have not received HCV treatment, and deploy follow up by HDAP medical staff to deliver education and clinical guidance to the treating physician Individuals with HIV and HCV OHA MA HDAP Number and percentage of co-infected HDAP enrollees linked to HCV treatment Through 2021 Provide capacity building assistance to all health promotion and disease prevention service providers about the effectiveness of HCV treatment, clinical recommendations that HIV/HCV co-infected persons receive HCV treatment, and long term, impacts of HCV cure for persons co-infected with HIV and HCV Individuals with HIV and HCV OHA OHA-funded HPDP programs Number of capacity building activities conducted Number of providers reached Objective 2.6: By 2021, 100% of clients diagnosed with acute HIV infection will be linked to care within 72 hours Timeframe Activity Target Population Responsible Parties Data Indicators Through 2021 Train and provide continuing education to Field Epidemiologists to intervene with acute HIV Individuals diagnosed with acute HIV BIDLS Division of STD Prevention Number of Field Epidemiologists trained
infection diagnoses and ensure linkage to medical care infection Through 2021 Amend scopes of services with contracted medical providers to ensure expedited access to medical evaluation and treatment for all individuals diagnosed with acute HIV infection as a condition of award, including cases of acute HIV infection referred directly by Field Epidemiologists Individuals diagnosed with acute HIV infection OHA BIDLS Division of STD Prevention OHA-funded HPDP programs Completion of contract amendments Through 2021 Collaborate with the NEAETC, Massachusetts League of Community Health Centers, and others to provide training to medical providers about acute HIV infection; the importance of immediate access to evaluation and treatment; and prompt referral to partner services Individuals diagnosed with acute HIV infection OHA NEAETC Massachusetts League of Community Health Centers BIDLS Division of STD Prevention Number of providers reached Objective 2.7: By 2021, 75% of sexually active PLWH will receive STD testing during medical visits Timeframe Activity Target Population Responsible Parties Data Indicators Ongoing Utilize the Clinical Chart Review to identify medical agencies with suboptimal levels of STD testing in HIV+ patients, and require implementation of a clinical quality improvement response to improve performance PLWH OHA John Snow Inc. (subcontractor that conducts clinical chart review Number of Field Epidemiologists trained Through 2021 Expand upon existing capacity building activities focused on ‘Talking with Clients About Sex’ with medical case managers to increase levels of sexual risk assessment and supportive referrals to STD testing for HIV+ clients PLWH OHA OHA-funded HPDP programs Completion of contract amendments Through 2021 Collaborate with the New England AIDS Education and Training Center (NEAETC), Massachusetts League of Community Health Centers, and others to provide training to medical providers about the importance of regular STI testing among sexually active PLWH PLWH OHA NEAETC Massachusetts League of Community Health Centers Number of providers reached
3: REDUCE Objective 3.1: By 2021, reduce the disparity in relative rates of new HIV infection diagnoses between black (non-Hispanic) and white (non-Hispanic) residents by 20% Timeframe Evaluative Activity Target Population Responsible Parties Data Indicators Through 2021 Expand HIV prevention, testing, and medical case management services in agencies serving black populations or with documented capacity to serve them Black men, women, and black transgender women Office of HIV/AIDS (OHA) OHA-funded health promotion and disease prevention (HPDP) programs Number of agencies serving black (non-Hispanic) clients Through 2021 Expand access to biomedical interventions, including PrEP and nPEP, to agencies located in neighborhoods where black individuals receive services Black men, women, and black transgender women OHA OHA-funded HPDP programs Number of black men, women, and transgender women that are enrolled in PrEP and nPEP. Through 2021 Generate HIV care continuum analyses for black (non-Hispanic) individuals to monitor disparities in health outcomes and implement interventions to address gaps in engagement and retention in care and viral suppression. Black men, women, and black transgender women OHA OHA-funded HDPD programs Rates of engagement in care among population