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Detroit Health Department describes Ryan White and 'Ending the HIV Epidemic' contracts, reports high viral suppression rates
Summary
Detroit Health Department staff told the Public Health and Safety committee that Ryan White Part A and Ending the HIV Epidemic funding will support multiple subrecipient agreements; staff reported FY24 service counts and viral load suppression rates and said services include prevention, medical case management and housing supports.
Leah Smith, director of administrative operations for the Detroit Health Department, briefed the Public Health and Safety committee on Feb. 23 about upcoming subrecipient agreements funded by the Ryan White Part A program and the Ending the HIV Epidemic grant.
Smith said some subrecipients will receive separate agreements for each funding source because the programs have different scopes and durations. She told the committee that in fiscal year 2024, 1,329 clients received services under the Ending the HIV Epidemic program and 3,676 clients received services under Ryan White Part A. Staff reported that 86.2% (1,145) of Ending the HIV Epidemic clients achieved viral-load suppression and 88.5% (3,256) of Ryan White Part A clients achieved viral-load suppression.
Smith described the range of services the contracts will cover: prevention services, medical case management, prescription assistance, housing supports, medical transportation and support groups. She said the Ending the HIV Epidemic grant is more targeted (the city and Wayne County) and shorter term, while Ryan White Part A covers the broader Detroit eligible metropolitan area (Lapeer, Macomb, Monroe, Oakland, St. Clair and Wayne counties).
Committee members asked whether services are limited to Detroit residents; Smith clarified service areas differ by funding source and offered to provide more Detroit-specific client counts after the meeting.
Why it matters: The contracts support ongoing HIV prevention and care infrastructure in Detroit and surrounding counties. The high reported viral-suppression rates were presented as evidence the programs are achieving health outcomes among clients.
What the committee did: The committee approved items 6.3 through 6.9 with a recommendation to formal council for final approval.
Quoted from the meeting: "For fiscal year 24... 3,676 clients received services. 88.5 percent achieved viral load suppression," said Leah Smith. "Through the chair, so many of the clients that receive services actually ended up achieving viral load suppression..."
