Financial Woes Face Black HIV Group

Gay Men of African Descent on hiatus as its aims to shift funding model

A Brooklyn organization that focuses on HIV prevention and sexual health among African-American gay and bisexual men will go on hiatus for the summer while it reorganizes from its current grant-based funding scheme to a fee-for-service provider model under which it will deliver mental health, substance abuse, and other services to its clients.

“We have discussed needing to shift,” said Vaughn Taylor-Akutagawa, the executive director at Gay Men of African Descent (GMAD). “Just being a grant recipient is not sustainable.” Founded in 1986, GMAD has not adapted to newer service models required by government funders that first emphasized expanded HIV testing. Given its smaller size, GMAD could not produce the volume of testing that government agencies wanted. More recently, funders required organizations to swiftly move people who tested positive for HIV into treatment so that the virus is suppressed to the point that they cannot infect others. Funders also seek to move people who are HIV-negative but at risk for the virus on to pre-exposure prophylaxis (PrEP), which is a pill-a-day regimen that prevents HIV infection. These HIV prevention strategies require that funded agencies see large numbers of clients.

Over time, government grants became GMAD’s primary revenue source, but it could not produce the volume of results that government funders wanted and so that funding has steadily disappeared.

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