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LEGEND:
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| Appendix E: Progress toward reaching the goals of the Plan |
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While available data do not demonstrate success in achieving the overall goal of reducing HIV infections by half, there is evidence of considerable progress in implementing activities that meet the objectives of the national HIV Strategic Plan. The table that follows highlights major activities undertaken by CDC in support of objectives outlined in the Plan (see
Appendix G for a more comprehensive review of these activities).
Summary of progress toward reaching goals
| Goal |
Progress/Activities |
| Goal 1 |
PLWH
- Released program announcements for Serostatus Approach to Fighting the HIV Epidemic framework in 2001 and Advancing HIV Prevention Initiative in 2003
- PCM demonstration project awarded funds to 9 CBOs to evaluate effects of PCM on HIV transmission risk behaviors and health of PLWH
- Published report of 12 interventions that show significant reduction in unprotected sex and STD acquisition in PLWH.
MSM
- North Carolina Men's Health Initiative developed for DEBI intervention targeting AA MSM
- Researching Brothers y Hermanos study to understand risk and experiences of AA and Latino MSM
Youth
- Supports dissemination of 3 interventions for at-risk, homeless, runaway, and HIV-positive youth.
IDUs
- Supports dissemination of 3 interventions for IDUs
- Conducted research on intervention trials for HIV+ and HIV- IDUs and safety trials of Tenofovir.
Heterosexuals
- Supports dissemination of 4 interventions for clinic patients, female sex workers, female partners of IDUs, and AA women
- Research activities include a video-based intervention in STD clinics, projects for incarcerated men, and safety of a microbicide to prevention heterosexual HIV transmission
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| Goal 2 |
Increasing motivation to HIV testing
- Recommends annual testing for MSM and routine offering of testing to reduce stigma
- Conducted social networks demonstration for HIV positive and high-risk persons that increased prevalence of undiagnosed HIV among peer referrals
- Collaborating with state partners to design comic books in English and Spanish with HIV-related stories to be launched in Los Angeles
- Launched PCRS demonstration projects in 2003 to offer rapid testing among persons who were exposed to an HIV-positive partner
Improving access to HIV testing
- Increased rapid testing availability for non-healthcare workers and migrant farm workers at 10 sites from 2004-2006
- Distributed more than half a million OraQuick devices to 252 US organizations from 2003-2005
Increasing routine VCT in healthcare settings
- Launched demo projects of rapid HIV screening in 11 clinics at 5 sites nationwide.
- Evaluating alternative procedures for pre-test counseling prior to HIV testing.
Increasing number of persons who return for HIV test results
- Data collected in two cycles from 2003-2005 show rate of return for results from 92%-95.4% among persons with negative and preliminary positive rapid test results.
- Of persons with preliminary positive results, 86% returned for confirmatory test results.
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| Goal 3 |
Reducing disparities in access to care
- Five different data sources from the HIV/AIDS Surveillance Report show 82%-88% of whites and AAs were prescribed antiretroviral therapy.
- From 2004-2006, CDC conducted demonstration project on rapid testing in Historically Black Colleges and Universities. Demonstrated capacity to provide direct referrals to case management and care.
Integrating prevention services
- CDC and other federal agencies published guidelines incorporating HIV prevention into medical care of PLWH.
- Prevention in Care social marketing campaign launched to promote usage of guidelines among partners, providers, and patients.
Increasing proportion of HIV-infected persons linked to prevention services
- Provided funding to National Network of STD/HIV Prevention Training Centers and AETCs to develop extensive training for medical care providers of HIV-infected patients.
- The training was designed to assist HIV care providers incorporate science-based interventions to help their patients reduce risk behaviors. 3,400 services providers completed the training by 2006.
Promoting optimal level of medical services
- HHS guidelines for use of antiretroviral agents widely used to improve and optimize level of medical care
Increasing linkage to care within 3 months
- ARTAS randomized trial showed 78% of persons with case management care visited clinician at least twice in 6 months compared to 60% with standard care.
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| Goal 4 |
Monitoring the epidemic
- Developed integrated surveillance system to measure the incidence of new infections, track the prevalence of disease, monitor behaviors that place persons at risk for HIV, and provide locally relevant data for community planning.
- Funds 34 areas to conduct population-based HIV incidence surveillance; plans to provide precise estimate of recent HIV seroconversions by the end of 2006.
- Collects NHBSS data each year from 25 metropolitan statistic areas throughout the United States with the largest number of AIDS cases. Uses these data to guide the development and implementation of effective behavioral interventions for high-risk populations.
Implementing effective interventions
- Identified 14 evidence-based interventions under the DEBI program.
- Since 2004, diffused 12 of the 14 interventions to CBOs and health departments.
Evaluating programs and interventions
- Developed and released PEMS in 2004 to 42 health departments and 27 CBOs.
- Currently analyzing final data and developing dissemination plans for PEMS.
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