HIV RAMP - Optimizing HIV Prevention Resources through Modeling

Dates: 2013

Geographic Scope: Nationwide

Client(s): PSA

Services: Health Care & Public Health Planning, Health Information Technology, Training & Technical Assistance, Applied Research & Evaluation

Technical Expertise: Health Information Technology, HIV & Infectious Diseases, State and Local Public Health


In order to meet the goals of the National HIV/AIDS Strategy (NHAS) it is necessary to optimize the use of limited HIV prevention funding. The Centers for Disease Control and Prevention (CDC) Division of HIV/AIDS Prevention has developed a tool for state and local health departments to guide cost-effective resource allocation for HIV prevention funds. This tool contributes to the goals of The White House Office of National HIV/AIDS Policy (ONAP) and the U.S. DHHS Office of HIV/AIDS and Infectious Disease Policy (OHAIDP) by supporting the development of high impact prevention to achieve the goal of the NHAS to reduce HIV infections by 25% by 2015. The tool aims to identify the optimal mix of HIV interventions that will prevent the highest number of new HIV infections.

JSI conducted pilot tests of the HIV Resource Allocation Modeling Project (HIV RAMP) in three health departments (HDs) around the United States that included high and low incidence jurisdictions. The technical assistance (TA) approach was rolled out sequentially in these HDs so that subsequent sites could benefit from the lessons learned at the previous site. This allowed JSI to be responsive and modify the TA approach and materials after working with a site and before delivering TA to the next site.

Simultaneous to the TA pilot project, an online software version of the model was developed by another contractor. This called for a collaborative approach so that the TA process informed the online programming process. In addition, usability findings from the online software development team helped further refine the online version of the model and inform future TA approaches.

As part of the TA process, JSI developed an organizational assessment, a data input sheet, two webinars, and a user guide to assist the HDs in implementation of the model. In addition, an eLearning module was developed to allow any future sites using the tool to learn about it more easily. JSI conducted a process evaluation of the TA process in order to make recommendations to ONAP, OHAIDP and CDC regarding how the module was used by the HDs, how technical assistance can best be delivered moving forward, and whether the online version of the model was ready for use.