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National HIV Prevention Progress Report, 2013. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Division of HIV/AIDS Prevention. Acknowledgements. National HIV Prevention Progress Report. New report Released December 2, 2013

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national hiv prevention progress report 2013
National HIV Prevention Progress Report, 2013

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

Division of HIV/AIDS Prevention

national hiv prevention progress report
National HIV Prevention Progress Report
  • New report
    • Released December 2, 2013
    • Synthesizes data from CDC surveillance systems to describe progress on key indicators
    • First report presents baseline and available results for 2011

Available at: CDC HIV Website (www.cdc.gov/hiv/policies/npr)

on line resources
On-Line Resources

Available at: CDC HIV Website (www.cdc.hiv.gov/hiv/policies/npr)

on line resources1
On-Line Resources

Available at: CDC HIV Website (www.cdc.gov/hiv.policies/npr)

on line resources2
On-Line Resources

Available at: CDC HIV Website (www.cdc.gov/hiv/policies/npr)

on line resources3
On-Line Resources

Available at: CDC HIV Website (www.cdc.gov/hiv/policies/npr)

national hiv aids strategy improving outcomes accelerating progress along the hiv care continuum
National HIV/AIDS StrategyImproving Outcomes: Accelerating Progress Along the HIV Care Continuum
  • Office of National AIDS Policy December 2013 report
    • State of epidemic
    • Recommendations of HIV Care Continuum Working Group
    • Local successes
    • Public-private partnerships
  • Available at: Office of National AIDS Policy Website (www.whitehouse.gov/onap)
national hiv prevention progress report1
National HIV Prevention Progress Report
  • 21 DHAP Strategic Plan Indicators
    • Reduce new HIV infections
    • Improve access to HIV care and health outcomes
    • Reduce HIV-related health disparities
also monitored for
Also Monitored For…

National HIV/AIDS Strategy

Government Performance and Results Act

Healthy People 2020

HHS Core HIV Indicators

data sources and results
Data Sources and Results
  • Based on data from 3 CDC sources
    • National HIV Surveillance System
    • Medical Monitoring Project
    • National HIV Behavioral Surveillance System
data sources and results1
Data Sources and Results
  • Describes results
      • Before DHAP Strategic Plan implementation (2006-2010)
      • 1st year of implementation (2011)
      • In relation to 2015 goals and annual targets
  • Key subgroups
      • Gender, race/ethnicity, age, transmission risk
baselines goals and targets
Baselines, Goals and Targets
  • Baseline years and 2015 goals established in NHAS and the DHAP Strategic Plan were maintained
  • Annual targets established to monitor interim progress
    • Targets based on expectation that progress will accelerate as the strategic plan is more fully implemented
results show encouraging signs of progress yet challenges remain
Results Show Encouraging Signs of Progress, Yet Challenges Remain
  • 62% of annual targets were met or exceeded (13 of 21 indicators)
      • Includes 7 NHAS indicators
  • 24% showed no change or moved away from annual target (5 of 21 indicators)
  • 14% could not be compared with annual target (3 of 21 indicators)
reduce new hiv infections
Reduce New HIV Infections
  • Compared to 2006, there were 1,100 fewer new HIV infections in 2010
  • New HIV infections remain unacceptable high
reduce new hiv infections1
Reduce New HIV Infections
  • Promising progress in some groups
    • 15% decrease among heterosexuals
    • 22% decrease among IDUs
    • 21% decrease among African American women

For 2010 versus 2008.

reduce new hiv infections2
Reduce New HIV Infections
  • 2010 targets not met for Hispanics and gay, bisexual and other MSM
  • Significant increase among MSM
    • 12% overall
    • 22% among youth (13-24 years old)

For 2010 versus 2008.

reduce sexual risk behavior among msm
Reduce Sexual Risk Behavior among MSM
  • Serodiscordant sex at last sext did not decline

MMWR. November 29, 2013.

more people are living with hiv
More People Are Living with HIV
  • More than 1.1 million people living with HIV
  • Number of people living with HIV increased 9% from 2006-2010
reduce hiv transmission
Reduce HIV Transmission
  • HIV transmission rate decreased 9% from 2006-2010
    • 4.2 new HIV infections per 100 PLWH in 2010
  • Fewer HIV infections are being transmitted on average by PLWH
increase knowledge of hiv positive status
Increase Knowledge of HIV Positive Status
  • Consistent improvement each year
  • 5 of 6 PLWH in 2010 knew their serostatus
    • 1 of 6 PLWH did not know their serostatus
increase linkage to hiv medical care
Increase Linkage to HIV Medical Care
  • Baseline: 65%
  • 2011: 79.8% linked to care
    • Number of areas with complete data increasing:
      • 13 in 2009
      • 14 in 2010
      • 19 in 2011
reduce hiv related disparities linkage to hiv medical care
Reduce HIV-Related Disparities: Linkage to HIV Medical Care
  • 2015 goal was 75% or greater for all groups
  • Met or exceeded for all groups in 2011
  • CDC increased 2015 goal to 85% or greater for all groups
    • Based on revised goal, 2011 target was:
      • Not met for Blacks/African Americans (75.9%)
      • Not met for Hispanics/Latinos (81.8%)
      • Met for Whites (85.1%)
      • Met for Persons of Other Race/Ethnicity (85.9%)
increase viral suppression among persons in hiv medical care
Increase Viral Suppression among Persons in HIV Medical Care
  • About 3 of 4 people in HIV medical care had achieved viral suppression
reduce hiv related disparities viral suppression among hiv diagnosed persons
Reduce HIV-Related Disparities: Viral Suppression Among HIV-Diagnosed Persons
  • 39% of people diagnosed with HIV had suppressed viral load in 2010
  • 2010 targets met for MSM, Blacks/African Americans, and Hispanics/Latinos
  • Results showed movement toward the 2015 goal in all 3 groups
summary
Summary
  • Data show significant progress and continued challenges
  • Achieving 2015 goals will depend on accelerated progress
  • Multiple factors will affect results:
    • High-Impact Prevention
    • Increased access to health care
    • Reduced funding for HIV prevention
    • Growing number of people living with HIV who need services
summary1
Summary
  • CDC is working to accelerate progress toward 2015 goals
  • Success depends on progress made at local level
  • Meaningful change takes time and sustained effort
    • Monitoring progress and using data to improve outcomes are key
  • Partnerships are critical to success