As one of several potential indicators of capacity, these data imply that more financial resources might be required to accommodate the current and additional information needs or demands of the HIV/AIDS surveillance programs vis-à-vis use of information for RWCA planning, allocation, or evaluation. States are facing significant financial crises, and while several states are newly implementing HIV reporting, most programs do not anticipate additional state general revenue contributions. According to the 41 states that responded to the NASTAD request for information, 65 percent (27) reported that they expect their state’s contributions for HIV/AIDS surveillance to remain constant; 7.3 percent (3) reported that they expect a decrease; while 2.4 percent (1) reported they expect an increase. State dependence upon federal funding for HIV surveillance activity, and for the provision of HIV/AIDS data for RWCA planning, evaluation, and allocation is apparent.
The use of financial data to understand capacity has limitations. For example, some resources used for other surveillance may partially support HIV/AIDS surveillance. Furthermore, the Committee did not have the ability to calculate the incremental costs of implementing specific HIV surveillance and reporting activities. Nevertheless, it appears that states are being required to engage in additional surveillance and reporting activities without a commensurate increase in state or federal resources. Additional assessments of the incremental costs of such activities would be helpful in determining overall funding needed to support HIV/AIDS surveillance activities.
CDC (Centers for Disease Control and Prevention). 2003. FY02 Surveillance by State Final. (Email communication, Patricia Sweeney, CDC, May 2, 2003).
NASTAD. 2003. Request for Information: State/Local Funding for HIV/AIDS Surveillance.
U.S. Census Bureau. 2000. Population, Housing Units, Area and Density (geographies ranked by total population). [Online]. Available: http://factfinder.census.gov/ [accessed June 25, 2003].
U.S. Department of Labor. Bureau of Labor Statistics. [Online]. Available: http://data.bls.gov. Series ID: CUUS0000SA0.