2015 RWHAP Client Level Data Report Released

2015 RWHAP Client Level Data Report Released

December 9, 2016
HRSA HIV/AIDS Bureau (HAB)
HRSA HAB Logo

HRSA/HAB has published the Ryan White HIV/AIDS Program Annual Client-Level Data Report, 2015, the second annual report that includes in-depth information on client characteristics and health outcomes. On average, the health outcomes of Ryan White HIV/AIDS Program (RWHAP) clients surpass national averages in viral suppression and retention in care.

2015 RWHAP Client-Level Data Highlights

Below is a recap of data from the 2015 report. The full report presents a detailed series of tables and is accompanied by a slide deck with summary graphs.

Demographic Highlights

  • 533,036 clients received services
  • 97.0% were living with HIV, up from 92.5% in 2011
  • 42.5% of RWHAP clients were over 50, an increase from 33.6% in 2011
  • ~75% were racial/ethnic minority populations
  • 71.3% of RWHAP clients were male, 27.6% female, and 1.1% transgender

Clients Served by the Ryan White HIV/AIDS Program (non-ADAP) by Poverty Level, 2015

Socioeconomic/Health Coverage

  • 65.4% at or below the federal poverty level
  • ~80% covered by health insurance, primarily Medicaid (32.8%), Medicare (10.4%), multiple (10.4%), private (8.4%) and Medicaid/Medicare dually eligible (7.7%)
  • ~10% had temporary housing and 5% had unstable housing

Retention in HIV Medical Care

  • 80.6% of 327,075 clients were retained in HIV care, a figure that has stayed fairly consistent since the start of client-level data reporting in 2011
  • Retention rates are generally consistent across subpopulations but is lower among, for example, clients 20-24 years old (74.7%), those with unstable housing (73.2%) and American Indian/Alaska Natives (74.6%)

Viral Suppression

  • 83.4% achieved viral suppression, an increase from 72.6% in 2011
  • While the lowest RWHAP viral suppression rates are among those 13-24 (68.6%), the rate has improved significantly since 2011
  • Viral suppression rates were slightly lower, for example, among black/African American men (78.9%), black MSM (77.7%) and transgender adults and adolescents (77.3%).
  • Viral suppression rates were higher among white MSM (90%) and Hispanic/Latino men (85.9%)