Chart 3: Outcome Measure Summary

The outcome measures indicate the number of clients who meet the selected outcome criteria compared to the total number of clients who meet the denominator inclusion criteria. When looking at state or metropolitan area data, national data is provided for comparison. Percentages for these data are also displayed.

The donut chart shows the percentage of clients meeting the outcome measure compared to the national goals for the selected outcome measure.

Chart 4: Outcome Measure among RWHAP Clients by Year

This graph shows the percentage of clients who meet the outcome measure over a five-year period. The goal for this outcome measure is also provided on the graph.

Chart 5: Outcome Measure among Priority Populations

Chart 1: RWHAP Clients Served Map

Chart 2: RWHAP Program Clients Summary

Chart 3: RWHAP Clients Served by Year

Chart 4: RWHAP Clients by Race/Ethnicity

Chart 5: RWHAP Clients by Age

Chart 6: RWHAP Clients by Gender

Chart 7: RWHAP Clients by Federal Poverty Level

Chart 8: RWHAP Clients by Housing Status

Chart 1: Observed Outcome Measure by Year

Chart 2: Observed Outcome Measure Summary

Chart 3: Standardized Performance

Chart 5: National Goal

Chart 6: Performance among Priority Populations

This screen shows the outcomes and client characteristics by age group, with a focus on youth (aged 13–24 years) and clients aged 50 years and older.

When the screen first loads, it displays the most recent national data for clients of all race/ethnicity categories and genders who are aged 13–24 years. Use the dropdowns in the filters panel to customize the data that is presented.

Chart 1: RWHAP Clients by Age Group

Chart 2: Outcome Measure by Year

Chart 3: Outcomes and RWHAP Clients by Age among Priority Populations

Chart 1: Summary Information

This block contains key contextual information for the selected race or ethnicity.

• • Percent of Client Population: The percentage of clients that identify as the selected race/ethnicity.
  • At or Below Federal Poverty Level (FPL): The percentage of clients living at or below 100% FPL for the selected race/ethnicity.
  • No Health Care Coverage: The percentage of clients with no health care coverage for the selected race/ethnicity.
  • Unstable Housing: The percentage of clients who are unstably housed for the selected race/ethnicity.
  • Outcome Measure: The percentage of clients that meet the selected outcome measure for the selected race/ethnicity.

Chart 2: Outcome Measure by Year

Chart 3: Outcome Measure by Race/Ethnicity

Chart 4: Outcome Measure by Gender

Chart 5: Outcome Measure by Age

This screen shows viral suppression and retention in care by housing status. It also explores how these outcome measures differ among priority populations. When the screen first loads, it displays the most recent data for viral suppression among those with unstable housing. Select a different housing status from the dropdown menu to change the display.

This screen has three tabs that allows the view to be toggled and the charts to be viewed by race/ethnicity, age, or gender. Selecting a tab will update certain figures on the page. 

Chart 1: Housing Status Summary

Chart 2: Housing Status among RWHAP Clients by Year

Chart 3: Housing Status among RWHAP Clients by Race/Ethnicity, Age, or Gender
These yellow bar graphs show the prevalence of the selected housing status within the selected population. Use the tabs above the bar chart to toggle the view between race/ethnicity, age, and gender. 

Chart 4: Outcome Measure and Demographic Characteristics

These small boxes display outcomes and demographic characteristics for clients with the selected housing status. The data in these boxes can be viewed by race/ethnicity, age, or gender by selecting the relevant tab at the top of the screen.

This screen shows viral suppression or retention in care by transmission category, as well as variations among priority populations.

When the screen first loads, it displays the most recent data for viral suppression and male-to-male sexual contact. Select a Gender and Transmission Categoryfrom the dropdown menus to change the data displayed. The screen will automatically update based on the selections.

This screen also has two tabs that allow the views to be filtered by race/ethnicity or by age. Selecting either tab will update some of the figures on the page. 

Chart 1: Transmission Category Summary

Chart 2: RWHAP Clients by Transmission Category by Year

Chart 4: Outcome Measure and Demographic Characteristics by Transmission Category
These small boxes display outcomes and demographic characteristics for clients with the selected transmission category. The data in these boxes can be viewed by race/ethnicity, age, or gender by selecting the relevant tab at the top of the screen.

This screen shows the percentage of RWHAP clients receiving core medical and support services. Please refer to Policy Clarification Notice 16-02 for a complete description of the RWHAP service categories.

Chart 1: Services Data

This screen shows demographic characteristics of RWHAP AIDS Drug Assistance Program (ADAP) clients.

ADAP is a state- and territory-administered program that provides medications and access to health care coverage to low-income people with HIV who are uninsured or underinsured.

The initial view shows the most recent national ADAP data. Select a jurisdictionand a service categoryfrom the dropdown menus to change the data displayed. 

