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| Appendix B: Current Goals and Objectives of the National HIV Prevention Strategic Plan |
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| Goal 1: By 2005, decrease by at least 50% the number of persons in the United States at high risk for acquiring or transmitting HIV infection by delivering targeted, sustained and evidence-based HIV prevention interventions. |
| OBJ # |
ACTIVITIES |
| 1 |
Among people living with HIV, increase the proportion who consistently engage in behaviors that reduce risk of HIV transmission or acquisition. |
| 2 |
Among men who have sex with men (MSM), increase the proportion who consistently engage in behaviors that reduce risk for HIV acquisition or transmission. |
| 3 |
Among adolescents, increase the proportion who consistently engage in behaviors that reduce risk for HIV acquisition or transmission. |
| 4 |
Among injecting drug users (IDUs), increase the proportion that abstain from drug use or, for those who do not abstain, use harm reduction strategies to reduce risk of HIV acquisition or transmission. |
| 5 |
Among at-risk sexually active women (including women who have sex with other women), and at-risk heterosexual men, increase the proportion who consistently engage in behaviors that reduce risk for HIV acquisition or transmission. |
| 6 |
Increase the proportion of people at risk for HIV who are tested for STDs and treated appropriately. |
| 7 |
Increase the proportion of HIV-infected pregnant women who routinely receive HIV counseling, accept HIV testing and choose to take antiretroviral medication to interrupt prenatal transmission of HIV. |
| 8 |
Support HIV vaccine research. |
| 9 |
Reduce the number of workers who are occupationally exposed to and infected with HIV. |
| 10 |
Continue to monitor and support the safety of blood, tissue and organ supplies in the United States. |
| Goal 2: By 2005, through voluntary counseling and testing, increase from the current estimated 70% to 95% the proportion of HIV-infected people in the United States who know they are infected. |
| OBJ # |
ACTIVITIES |
| 1 |
Increase the motivation of at-risk individuals to know their infection status and decrease real and perceived barriers to HIV testing. |
| 2 |
Improve access to voluntary, prevention counseling, testing and referral in high seroprevalence communities and populations at risk, focusing particularly on populations with high rates of undiagnosed infection. |
| 3 |
Increase the number of providers who routinely offer CTR for HIV in health care settings (e.g., STD clinics, substance abuse treatment programs, family planning clinics, emergency rooms, community health centers), as well as in other non-clinical venues (e.g., social venues, public assistance programs, street outreach). |
| Goal 3: By 2005, increase from the current estimated 50% to 80% the proportion of HIV-infected people in the United States, who are linked to appropriate prevention, care and treatment services. |
| OBJ # |
ACTIVITIES |
| 1 |
Reduce the disparities in access to prevention and care services that are experienced by communities of color, women and special-needs populations. |
| 2 |
Integrate prevention services, including adherence to treatment, for persons diagnosed with HIV and AIDS into the delivery of patient care in both public and private sectors. |
| 3 |
Increase the proportion of persons who have been diagnosed with HIV who are successfully linked to culturally competent, science-based prevention services. |
| 4 |
Promote the optimal level of medical services for patients diagnosed with HIV to benefit individual health and reduce the likelihood of further transmission of HIV. |
| 5 |
Increase the proportion of persons diagnosed with HIV who are successfully linked to medical care no later than 3 months after learning their HIV status or re-identified as being HIV-infected but out of care. |
| 6 |
Increase the proportion of correctional facility detainees (incarcerated for at least 30 days) identified as HIV-infected who are provided HIV prevention, treatment and care services and who, upon release, are successfully linked to those services in the communities to which they return. |
| 7 |
Increase the proportion of HIV care providers offering routine, periodic STD screening and treatment to HIV-infected clients. |
| 8 |
Increase the proportion of HIV care providers offering routine, periodic TB screening and treatment to HIV-infected clients. |
| 9 |
Increase the proportion of persons diagnosed with HIV, including pregnant women, needing substance abuse treatment services that are successfully linked to those services. |
| 10 |
Increase the proportion of persons diagnosed with HIV needing social and mental health services that are successfully linked to those services. |
| Goal 4: Strengthen the capacity nationwide to monitor the epidemic, develop and implement effective HIV prevention interventions and evaluate prevention programs. |
| OBJ # |
ACTIVITIES |
| 1 |
Develop an integrated monitoring system to measure incidence of new infections, track the prevalence of disease, monitor behaviors that increase the risk of HIV infection, and provide locally relevant data for community planning. |
| 2 |
Increase the number of evidence-based interventions and the proportion of prevention providers funded by CDC who demonstrate effectiveness in providing these interventions. |
| 3 |
Continue to support realistic and feasible evaluation efforts to ensure the highest possible quality of service and intervention delivery. |
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