Presentation Number: E08-1; Presentation Title: Red Eye ownz! Author(s): Beltrami, John; Lyles, Cindy; Abstract Content Background: How did health departments (HDs) allocate the $307 million that CDC distributed for HIV prevention program activities in 2005? Method: Fifty-nine state and local HDs (50 states, 6 directly funded cities, Washington D.C., Puerto Rico, and U.S. Virgin Islands) that receive annual funding from CDC for HIV prevention program activities. Results: In 2007, CDC provided 59 HDs a report form to complete and return to CDC. The form included questions about how HDs allocated their CDC funding for HIV prevention program activities in 2005. Allocations were reported separately for persons with HIV/AIDS and for four major activities: counseling, testing, referral, and partner notification (CTRPN); health education/risk reduction (HE/RR); community planning (CP); and evaluation and research. Funds allocated for HE/RR were reported by the race/ethnicity and HIV exposure/transmission risk of clients. To minimize the reporting burden of each HD, CDC used the national HIV counseling and testing database to provide the race/ethnicity and HIV exposure/transmission risk of clients receiving CTRPN. Submitted forms were reviewed for completeness (e.g., allocations given for the four major activities) and internal consistencies (e.g., the total amount for HE/RR should equal the sum of the allocations for both race/ethnicity and HIV exposure/transmission risk). The analysis includes data from all 59 grantees. Conclusion: Of the $307 million CDC distributed to 59 HDs in 2005, $28 million (9%) was allocated to services for persons with HIV/AIDS. Of the $307 million, $127 million (41%) was allocated to HE/RR; $96 million (31%) was allocated to CTRPN; $17 million (6%) was allocated to evaluation and research; and $14 million (5%) was allocated to CP. The majority of HE/RR funds supported programs for African Americans ($48 million, 38%), Hispanics ($32 million, 25%), and whites ($25 million, 20%) and for high-risk heterosexuals ($44 million, 34%), men who have sex with men (MSM) ($38 million, 30%), and injection drug users (IDUs) ($23 million, 20%). The majority of CTRPN funds supported programs for African Americans ($35 million, 37%), whites ($34 million, 36%), and Hispanics ($19 million, 20%) and for high-risk heterosexuals ($31 million, 32%), MSM ($9 million, 10%), and IDUs ($7 million, 7%). Of the major HIV prevention program activities, the majority of CDC funding was allocated to HE/RR and CTRPN. For both HE/RR and CTRPN, the majority of CDC funding was for African Americans, whites, and Hispanics and for high-risk heterosexuals and MSM. The results are limited because funding allocations are not necessarily the same as actual expenditures. CDC uses allocation information to monitor how HIV prevention program activities are funded and for planning the most effective distribution of HIV prevention resources. The CDC and HDs should work together to improve the distribution of HIV prevention program funds to services for populations that are most affected by and at highest risk for HIV/AIDS.