Chart 1: ADAP Clients Served Map

Chart 1: Provider Map

Age Group

RWHAP grant recipients and subrecipients report client birth year, which is used to calculate the client's age during the designated year as a discrete variable. On the RWHAP Compass Dashboard, younger and older clients are sometimes highlighted as priority populations: Youth (aged 13–24) and Aged 50 years and older.

Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs)

rather than client location. It is important to note that data shown for EMAs and TGAs are not mutually exclusive; clients may have received services from providers in multiple EMAs and TGAs. In addition, data presented for EMAs and TGAs are not limited to entities receiving RWHAP Part A funding; all visualizations include data for all clients served by RWHAP providers in the EMA or TGA, regardless of the source of RWHAP funding (i.e., Parts A, B, C, and D data are included).

Federal Poverty Level (FPL)

Federal poverty level is a measure of income issued every year by the U.S. Department of Health and Human Services (HHS) and characterizes the client’s income as a percentage of the FPL at the end of the reporting period. See https://www.healthcare.gov/glossary/federal-poverty-level-fpl/.

Health Care Coverage

RWHAP grant recipients and subrecipients report all sources of health care coverage that each client had for any part of the reporting period. These data are further categorized for analysis.

From 2010 through 2013, health care coverage was categorized as private only, Medicare only, Medicaid only, other public, other private, multiple coverages, and no coverage (uninsured). The categorization schema was changed in the 2014 RSR to include a more granular classification of health care coverage. From 2014 through 2019, health care coverage was categorized as private employer, private individual, Medicare, Medicaid, Medicare and Medicaid (dual eligibility), Veterans Administration, Indian Health Service, other plan, multiple coverages, and no coverage. The Medicaid classification also includes the Children’s Health Insurance Program (CHIP) and other public state health care coverage programs.

Housing Status

The housing status variable captures the client’s housing status at the end of the reporting period and is categorized as stable, permanent housing, temporary housing, or unstable housing. The definitions for each of these categories are based on the Housing Opportunities for Persons with AIDS Program Annual Progress Report Measuring Performance Outcomes (https://www.hudexchange.info/programs/hopwa/).

National HIV/AIDS Strategy

The National HIV/AIDS Strategy (NHAS) is a roadmap for ending the HIV epidemic in the U.S. by 2030. NHASis the nation’s third consecutive five-year national HIV strategy and covers 2022-2025, with a 10-year goal of reducing new HIV infections by 90% by 2030. The goals of the NHAS are to prevent new HIV infections, improve HIV-related health outcomes of people with HIV, reduce HIV-related disparities and health inequities, and achieve integrated, coordinated efforts that address the HIV epidemic among all partners and stakeholders.. The NHAS includes several goals and indicators, one of which is to increase viral suppression among people with diagnosed HIV to 95% by 2025. The RWHAP Compass Dashboard adopts this viral suppression goal from the NHAS, and identifies an aligned goal to increase retention in care among people with diagnosed HIV to 95% by 2025 ( https://www.hiv.gov/federal-response/national-hiv-aids-strategy/national-hiv-aids-strategy-2022-2025).  

Number of Clients Served

Screens that display the number of clients served (e.g., Characteristics of RWHAP Clients), include all RWHAP clients, regardless of HIV serostatus. This means the data include people with HIV as well as clients who are missing HIV serostatus information (e.g., clients who receive services that do not require serostatus to be reported, such as medical transportation services) and clients who do not have HIV (i.e., the families of people with HIV who are able to receive certain RWHAP services). In 2020, people with HIV represented an estimated 98.7% of all RWHAP clients.

Outcome Measures

Screens displaying outcome measure data (i.e., retention in care and viral suppression) include only people with HIV who also meet the criteria for that specific outcome measure. It is important to be aware that the denominator is not the same for all calculations visualized on
the site.

Retention in care and viral suppression data for the RWHAP should be interpreted carefully. Because these data are reported annually and de-identified, an individual client cannot be tracked across years. This affects how HIV-related outcomes are calculated (see below).

RWHAP clients who are not included in retention in care or viral suppression calculations did not meet inclusion criteria for those calculations but would have received at least one other RWHAP service (e.g., non-medical case management, housing, transportation, food bank/home-delivered meals). It is also important to note that these clients excluded from retention in care or viral suppression calculations may receive medical care at RWHAP clinics, where primary medical care services are paid using non-RWHAP-related funding sources (e.g., private, public, or other health care coverage types), or may receive care from providers outside the RWHAP system; these clients should not be presumed to be “out of care.”

Retention in Care

Retention in HIV medical care was defined as people with HIV who had at least two medical visit dates that were at least 90 days apart in the measurement year. Because the data sets are restricted to one calendar year of data each, the first of these HIV medical care visits in the year must have occurred before September 1 of the measurement year, thus giving the client an opportunity to meet the retention criteria by December 31.

