MOBILE-HIV-PREVENTION-SUPPORT-AND-OUTREACH-PROJECT- REVISED INTENT TO APPLY AMOUNT 4_6_18.PDF
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Last updated: 04/03/2018 General information Organization Southwest Center for HIV/AIDS Contact First name Lisa Contact Last name Fontes Contact e-mail lfontes@swhiv.org Contact phone number 6025958154 Address Street 1101 North Central Ave., Ste. 200 City Phoenix State Arizona ZIP Code 85004 From what tribe is the Fort McDowell Yavapai Nation organization requesting the grant? *Per phone conversation (4/6) with Lisa Fontes, Total grant amount request 100,000 correct amount requested is $99,997.70 1 / 1 2018 Fort McDowell Yavapai Nation Arizona Benefits Fund Grant Application Applicant Information: Southwest Center for HIV/AIDS 1101 N. Central Ave., Ste. 200, Phoenix, AZ, 85004 Phone: 602-595-8154 Primary Contact: Dr. Lisa Fontes, Director of Development 1101 N. Central Ave., Ste. 200, Phoenix, AZ, 85004 Phone: 602-595-8154; Email: lfontes@swhiv.org Narrative: 1. Proposed Project: The Southwest Center for HIV/AIDS (SWHIV) requests funding to launch its new Mobile HIV Prevention, Support, and Outreach Project. Funding from the Fort McDowell Yavapai Nation would allow SWHIV to extend its reach to communities both within and outside of Maricopa County who are currently unable to access the Center’s services. SWHIV is known for providing culturally competent services at its central Phoenix location, and currently tests more individuals for HIV and identifies more HIV-positive individuals than any other clinic in Arizona. These successes have made SWHIV the clinic most referred to for high acuity HIV cases where individuals face significant barriers to care. The Mobile Project will bring services that SWHIV has provided for 28 years in central Phoenix to new areas in Maricopa County and throughout Arizona where there are limited HIV testing, prevention, and care programs. Central to SWHIV’s Mobile Project will be a vehicle serving as a mobile medical clinic where staff will provide bilingual services, including: -HIV/STI testing and linkage to care for those who test HIV-positive; -Prevention education, including Pre-Exposure Prophylaxis (PrEP, an HIV-preventative medication); -Supportive services, including nutrition assessments and behavioral health counseling; and -Outreach services, including condom distribution, safer sex information, and STI prevention education. The requested funds will support the Mobile Project for one year, including: vehicle purchase and necessary customization to make it a mobile medical clinic; vehicle registration, insurance, and mileage; HIV test kits and medical supplies to help 660 individuals learn their HIV status; and salary and benefits for one full-time mobile clinic staff who will provide services to clients at off-site locations. 2. Purpose of Project and Relation to Fort McDowell’s funding priorities: SWHIV’s Mobile Project has a threefold mission: 1. To strengthen the geographic reach of the services that SWHIV provides to socially and/or economically vulnerable communities, including: youth, adults, and seniors who have difficulty reaching SWHIV’s outpatient clinic—i.e. the unemployed, homeless, or undocumented; members of communities of color; and those facing barriers to medical care. 2. To bring HIV prevention, education, testing, medical care, and support services to those communities most affected by the HIV epidemic—including youth, women, and members of communities of color—and provide health equity to these individuals. 3. To increase the number of people that SWHIV tests off-site to help individuals learn their HIV status and stop the spread of the epidemic; and to link those who test positive off-site to HIV medical care. In this way, the project will address Fort McDowell’s health funding priority while advancing the Center’s mission of serving individuals touched by HIV/AIDS through prevention, client-centered services, and coordinated care in collaboration with community partners. 3. Project Need, Population Targeted, and Estimated Number Served: Most HIV-positive Arizonans live in Maricopa County, however, there are limited HIV services outside of downtown Phoenix. HIV diagnosis rates are rising in Arizona, and youth ages 20-29 are among those most affected, along with Native Americans, Hispanics, and African Americans. 90% of new HIV infections could be avoided if people living with HIV were diagnosed and received prompt, ongoing medical care. That’s why testing individuals for HIV is the critical first step to ending the epidemic, and the only way to identify the 1 in 7 individuals living with HIV who are unaware they have the disease. Currently, only half of Arizona’s HIV-positive population is retained in medical care. There are many factors that keep HIV-positive individuals from entering and engaging in care, including lack of transportation, homelessness, real or perceived stigma, discrimination in health care access, fear of health care, depression, substance abuse, or lack of supportive community. The Mobile Project will bring HIV prevention, testing, and medical care to populations vulnerable to the disease who do not have ready access to HIV resources. SWHIV’s Mobile Project will aim to serve youth, adults, and seniors who have difficulty reaching SWHIV’s outpatient clinic, including: those facing barriers to medical care (e.g., transportation, lack of insurance, etc.); members of communities of color; immigrant populations; the unemployed, homeless, or undocumented; veterans; LGBTQ+ individuals; and those with fears of health services and/or who have difficulty finding culturally sensitive medical care. The Mobile