NATIONAL HIV/AIDS STRATEGY:
Updated to 2020
Andrew D. Forsyth, Ph.D.
Senior Science Advisor
DHHS Office of HIV/AIDS & Infe...
OVERVIEW
•NHAS Priorities
•Goals and Actions
•Indicators and Targets
•National Progress
•Summary
What’s new? What’s different?
Harnessing the benefits of the Affordable Care Act
• Expanded coverage options
• HIV as a pr...
• Gay, bisexual, and other men who have sex with
men of all races and ethnicities
• Black women and men
• Latino women and...
OVERVIEW
•NHAS Priorities
•Goals and Actions
•Indicators and Targets
•National Progress
•Summary
A. Intensify HIV prevention efforts in communities where HIV
is most heavily concentrated
• Direct resources to highest ri...
A. Establish seamless systems of HIV medical care
• Ensure unimpeded access to health care and HIV medications
• Utilize s...
A. Reduce HIV-related disparities in high-risk communities
• Follow the local epidemiological data
• Prioritize difference...
A. Increase coordination of HIV programs within and between all
levels of government (e.g., Federal, State, Tribal, Local)...
OVERVIEW
•NHAS Priorities
•Goals and Actions
•Indicators and Targets
•National Progress
•Summary
Data Subgroup: Charge
• Evaluate strengths and weaknesses of data sources
• Review data for specific groups: age, race/eth...
NHAS Update:
Indicators and 2020 Targets (I)
1. Increase the percentage of people living with HIV who
know their serostatu...
NHAS Update:
Indicators and 2020 Targets (II)
5. Increase the percentage of persons with diagnosed
HIV infection who are r...
NHAS Update:
Indicators and 2020 Targets (III)
9. Reduce disparities† in the rate of new diagnosis by at
least 15% among:
...
OVERVIEW
•NHAS Priorities
•Goals and Actions
•Indicators and Targets
•National Progress
•Summary
Indicators and Progress for the
National HIV/AIDS Strategy
DATA BY YEAR TARGETS PROGRESS
INDICATOR
2010
Baseline
2011 2012...
Indicators and Progress for the
National HIV/AIDS Strategy
DATA BY YEAR TARGETS PROGRESS
INDICATOR
2010
Baseline
2011 2012...
Indicators and Progress for the
National HIV/AIDS Strategy
DATA BY YEAR TARGETS PROGRESS
INDICATOR
2010
Baseline
2011 2012...
Indicators and Progress for the
National HIV/AIDS Strategy
DATA BY YEAR TARGETS PROGRESS
INDICATOR† 2010 Baseline 2011 201...
Indicators and Progress for the
National HIV/AIDS Strategy
DATA BY YEAR TARGETS PROGRESS
INDICATOR
2010
Baseline
2011 2012...
OVERVIEW
•NHAS Priorities
•Goals and Actions
•Indicators and Targets
•National Progress
•Summary
Summary
• NHAS Update to 2020 is a roadmap to ensure ongoing
progress
• It includes new indicators that build upon precede...
Thank you
Comments/Questions to:
andrew.forsyth@hhs.gov
National HIV/AIDS Strategy: Updated to 2020 (Andrew Forsyth, PhD)
National HIV/AIDS Strategy: Updated to 2020 (Andrew Forsyth, PhD)
National HIV/AIDS Strategy: Updated to 2020 (Andrew Forsyth, PhD)
National HIV/AIDS Strategy: Updated to 2020 (Andrew Forsyth, PhD)
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National HIV/AIDS Strategy: Updated to 2020 (Andrew Forsyth, PhD)

Presentation by Andrew Forsyth, originally given at the HHS Region III Regional Resource Forum in Wilmington, Delaware in August 2015. Presented to the Philadelphia Ryan White Part A Planning Council in September.
