Evaluating The 12 Cities Project

Dates: 2011-2012

Geographic Scope: Nationwide

Client(s): DHHS

Services: Health Care & Public Health Planning, Applied Research & Evaluation, Health Systems Transformation

Technical Expertise: HIV & Infectious Diseases, Lesbian, Gay, Bisexual, and Transgender (LGBT) Health, Population Health, State and Local Public Health


The 12 Cities Project (12 CP) was undertaken as an element of the HHS National HIV/AIDS Strategy Operational Plan to support comprehensive HIV/AIDS planning and cross-agency response in the 12 U.S. jurisdictions with the greatest cumulative number of AIDS cases. The 12 CP asks these jurisdictions to improve efforts at coordination of federal resources for HIV prevention, care and treatment as well as federal resources for housing, substance abuse, Medicaid, etc. Specifically, the 12 cities are asked to improve coordination, collaboration and integration (CCI) of federal funding in order to most effectively prevent new cases of HIV, improve access to quality care and reduce disparities in HIV prevention and care services.

JSI's role was to provide the Office of the Assistant Secretary at the Department of Health and Human Services with an assessment of whether The 12 Cities Project has been successful in accomplishing its goals, and what lessons may be learned and disseminated to the current 12 cities jurisdictions as well as other U.S. locations. Sites include New York City, Washington DC, Baltimore, Philadelphia, Atlanta, Miami, San Juan, Chicago, Dallas, Houston, Los Angeles and San Francisco.

JSI's evaluation was based on interviews conducted with nearly 300 people, including program administrators, service providers, community leaders, and clients. The evaluation report revealed areas of strengths and weaknesses in the overall CCI of surveyed programs, and the findings are used to guide implementation of the National HIV/AIDS Strategy in the 12 targeted districts and beyond.

Read the article on The 12 Cities Evaluation Project's findings at AIDS.gov