Rates of retention in care among population Rates of viral suppression among population Ongoing Administer access to health insurance premium and medication co-payment assistance through the HIV Drug Assistance (HDAP) Program to all income-eligible persons with HIV infection Income eligible Black men, women, and black transgender women OHA MA HIV Drug Assistance Program Number of income-eligible PLWH enrolled in HDAP Through 2021 Collaborate with the Partnership for Addressing HIV Among African Immigrants to identify strategies and best practices for serving African born immigrants living with and at risk for HIV African born immigrants OHA Partnership for Addressing HIV Among African Immigrants Number of engagements with advisory group Number of programs
implemented Objective 3.2: By 2021, reduce the disparity in relative rates of new HIV infection diagnoses between Hispanic/Latino and white (non-Hispanic) residents by 25% Timeframe Activity Target Population Responsible Parties Data Indicators Through 2021 Expand HIV prevention, testing, and medical case management services in agencies serving Hispanic/Latino populations or with documented capacity to serve them Hispanic/Latino men, women, and transgender women Office of HIV/AIDS (OHA) OHA-funded HPDP programs Number of agencies serving Hispanic/Latino population Through 2021 Expand access to biomedical interventions, including PrEP and nPEP, to agencies located in neighborhoods where Hispanic/Latino individuals receive services Hispanic/Latino men, women, and transgender women OHA OHA-funded HPDP programs Number of Hispanic/Latino men, women, and transgender women that are enrolled in PrEP and nPEP. Through 2021 Generate HIV care continuum analyses for Hispanic/Latino individuals to monitor disparities in health outcomes and implement interventions to address gaps in engagement and retention in care and viral suppression. Hispanic/Latino men, women, and transgender women OHA OHA-funded HDPD programs Rates of engagement in care among population Rates of retention in care among population Rates of viral suppression among population Ongoing Administer access to health insurance premium and medication co-payment assistance through the HIV Drug Assistance (HDAP) Program to all income-eligible persons with HIV infection Hispanic/Latino men, women, and transgender women OHA MA HIV Drug Assistance Program Number of income-eligible Hispanic/Latino individuals enrolled in HDAP Through 2021 Work with the Transgender Health Advisory Group to identify strategies to deliver HIV prevention and care services to Latina transgender women Latina transgender women OHA Transgender Health Advisory Group Number of engagements with advisory group Number of
Through 2021 Utilize HIV surveillance data to identify young MSM who are documented to be out-of-care based on gaps in HIV laboratories, and deploy Field Epidemiologists and specialized linkage and retention teams to reengage these individuals in care and treatment. YMSM OHA BIDLS Division of STD Prevention Percent of out of care YMSM reengaged in care and treatment services Ongoing Administer access to health insurance premium and medication co-payment assistance through the HIV Drug Assistance (HDAP) Program to all income-eligible persons with HIV infection YMSM OHA MA HIV Drug Assistance Program Percent of income-eligible HIV+ YMSM enrolled in HDAP Through 2021 Collaborate with the Bureau of Substance Abuse Services (BSAS) to implement substance use treatment services in selected sites serving LGBTQ youth LGBTQ youth OHA BSAS OHA-funded HPDP programs Number of programs offering treatment services Number of LGBTQ youth enrolled in treatment services Objective 3.5: Eliminate new HIV diagnoses among young PWID (under age 30) Timeframe Activity Target Population Responsible Parties Data Indicators Ongoing Increase participation in HIV and hepatitis C testing and prevention services by PWID, particularly young persons who inject drugs (YPWID) YPWID OHA OHA funded HPDP programs Proportion of PWID tested for HIV/HCV under the age of 30 Ongoing Increase participation in SSP by young PWID through specialized outreach and engagement activities to reach this population YPWID OHA OHA funded HPDP program Number of YPWID reached through population targeting efforts Through 2021 Develop and release educational media campaign focused on engaging YPWID in HIV and HCV prevention, testing, care, and treatment services YPWID OHA Number of individuals reached by campaign