New report from HealthHIV Identifies Common Barriers to Service Implementation

May 14, 2018
Marissa Tonelli: 202-507-4731

Most ASOs/CBOs in U.S. Have Increased Services Yet May Lack Fiscal Resources to Meet Demand

National Survey on State of ASOs/CBOs Identifies Key Trends Among HIV Organizations, Coincides with National ASO/CBO Directory Launch

Washington, DC – AIDS Service Organizations and Community-Based Organizations (ASOs/CBOs) need more financial support to expand services, diversify funding, integrate clinical services, and improve fiscal processes in order to remain relevant in the dynamic healthcare landscape, according to HealthHIV’s inaugural “State of ASOs/CBOs National Survey”.

Key survey findings indicate that:

  • Over 75% of ASOs/CBOs increased service offerings in the past three years in response to client needs.
  • Nearly all ASOs/CBOs offer HIV testing and counseling; however, only 49% offer PrEP services to clients and only 44% offer HIV care and treatment.
  • 33% of ASOs/CBOs report that funding comes from only government sources and 1 in 8 (12%) rely on a single source of funding to maintain HIV programs.
  • Over 33% of ASOs/CBOs have changed or expanded their missions in the past year and 25% developed a shared services partnership with another agency.
  • ASOs/CBOs need training and technical assistance on fiscal sustainability areas such as revenue generation/diversification, unit cost calculation for services, and performance-based payment models.

“The most common word that ASOs/CBOs used to describe the state of ASOs/CBOs was ‘challenging’, which illustrates how organizations are struggling through the uncertain times. ASOs/CBOs must continue to evolve to remain relevant since they play a vital and necessary role in ending the epidemic,” said HealthHIV’s Executive Director Brian Hujdich. “We hope the survey data will assist in guiding stronger, resilient organizations.”

The report of HealthHIV’s inaugural State of ASOs/CBOs in the US(TM) survey (right) includes data reported from over 500 ASOs/CBOs and provides insights on how ASOs/CBOs are responding to the current HIV and healthcare landscapes, including impacts on workforce development, service coordination, fiscal sustainability, partnership development, and strategic planning. Survey findings emphasize the need for more diverse interdisciplinary training and technical assistance opportunities.
“ASOs/CBOs across the country are reaching the most vulnerable populations at highest risk for HIV infection. Survey results indicate that these organizations are largely reliant on government funding for their HIV services; putting them at financial risk in the dynamic healthcare landscape,” said Senior Capacity Building Manager Marissa Tonelli. “Now, more than ever, ASOs and CBOs need training and guidance to ensure sustainability of HIV programs by increasing fiscal diversification and demonstrating the impact and value of their HIV programs.”

In conjunction with the survey, HealthHIV and the Test Positive Awareness Network (TPAN) launched an online National ASO/CBO Directory 2018 to create a national resource on the availability, breadth and depth of HIV services available to health care consumers. The Directory is searchable by services categories and location, and serves as a repository for organizations to initiate partnerships and streamline service delivery in their jurisdictions.


To View the Report and/or Directory:
HealthHIV’s State of ASOs/CBOs in the US survey report can be viewed on The National ASO/CBO Directory 2018 (right) is at The online directory is a searchable repository of HIV prevention, care, and support services provided by ASOs/CBOs in the U.S. To add an ASO or CBO to the National ASO/CBO Directory 2018, complete the online form HERE.
Upcoming Activities:

  • Join HealthHIV and ASO/CBO leaders on Wednesday, May 30th from 1:00-2:00PM ET on a webinar to review the key findings from the State of ASOs/CBOs in the U.S. national survey. Register at:
  • Interested in transforming your non-profit mission statement? As part of its ASO Leadership Link & Learn webinar series, HealthHIV will host a webinar on Thursday, June 28th from 1:00-2:00PM ET to discuss why, when and how ASOs/CBOs are adapting and expanding their mission. Stay tuned for registration information.
  • HealthHIV is planning an upcoming Remaining Relevant Leadership Institute for ASO/CBO executive leadership in this summer to examine sustainability indicators of ASOs/CBOs. Contact [email protected] for more information.
Technical Assistance/ Capacity Building Opportunities:
HealthHIV offers a variety of capacity building and technical assistance services to ASOs/CBOs on topics such as fiscal diversification and revenue generation, strategic planning, expansion to medical services, and partnership development.

  • Three D HIV Prevention TA Program(TM) provides TA to enhance ASOs/CBOs ability to conduct enhanced data collection and analysis in order to make better-informed programmatic decisions and improve delivery of quality HIV prevention services.
  • Fiscal Health(TM) Professional Services provides services to ensure the fiscal sustainability and growth of organizations by building fiscal management capacity.
  • ASO/CBO Leadership Initiative features the ASO/CBO Leadership Training & Certificate Program(TM) and the “Leadership Link & Learn” webinar series, which provide self-paced, online learning opportunities for ASO/CBO leaders and emerging leaders.
  • Remaining Relevant in the New Reality(TM) is an ASO/CBO sustainability training focusing on improving viability and scalability of HIV prevention and care services in a dynamic healthcare landscape.

Since 2014, HealthHIV has provided technical assistance on ASO/CBO leadership and sustainability to 5,154 ASO and CBO representatives nationally.
To Request TA/CBA for Your Organization
Complete the HealthHIV CBA Request Form.

For More Information
Marissa Tonelli, Senior Capacity Building Manager
(202) 507-4731
[email protected]