Resources and Services Administration (HRSA's) HIV Bureau (Title I-IV) and/or the Centers for Disease Control and Prevention (CDC). Besides providing care, STAIDS also conducts research.

The following are programs in South Texas that provide care for HIV-positive people. STAIDS was established at Santa Rosa Children's Hospital in San Antonio in 1988, primarily to treat hemophiliacs. Within a few years, children infected perinatally were increasingly being admitted and more children from the surrounding areas were coming in for care, even as far south as the Lower Rio Grande Valley (LRGV), which is about 270 miles away. Eventually, additional service sites were established in the towns of McAllen, Harlingen, and Corpus Christi in the LRGV.

STAIDS is part of the Division of community Pediatrics of the Department of Pediatrics, University of Texas Health Science Center at San Antonio. It was founded in the late 1980s as part of the original 17 Title IV sites. In the last four to five years, the center has received funding to conduct several projects:

  • The Salud y Unidad en la Familia is a SPNS (Special Projects of National Significance) project that is intended to develop the delivery system of care for children and mothers in South Texas. The project works with organizations that provide HIV services in Corpus Christi and the LRGV; it collects data on families to study the quality of life for HIV-positive women and barriers to care.
  • La Frontera is another SPNS project that includes working with VAC (located at the Texas-Mexico border) and the United Medical Center (in Maverick County). The project studies the migrant and rural population to better understand the patterns of HIV disease, transmission, and case finding in these areas of the state.
  • The Texas Department of Health funds a project to study education and prevention for youth in detention facilities.
  • Two other grants provide funds to study the management of chronic diseases in the valley and the impact of Medicaid managed care of children with special health needs.

VAC is the primary AIDS clinic in the LRGV. Since 1995, it has expanded to include a medical clinic. The program has provided an array to services, including medical services, case managers, referrals to dental services, and transportation to help people keep their medical appointments. Case managers assist families so that children reach appointments on time. They also have funds to provide emergency medication, care for migrant women, and an educational program on HIV testing in the valley. There is a walk-in testing clinic where turnaround is fast. VAC also works with other nearby hospitals.

Much of the obstetric care in the valley for HIV-infected women is provided by the Family Residency Program. Private obstetricians initially did not treat these women, but the situation has improved. Now a limited but increasing number



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