Viral Suppression

Viral suppression was calculated among people with HIV who had at least one OAHS  visit and at least one viral load test during the measurement year. Viral suppression was defined as a most recent viral load test result of <200 copies/mL.

Race/Ethnicity

Recipients and subrecipients report race/ethnicity information for RWHAP clients according to Office of Management and Budget standards. Race and ethnicity are submitted as separate variables and combined for analysis. The race/ethnicity variable is categorized as American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, Native Hawaiian or other Pacific Islander, White, and multiple races (i.e., two or more categories of race reported).

In this dashboard, clients categorized by race were not Hispanic or Latino; the number of clients reported in each race category may, however, include clients whose ethnicity was not reported.

The RWHAP grant recipients and subrecipients are expected to make every effort to obtain and report race and ethnicity, based on each client's self-report. Self-identification is the preferred means of obtaining this information.

States and Territories

Client-level data are reported by RWHAP grant recipients and subrecipients in 50 states, the District of Columbia, and three territories—Guam, Puerto Rico, and the U.S. Virgin Islands. Five of the six U.S. Pacific territories (excludes Guam) do not submit client-level data and, therefore, are not included in this report. Due to reporting challenges during the coronavirus disease 2019 (COVID-19) pandemic, Guam’s 2019 and 2020 RSR data are unavailable.

State-level analyses include data submitted for all parts of the RWHAP. In addition, state delineation of data is based on provider location, rather than client location.

Transmission Category

Transmission category is the term for the classification that summarizes a client’s possible HIV risk factor(s) at the time of HIV acquisition. The summary classification results from selecting – from a presumed hierarchical order of probability – the single risk factor most likely to have been responsible for transmission.

Transmission categories are presented separately by gender (i.e., male, female, transgender).

For male clients, transmission categories include male-to-male sexual contact, injection drug use, male-to-male sexual contact and injection drug use, heterosexual contact, perinatally acquired HIV, and other.

For female clients, transmission categories include heterosexual contact, injection drug use, perinatally acquired HIV, and other.

For transgender clients, transmission categories have been modified to be more reflective of the transgender experience of transmission while continuing to follow a relative hierarchy of likelihood for transmission. That is, transmission category data for transgender clients are presented as sexual contact, injection drug use, sexual contact and injection drug use, perinatally acquired HIV, and other.

The definitions of transmission categories are adapted from CDC’s National HIV Surveillance System (NHSS) definitions for transmission categories. Clients with more than one reported risk factor are classified in the transmission category listed first in the hierarchy. The only exceptions are (1) men who had sexual contact with other men and who injected drugs and (2) perinatally acquired HIV. It is important to note that data by transmission category are based on the reported risk factor most likely to have been responsible for the original transmission of HIV; data may not be reflective of current behavior (e.g., injection drug use).

These groups make up separate transmission categories, which are defined in order of the hierarchy as follows:

• • Male-to-male sexual contact: Male clients who report sexual contact with other men (i.e., homosexual contact) and males who report sexual contact with both men and women (i.e., bisexual contact).
  • Injection drug use: Clients who report use of drugs intravenously or through skin-popping.
  • Male-to-male sexual contact and injection drug use: Male clients who report sexual contact with other men or with both men and women and report the use of drugs intravenously or through skin-popping.
  • Heterosexual contact: Clients who report specific heterosexual contact with an individual with, or at increased risk for, HIV infection (e.g., a person who injects drugs).
  • Perinatally acquired HIV: This category is exclusively for infants and children with HIV attributed to perinatal transmission. This category includes clients born after 1980 who are known to be people with HIV and whose HIV is attributed to perinatal transmission, as well as infants with indeterminate serostatus.
  • Other: Clients who report transmission from the receipt of transfusion of blood, blood components, or tissue; clients who report hemophilia/coagulation disorder. Beginning with 2014 data collection, unknown risk factor was no longer included in the classification of other transmission, nor was it collected as a separate category for the RSR. All analyses in this report have been adjusted for consistency during 2012 through 2016 to only include blood transfusion or hemophilia/coagulation disorder.

For transgender clients, the following transmission category hierarchy is used:

• • Sexual contact: Transgender clients who report any sexual transmission.
  • Injection drug use: Transgender clients who report use of drugs intravenously or through skin-popping.
  • Sexual contact and injection drug use: Transgender clients who report sexual contact and report the use of drugs intravenously or through skin-popping.
  • Perinatally acquired HIV: As above.
  • Other: Clients who report transmission from the receipt of transfusion of blood, blood components, or tissue; clients who report hemophilia/coagulation disorder. Beginning with 2014 data collection, unknown risk factor was no longer included in the classification of other transmission, nor was it collected as a separate category for the RSR. All analyses in this report have been adjusted for consistency during 2012 through 2016 to only include blood transfusion or hemophilia/coagulation disorder.

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