Project will strengthen the services that SWHIV provides to these socially and/or economically vulnerable communities, while working toward health equity for the communities who are hardest hit Arizona’s HIV epidemic. The Mobile Project will provide services to approximately 7,000 Arizonans annually. In the first year of the project, SWHIV estimates that it will provide: HIV tests to 660 individuals at off-site locations, including bars, one-n-ten’s Youth Centers, pop-up locations, and community events; resources to 100% of those who test positive for HIV, linking over 90% of those who test positive for HIV to medical care (compared to the state average of 64%); PrEP education and navigation services to 90 individuals at off-site locations; supportive services (e.g., prevention education, nutrition assessments, or behavioral health counseling) to 400 youth at one- n-ten’s Youth Centers, 300 individuals at pop-up locations, and an additional 500 individuals each in Coconino, Pima, and Yavapai counties; and outreach services (condom distribution, safer sex information, STI prevention education) to an additional 5,000 people in Maricopa County at pop-up locations in collaboration with community partners. 4. Project Partners: Partnerships will be critical to the success of SWHIV’s Mobile Project. The Center will leverage its relationships with other non-profits and health clinics to cultivate a regular presence in pop-up locations in Maricopa, Coconino, Pima, and Yavapai counties. SWHIV will also build on its relationship with one-n-ten, a non-profit that serves LGBTQ+ youth, to provide services at Youth Centers throughout Arizona. This will allow SWHIV to reach one of the populations most vulnerable to HIV—LGBTQ+ youth. SWHIV’s outreach specialists will coordinate the pop-up locations in Maricopa County, and SWHIV’s Northern Arizona Initiatives Consultant will ensure that the Center is able to reach rural populations in the state’s northern counties. 5. Project Timetable: The implementation of the Mobile Project will begin upon receipt of funding. As soon as the van is purchased and modified, our outreach staff will begin providing services at locations where SWHIV already has an existing relationship with an organization. During this initial phase, our outreach specialists and Northern Arizona Initiatives Consultant will coordinate with new partners to allow for full expansion of the program. Once up and running, the project will continue indefinitely and will expand geographically as funding permits. Conclusion: The Mobile HIV Prevention, Support, and Outreach Project will bring HIV testing and support services to members of HIV- vulnerable populations throughout Maricopa county and Arizona. SWHIV will mobilize its community partnerships to create a trusted, regular presence at pop-up locations and Youth Centers throughout Arizona, expanding the reach of its culturally competent services to tens of thousands of Arizonans. Funding from the Fort McDowell Yavapai Nation will allow the Southwest Center to help individuals learn their HIV status, provide education about safer sex practices, help individuals reduce their risk of contracting or transmitting the virus, and link HIV-positive clients to medical care and help them take steps to protect their own health. By funding the SWHIV Mobile Project, the Fort McDowell Yavapai Nation will help stop HIV in its tracks. 2018 Fort McDowell Yavapai Nation Arizona Benefits Fund Grant Application Mobile HIV Prevention, Support, and Outreach Project Budget Expenses Amount Requested Salary for one FTE Mobile Project staff $36,000 Employee Benefits $7,667.70 Vehicle Registration $500 Vehicle Purchase and Modification $36,000 Medical Supplies $12,150 Logo magnets for vehicle $230 Mileage and Fuel Costs (10,000 miles/yr) $5,450 Vehicle insurance $2,000 Total $99,997.70 Statement Regarding Need for Long Term Funding The proposed budget above reflects the costs necessary to launch the Southwest Center’s Mobile HIV Prevention, Support, and Outreach Project. After the first year of implementation, the Mobile Project will rely on continued funding to operate and expand geographically. While SWHIV has only budgeted one year of expenses for the Mobile HIV Prevention, Support, and Outreach Project, the impact of this program will extend far beyond the budget period. SWHIV’s van team will provide services to individuals in Maricopa County and across Arizona for at least the next 10 years, as long as the van itself is in service. During this time SWHIV will be able to provide services to members of communities vulnerable to HIV at little- to no-cost to these individuals, in turn impacting tens of thousands of Arizonans. Additionally, the partnerships that SWHIV will cultivate with other local and statewide non-profit and/or medical organizations through the Mobile Project will outlast the van itself. These collaborations will offer SWHIV the opportunity to provide continued outreach, education, HIV prevention, HIV/STI testing, referrals to HIV medical care, and support to those in need. Overall, the funds from Fort McDowell Yavapai Nation will have a lasting impact. Not only will funds help SWHIV broaden the geographic reach of its services, but it will also help the organization fulfill its pledge to contribute to the City of Phoenix’s Fast Track Cities goal to help 90% of those who have HIV know their status, 90% of those individuals living with HIV to be retained in medical care, and 90% of those in care to remain virally suppressed and unable to transmit the virus to others. By funding the SWHIV Mobile Project, the Fort McDowell Yavapai Nation will help slam the brakes on Arizona’s HIV epidemic.