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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. Acknowledgements. National HIV Prevention Progress Report. New report Released December 2, 2013

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National HIV Prevention Progress Report, 2013

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  1. National HIV Prevention Progress Report, 2013 National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of HIV/AIDS Prevention

  2. Acknowledgements

  3. 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)

  4. On-Line Resources Available at: CDC HIV Website (www.cdc.hiv.gov/hiv/policies/npr)

  5. On-Line Resources Available at: CDC HIV Website (www.cdc.gov/hiv.policies/npr)

  6. On-Line Resources Available at: CDC HIV Website (www.cdc.gov/hiv/policies/npr)

  7. On-Line Resources Available at: CDC HIV Website (www.cdc.gov/hiv/policies/npr)

  8. 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)

  9. 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

  10. Also Monitored For… National HIV/AIDS Strategy Government Performance and Results Act Healthy People 2020 HHS Core HIV Indicators

  11. Data Sources and Results • Based on data from 3 CDC sources • National HIV Surveillance System • Medical Monitoring Project • National HIV Behavioral Surveillance System

  12. 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

  13. 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

  14. Annual Targets: Percentage of Total Change

  15. 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)

  16. Reduce New HIV Infections • Compared to 2006, there were 1,100 fewer new HIV infections in 2010 • New HIV infections remain unacceptable high

  17. 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.

  18. 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.

  19. Reduce Sexual Risk Behavior among MSM • Serodiscordant sex at last sext did not decline MMWR. November 29, 2013.

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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%)

  25. Increase Viral Suppression among Persons in HIV Medical Care • About 3 of 4 people in HIV medical care had achieved viral suppression

  26. 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

  27. Viral Suppression among HIV-Diagnosed Blacks/African Americans

  28. Viral Suppression among HIV-Diagnosed Hispanic/Latinos

  29. Viral Suppression among HIV-Diagnosed Men Who Have Sex with Men

  30. 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

  31. 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

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