Hiv Alliance

“There are no committees who have the broad authority to act on behalf of the entire board.”

“The 990 is reviewed by the finance director and the budget and finance committee”

“A copy of the conflict of interest policy is provided to and reviewed with all existing and incoming board members. Explanations are given as to what constitutes a conflict. Board members are asked to disclose conflicts upon joining the board and whenever they are renewing a term. Board members are asked to report any new relationships or transactions that may be considered in conflict as they arise. The board members read and acknowledge the conflict of interest policy on an annual basis. A director shall disclose the existence of and all material facts concerning a conflict of interest with respect to a transaction before its consideration by the board of directors. The members of the board of directors who do not have a conflict of interest with respect to the matter shall excuse members who have conflicts of interest with respect to the matter from the discussion of the matter; such determination shall be guided by the best interests of the alliance.”

“Compensation for the executive director is reviewed annually by the board of directors based upon a current salary survey of similar organizations within the region for similar positions. The process described here was last completed in 2024.”

“AVAILABLE UPON REQUEST”

“Hiv care coordination and case management services: hiv alliance provides care coordination, nursing case management, and pharmaceutical support to over 1,300 people living with hiv/aids in 15 counties stretched across southern oregon, the willamette valley, and the coast. These fifteen counties include: lane, douglas, linn, benton, josephine, lake, klamath, jackson, coos, curry, lincoln, clatsop, polk, marion, and tillamook. Initially, hiv alliance was focused on providing these care coordination services for people living with hiv in lane county, however, since 2007 our services for people living with hiv have grown tremendously. The goal of these services was to improve the health of people living with hiv by increasing their access to medical care and support services. Over 90% of hiv alliance's clients live on a low-income, and many who live in rural regions of oregon have shared experiences with hiv-related stigma and discrimination. Hiv alliance has care coordinators that assist clients in accessing insurance, housing, physical and mental health providers, as well as meeting their basic needs. Private funds are raised to provide clients with non-medical transportations support (for things such as job interviews, grocery shopping, etc.), social support groups, special seasonal events, as well as training and other wellness services. Hiv alliance has three aids-certified nurses and three non-aids certified nurses that assist clients with critical hiv/aids-related health issues. Last year 93% of people enrolled in our hiv care coordination achieved viral suppression. Hiv alliance pharmacists worked with clients in the region on medical adherence. This year, hiv alliance had 145 clients served through the pharmacy adherence program. Clients are also offered assistance with insurance enrollment and dental services in collaboration with lane community college. 263 clients received dental services last year. Hiv alliance also offers a supportive housing program to people living with hiv who experience housing instability and have a behavioral health condition. The program offers rent and utility assistance while providing a team of support staff including a navigator, peer, nurse, and mental health specialist. During fiscal year 2024, the supportive housing program served 79 clients across five counties.”

“Prevention services: hiv alliance provides hiv, other infections, and overdose prevention services in lane, douglas, marion, josephine, coos, curry, and washington counties, and education programs in lane, douglas, and marion counties. The programs implemented are supported by the oregon health authority, center for disease control and prevention, and other government sources, and they are effective in reaching and engaging at-risk populations. Community prevention programs: hiv alliance reaches out to populations at high-risk for acquiring hiv, including people who inject drugs, unhoused/low income people, bipoc, and lgbtqia+ communities. Outreach is conducted through syringe exchange sites, online dating sites, social media, and at places where at-risk people meet, such as clubs and other venues. Tests available are rapid syphilis, hiv, and hepatitis c (hcv). Staff and nurses are also trained on hiv testing and counseling in order to provide testing to the partners of hiv alliance clients living with hiv throughout our region. Hiv alliance partners with a variety of organizations throughout the region to reach marginalized people who lack access to health care. Annually our staff distribute over 55,000 condoms through these partnerships and outreach efforts. Our prep navigation services include a multi-county team of navigators to assist individuals in accessing prep by removing barriers such as lack of insurance and offering referrals and information. Syringe services program: people who inject drugs are at-risk for contracting hiv and hcv, as well as other injection related health problems such as overdose and abscesses, when they reuse or share syringes and injection supplies. The most effective mechanism for preventing the spread of disease in this population is to prevent the reuse of syringes and ensure individuals who use drugs understand overdose risks and reversal techniques and have naloxone on hand in case of an overdose. Hiv alliance provides syringe exchange and overdose prevention services for people who inject drugs in coos, curry, douglas, josephine, lane, marion, and washington counties. These services include, safer injection kits, naloxone kits, risk reduction information, and addiction treatment referrals. This year, we exchanged over 1.5 million syringes (collected and properly disposed of 1,574,034 used syringes and distributed 1,105,491 sterile syringes), and reversed a reported 2,029 opioid overdoses through the distribution of naloxone kits. Education program: hiv alliance provides community education as well as hiv, hcv, and sti risk reduction to youth between the ages of 13-24. Nationally, youth between the ages of 13 and 24 years of age have accounted for 21% of all new hiv infections. Hiv alliance found this statistic disturbing and are continuously working to expand education programs to youth. This past year, hiv alliance provided education in public and private schools in lane, marion, and douglas counties. Hiv alliance also engaged with lgbtqia+ and bipoc and immigrant groups, detention facilities, alternative schools, and other facilities that do not have hiv education readily available. This year we provided hiv prevention education to 1061 students in our region. Drop-in services: hiv alliance provides a range of low barrier drop-in services at our eugene office. Three days a week, hiv alliance offers drop in services, including syringe exchange, overdose prevention supplies, hiv/hcv/sti testing, food, clothes and hygiene supplies and linkage to hiva and other community services. Peer support, medical, housing, and other staff are onsite during drop in hours to provide immediate assistance. We provide more than 6,000 food bags through the patio every year. Volunteer recruitment & training program: volunteers have been critical to hiv alliance. New volunteers went through an extensive training program to enable them to effectively participate within the organization on a number of levels. V”

“Clinical services: the alliance for community wellness's low barrier medical clinic in eugene offers a range of behavioral and physical health care services for people living with hiv and communities that are at increased risk for hiv. Our clinical services include sti testing and treatment (including treatment for hiv and hepatitis c), medication assisted treatment for opioid use disorder, prep prescribing, lgbtqia care, street medicine, and primary care. The contingency management stimulant reduction program is an innovative pilot project integrated with the clinic intended to address stimulant drug misuse and associated risks in lane county. During fiscal year 2024, 50 clients enrolled in this program. As part of the program, clients completed urinalysis (ua) tests to measure stimulant use. Last year, 91% of uas were negative. Hepatitis c clinic case management services: in lane county, hiv alliance provides case management services for individuals who are living with hepatitis c. The case management program is heavily integrated with treatment services offered through the eugene clinic, and includes treatment facilitation and barrier-reducing support services such as housing assistance, social support opportunities, and information/referral. Hiv alliance's goal was to work with clients to help them be cured of hcv, and the program has been highly successful, especially considering the high-risk patients it serves. The majority of these clients are struggling with current addiction issues, and a high percentage are homeless or marginally housed. Hiv alliance only has funding to provide this service in lane county, and any government support for these clients is still very limited. Last year, the hcv clinic case management program served 44 individuals. Of those, 100% accessed hcv treatment and 19 (43%) were cured of hcv. Housing focused street outreach team provides street outreach, working directly with unhoused populations to access medical care, housing resources, and other important services. The outreach workers provide insurance navigation, medical navigation, and housing navigation/assistance. Last year the program served 172 unhoused individuals in lane county. Of these, 45 graduated to indoor housing placements and 14 obtained permanent housing.”