Published on: Mar 3, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - National HIV/AIDS Strategy: Updated to 2020 (Andrew Forsyth, PhD)

  • 1. NATIONAL HIV/AIDS STRATEGY: Updated to 2020 Andrew D. Forsyth, Ph.D. Senior Science Advisor DHHS Office of HIV/AIDS & Infectious Disease Policy Region III: Regional Resource Forum: Best Practices for engaging an emerging population of YMSM of Color along the Care Continuum Wilmington, Delaware August 18, 2015
  • 2. OVERVIEW •NHAS Priorities •Goals and Actions •Indicators and Targets •National Progress •Summary
  • 3. What’s new? What’s different? Harnessing the benefits of the Affordable Care Act • Expanded coverage options • HIV as a preexisting condition: no longer a barrier Incorporating tremendous scientific progress • PrEP, early treatment benefits patients and others • New testing technologies • Granular hotspot surveillance Lessons and progress from the 2010 Strategy • Interagency collaborations • Working groups • Funding allocation
  • 4. • Gay, bisexual, and other men who have sex with men of all races and ethnicities • Black women and men • Latino women and men • People who inject drugs • Youth (ages 13 – 24 years) • Transgender women
  • 5. OVERVIEW •NHAS Priorities •Goals and Actions •Indicators and Targets •National Progress •Summary
  • 6. A. Intensify HIV prevention efforts in communities where HIV is most heavily concentrated • Direct resources to highest risk groups according to local epi profiles • Prioritize cost-effective, scalable interventions where HIV is concentrated B. Expand efforts to prevent HIV infection using a combination of effective, evidence-based approaches • Address common HIV co-morbidities (e.g., STIs, SUD, MHD, IPV) • Offer immediate HIV treatment, improve retention, expand PwP C. Educate all Americans with easily accessible, scientifically accurate information about HIV risks, prevention, and transmission. • Disseminate accessible, scientifically-based information about HIV • Tackle misconceptions, stigma, and discrimination GOAL I: REDUCING NEW HIV INFECTIONS
  • 7. A. Establish seamless systems of HIV medical care • Ensure unimpeded access to health care and HIV medications • Utilize surveillance, program, and clinical care data for action • Integrate treatment for HIV and co-occurring conditions (e.g., STIs, Viral Hepatitis, and Substance Use and Mental Health D/o) B. Expand capacity of systems and diversity of providers • Fortify workforce’s provision of routine screening and quality care • Develop new models to extend capacity of HIV specialists C. Support coordinated care to people living with HIV • Promote access to housing and support services • Improve HIV outcomes by addressing violence and trauma GOAL II: INCREASING ACCESS TO CARE AND IMPROVING HEALTH OUTCOMES FOR PEOPLE LIVING WITH HIV
  • 8. A. Reduce HIV-related disparities in high-risk communities • Follow the local epidemiological data • Prioritize differences in prevention and care outcomes (e.g., MSM, YBMSM, black women, PWID, youth) B. Apply structural approaches to HIV prevention and care • Address housing, employment, education, food security, etc. • Work with state insurance commissioners for ACA-compliant plans C. Reduce stigma and eliminate discrimination • Review state HIV-specific laws; recognize and combat HIV stigma • Use existing legal protections to prevent HIV-discrimination • Promote public leadership among people living with HIV Goal III: REDUCING HIV-RELATED DISPARITIES AND HEALTH INEQUITIES
  • 9. A. Increase coordination of HIV programs within and between all levels of government (e.g., Federal, State, Tribal, Local) • Streamline grantee reporting requirements • Increase safe and secure data sharing and use to improve services • Enhance coordinated program planning and administration • Optimize resource allocations to achieve NHAS goals B. Improve mechanisms for monitoring and reporting on progress • Promote timely collection and dissemination of data • Deploy NHAS indicators at state-level, where feasible • Enhance accountability through progress reports, technical assistance, and incentives to reward progress. Goal IV: ACHIEVING A MORE CO- ORDINATED NATIONAL RESPONSE TO THE HIV EPIDEMIC
  • 10. OVERVIEW •NHAS Priorities •Goals and Actions •Indicators and Targets •National Progress •Summary
  • 11. Data Subgroup: Charge • Evaluate strengths and weaknesses of data sources • Review data for specific groups: age, race/ethnicity, sex, transmission risk, geography • Determine which indicators to drop, retain, revise • Propose new indicators, as needed • Recommend annual and 2020 targets • Limit the number of indicators to no more than 12
  • 12. NHAS Update: Indicators and 2020 Targets (I) 1. Increase the percentage of people living with HIV who know their serostatus to at least 90% 2. Reduce the number of new diagnoses by at least 25% 3. Reduce the percentage of young gay and bisexual men who have engaged in HIV risk behaviors by at least 10% 4. Increase the percentage of newly diagnosed persons linked to HIV medical care within one month of diagnosis to at least 85%
