title: First year of AIDS services delivery under Title I of the Ryan White CARE Act.
abstract: This is a review of (a) the emergency assistance for ambulatory HIV medical and support services provided in the first year by eligible metropolitan areas (EMAs) funded under Title I of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, (b) the varied responses and processes by which the 16 urban areas receiving Title I funds in 1991 met legislative mandates, (c) the central nature of planning councils under Title I and their formation and functioning, and (d) issues related to current implementation and future expansion of Title I to additional eligible metropolitan areas. Integral to the review is a brief discussion of the history of AIDS and HIV infection, particularly in cities receiving CARE Act funding, an overview of Title I requirements, and a description of the organizational structures cities are using to implement Title I. Information on Title I EMAs is based on analysis of their 1991 applications, bylaws of their HIV service planning councils, intergovernmental agreements between Title I cities and other political entities, and contracts executed by Title I grantees with providers for the delivery of services. Interviews with personnel in several Title I EMAs, including planning council members and grantee staff members, provided additional information. This is the first descriptive accounting of activities related to the 1991 applications for and uses of Title I funds, and the administrative and service issues related to this process.
authors.affiliation: Bureau of Health Resources Development (BHRD), Health Resources and Services Administration (HRSA), Rockville, MD.
authors.forename: G S
authors.initials: GS
authors.lastname: Bowen
authors.forename: K
authors.initials: K
authors.lastname: Marconi
authors.forename: S
authors.initials: S
authors.lastname: Kohn
authors.forename: D M
authors.initials: DM
authors.lastname: Bailey
authors.forename: E P
authors.initials: EP
authors.lastname: Goosby
authors.forename: S
authors.initials: S
authors.lastname: Shorter
authors.forename: S
authors.initials: S
authors.lastname: Niemcryk
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000191:economics* / Q000628:therapy*; D000553:Ambulatory Care / Q000191:economics; D005380:Financing, Government / Q000331:legislation & jurisprudence; D006286:Health Planning Councils / Q000331:legislation & jurisprudence; D006292:Health Priorities; D006801:Humans; D009313:National Health Programs / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D015397:Program Evaluation; D014481:United States; D014488:United States Health Resources and Services Administration; D014505:Urban Population