Considerations for Resource Allocation in the Context of Integrated HIV Prevention and Care Plans

IHAP TA Center

The Integrated HIV Prevention and Care Plan Guidance Plans for the 2017-2021 mandates that every HRSA and CDC funded Part A and Part B jurisdiction participate in the completion and submission of an Integrated Plan. This includes both HIV prevention and care services.

The Guidance did not include specific requirements for resource allocation in the context of integration of prevention and care services. But it did include important considerations for resource allocation:

  1. State jurisdictions are required to complete the SCSN and to use the needs identified in the SCSN to design the Integrated Plan.
  2. Documentation of the SCSN had to include an Epidemiologic Overview, a description of the HIV Care Continuum, a Financial and Human Resource Inventory, an analysis of Needs/Gaps/Barriers to HIV Services, and a description of Data Sources.
  3. Per the Guidance, the Financial Resource Inventory was a comprehensive summary of all funding sources. The sources were both public and private. They were available in FY16 for HIV prevention, care, and treatment services in the jurisdiction.
  4. Metropolitan areas and states could determine the format of their Integrated Plan. HRSA, however, asked jurisdictions to describe the resources allocated for key strategies and activities identified through the integrated planning process.

Assessing the Impact of Resource Allocation Decisions

RWHAP recipients are tasked with allocating resources in a manner that best addresses unmet needs and local priorities for integrated HIV prevention and care planning. Assessing the impact of their resource allocation decisions creates opportunities for recipients to improve their approach to RWHAP service delivery. This can shift resources towards promising practices that will be most effective in ending the HIV epidemic.

Ongoing subrecipient monitoring and timely allocation or reallocation of resources are important factors to assess. During each grant budget period, RWHAP recipients should evaluate service utilization, expenditures, and client outcomes. This should be done for each subrecipient providing direct services to people with HIV or other administrative support, (e.g., services provided by lead agencies, fiduciary agents, or consortia). If a subrecipient does not meet expectations outlined in contracts or other agreements, the RWHAP recipient should re-allocate funds to other subrecipients. Doing this will ensure better overall outcomes. Reallocations may also be necessary to address new or emerging needs within a jurisdiction, or other unanticipated factors.