  • 13. NHAS Update: Indicators and 2020 Targets (II) 5. Increase the percentage of persons with diagnosed HIV infection who are retained in HIV medical care to at least 90% 6. Increase the percentage of persons with diagnosed HIV infection who are virally suppressed to at least 80% 7. Reduce the percentage of persons in HIV medical care who are homeless to no more than 5% 8. Reduce the death rate among persons with diagnosed HIV infection by at least 33%
  • 14. NHAS Update: Indicators and 2020 Targets (III) 9. Reduce disparities† in the rate of new diagnosis by at least 15% among: • Gay and bisexual men • Young, Black gay and bisexual men • Black women and girls • Persons living in the Southern United States 10. Increase the percentage of youth and persons who inject drugs with diagnosed HIV infection who are virally suppressed to 80% †Disparities measured as the ratio of a given group rate to overall rate
  • 15. OVERVIEW •NHAS Priorities •Goals and Actions •Indicators and Targets •National Progress •Summary
  • 16. Indicators and Progress for the National HIV/AIDS Strategy DATA BY YEAR TARGETS PROGRESS INDICATOR 2010 Baseline 2011 2012 2013 Annual* 2020 Knowledge of serostatus 85.7% 86.4% 87.2% 86.1% 90% New diagnoses 43,806 42,218 42,616 42, 018** 42,711 32,855 Risk Behavior among young gay and bisexual men - - - 34.1% - 30.7% - Note: Progress colors: Green = Annual target met; Yellow = Annual target not met, progress in expected direction; Red = Annual target not met, progress in the opposite direction. * Annual targets are for the most recent data year available (does not include data marked “preliminary”). ** Preliminary data
  • 17. Indicators and Progress for the National HIV/AIDS Strategy DATA BY YEAR TARGETS PROGRESS INDICATOR 2010 Baseline 2011 2012 2013 Annual* 2020 Linkage to HIV care 70.2% 70.4% 71.4% 72.6% 72.4% 85% Retained in Care 50.9% 51.5% 53.8% 54.8% 90% Virally Suppressed 43.4% 46.8% 50.1% 47.1% 80% Note: Progress colors: Green = Annual target met; Yellow = Annual target not met, progress in expected direction; Red = Annual target not met, progress in the opposite direction. * Annual targets are for the most recent data year available (does not include data marked “preliminary”). § Death rate is measured per 1,000 persons with diagnosed HIV infection.
  • 18. Indicators and Progress for the National HIV/AIDS Strategy DATA BY YEAR TARGETS PROGRESS INDICATOR 2010 Baseline 2011 2012 2013 Annual* 2020 Homeless 7.7% 8.1% 8.3% 7.4% 5% Death Rate 23.5 20.8 18.0 22.7 15.5 Note: Progress colors: Green = Annual target met; Yellow = Annual target not met, progress in expected direction; Red = Annual target not met, progress in the opposite direction. * Annual targets are for the most recent data year available (does not include data marked “preliminary”). § Death rate is measured per 1,000 persons with diagnosed HIV infection.
  • 19. Indicators and Progress for the National HIV/AIDS Strategy DATA BY YEAR TARGETS PROGRESS INDICATOR† 2010 Baseline 2011 2012 2013 Annual* 2020 Diagnosis Rate: Gay and Bisexual Men 20.5 21.2 21.9 22.2** 20.2 17.4 Diagnosis Rate: Young Black gay and bisexual men 109.4 112.4 112.9 114.9** 107.8 93.0 Diagnosis Rate: Black females 1.7 1.5 1.4 1.3** 1.7 1.4 Diagnosis Rate: Southern United States 0.33 0.35 0.33 0.36** 0.33 0.28 Note: Progress colors: Green = Annual target met; Yellow = Annual target not met, progress in expected direction; Red = Annual target not met, progress in the opposite direction. * Annual targets are for the most recent data year available (does not include data marked “preliminary”). ** Preliminary data. † Measures shown are ratios of the disparity rate in the specified group to the overall rate
  • 20. Indicators and Progress for the National HIV/AIDS Strategy DATA BY YEAR TARGETS PROGRESS INDICATOR 2010 Baseline 2011 2012 2013 Annual* 2020 Viral Suppression: Youth 29.7% 33.7% 38.0% 34.7% 80% Viral Suppression: PWID 37.6% 39.2% 42.8% 41.9% 80% Note: Progress colors: Green = Annual target met; Yellow = Annual target not met, progress in expected direction; Red = Annual target not met, progress in the opposite direction. * Annual targets are for the most recent data year available (does not include data marked “preliminary”). ** Preliminary data
  • 21. OVERVIEW •NHAS Priorities •Goals and Actions •Indicators and Targets •National Progress •Summary
  • 22. Summary • NHAS Update to 2020 is a roadmap to ensure ongoing progress • It includes new indicators that build upon precedent, have bold targets, and inspire action to achieve the goals • Progress so far is mixed, but encouraging • Persistence, focus, and optimized resources will be critical to reaching the targets
  • 23. Thank you Comments/Questions to: andrew.forsyth@hhs.gov

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