Culturally Appropriate Interventions of Outreach, Access and Retention among Latino/a Populations – Demonstration Sites

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This announcement solicits applications for a Special Projects of National Significance (SPNS) Program multi-site initiative entitled Culturally Appropriate Interventions of Outreach, Access and Retention among Latino(a) Populations – Demonstration Sites.  This initiative is expected to provide funding during Federal fiscal years 2013-2017 to support organizations that will design, implement and evaluate culturally appropriate service delivery models focused on improving health outcomes among Latinos/as living with HIV disease.  The initiative will focus on Latinos/as who are who are at high risk of HIV infection or are infected with HIV but are unaware of their HIV status; are aware of their HIV infection but have never been engaged in care; are aware but have refused referral to care; or have dropped out of care.  Applicants must propose innovative interventions that identify Latinos/as at high risk or living with HIV, and improve their access, timely entry and retention in quality HIV primary care.  Applicants must have the clinical capacity to implement and sustain their interventions, and propose evaluation plans for these interventions that will enhance knowledge of the disparities in health outcomes affecting Latino populations living in the United States. This initiative will take a transnational approach, and applicants must propose innovative interventions targeting HIV-affected Latino/a subpopulations living in the US but specific to their country of origin. Proposed interventions must address sociocultural and structural barriers, especially stigma, that affect Latino/as’ access and retention in HIV primary care.  Latino/a subpopulations of interest include but are not limited to heterosexual men, heterosexual women, gay and bisexual men, bisexual women, transgender women, and injecting drug users (IDUs).  Awards will be limited to organizations located in areas with high concentration of Latino/as with high incidence and/or prevalence of HIV/AIDS, especially in urban areas.  Consortia of multiple outpatient clinics serving the same identified target population are encouraged to apply. Up to eight awards are anticipated, at up to $300,000 per year over a five year project period.  Awardees will be required to participate in a comprehensive multi-site evaluation throughout the five year project period led by an Evaluation and Technical Assistance Center (ETAC) to identify and document successful models for purposes of dissemination and replication at the national level. Funding for the ETAC is being made available under a separate announcement (HRSA-13-151) and organizations that apply under this funding announcement may not also apply under the ETAC announcement. Funds awarded under this announcement may not be used for direct HIV care services or for duplication of existing services, but rather to fund activities designed to identify, engage and retain HIV-positive Latino/a in quality HIV care.  Direct HIV care is funded by other sources, such as Ryan White HIV/AIDS Program Parts A, B, C, and D.

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