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| Goals and Objectives of the
CDC HIV Prevention Strategic Plan: Extended Through 2010 |
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| Short-Term Goal: “Reduce the number of new HIV infections in the United States by 5% per year, or at least by 10% through 2010, focusing particularly on eliminating racial and ethnic disparities in new HIV infections.”
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| Short-Term Milestone 1: By 2010, decrease by at least 10% 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. |
| Transmission Objectives |
| 1 |
Among people living with HIV, increase the proportion who consistently engage in behaviors that reduce risk of HIV transmission. |
2
Modified |
Among men who have sex with men (MSM), increase the proportion who consistently engage in behaviors that reduce risk for transmission of HIV. |
3
Modified |
Among sexually active, HIV-infected women and HIV-infected sexually active heterosexual men, increase the proportion who consistently engage in behaviors that reduce risk for transmission of HIV. |
4
Modified |
Among injection drug users (IDUs), increase the proportion who abstain from drug use or, for those who do not abstain, use harm reduction strategies to reduce risk of HIV transmission. |
5
Modified |
Among adolescents living with HIV, increase the proportion who consistently engage in behaviors that reduce risk for transmission of HIV, particularly among out-of-school high-risk youth. |
6
New |
Increase the proportion of persons living with HIV who effectively access partner notification services. |
7
New |
Among persons living with HIV, increase the proportion who receive evidence-based interventions, including mental health, substance abuse, and other appropriate interventions for co-morbid conditions. |
8
New |
Among persons with acute HIV infection, increase the proportion reached by appropriate HIV behavioral interventions. |
9
New |
Increase the proportion of persons living with HIV who disclose their HIV infection before a risk encounter with a new partner and increase the proportion of persons at risk for HIV infection who disclose their HIV status before their first risk encounter with a new partner. |
10
Modified |
Increase the proportion of HIV-infected pregnant women who are routinely tested and access prevention interventions including antiretroviral medication, caesarean sections (when appropriate) and infant formula feedings to interrupt perinatal transmission of HIV. |
| Acquisition Objectives |
1a
Modified |
Among men who have sex with men (MSM), increase the proportion who consistently engage in behaviors that reduce risk for acquisition of HIV. |
2a
New |
Increase the number of proven effective behavioral prevention interventions for African Americans and other racial and ethnic groups disproportionately affected by HIV/AIDS. |
3a
New |
Increase the number of proven effective behavioral prevention interventions for MSM. |
4a
Modified |
Among at-risk sexually active women, and at-risk sexually active heterosexual men, increase the proportion who consistently engage in behaviors that reduce risk for HIV acquisition. |
5a
Modified |
Among adolescents, increase the proportion who consistently engage in behaviors that reduce risk for acquisition of HIV, particularly among out-of-school high-risk youth. |
6a
Modified |
Among injection drug users (IDUs), increase the proportion who abstain from drug use or, for those who do not abstain, use harm reduction strategies to reduce risk of HIV acquisition. |
| 7a |
Increase the proportion of people at risk for HIV who are tested for STDs and treated appropriately |
8a
Modified |
Increase the number of and access to proven effective biomedical HIV prevention interventions including circumcision, vaccines, microbicides, and oral chemoprophylaxis. |
| 9a |
Reduce the number of workers who are occupationally exposed to and infected with HIV. |
10a
Modified |
Continue to support the safety of blood, tissue and organ supplies in the United States . |
| Short-term Milestone 2: By 2010, through voluntary testing, increase from the current estimated 75% to 80% the proportion of HIV-infected people in the United States who know they are infected. |
| Objectives |
1
New |
Increase the percentage of all ethnic/racial minorities who, if infected, are aware of their HIV infection, with a focus on African Americans . |
2
New |
Increase the percentage of all MSM who, if infected, are aware of their HIV infection. |
3
Modified |
Increase the number of providers who routinely provide screening in health care settings (e.g., STD clinics, substance abuse treatment programs, family planning clinics, emergency rooms, community health centers), as well as voluntary counseling and testing (VCT) in non-clinical venues (e.g., social venues, street outreach). |
4
New |
Increase the use of rapid testing technology that is user friendly and produces same day results. |
5
New |
Increase availability of HIV screening to incarcerated persons. |
6
Modified |
Improve access to voluntary, client-centered counseling and testing (VCT) in high seroprevalence communities and populations at risk, focusing particularly on populations with high rates of undiagnosed infection. |
7
New |
Reduce structural and policy barriers to implementing routine HIV screening (e.g., barriers to rapid testing, counseling and consent requirements). |
8
New |
Increase the percentage of people who know their results after testing. |
9
Modified |
Increase the motivation of at-risk individuals to know their infection status and decrease real and perceived barriers to HIV testing, such as stigma and discrimination. |
| Short-term Milestone 3: By 2010, increase from the current estimated 50% to 65% the proportion of newly diagnosed HIV-infected people in the United States , who are linked to appropriate prevention, care and treatment services. |
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Objectives |
1
Modified |
Increase the proportion of persons newly diagnosed with HIV who are successfully linked to medical care within 3 months of learning their HIV infection or being re-identified as HIV-infected but out of care, including African Americans and other racial and ethnic groups disproportionately affected by HIV/AIDS. |
2
Modified |
Increase the proportion of persons newly diagnosed with HIV who are successfully linked to culturally competent, science-based prevention services. |
3
Modified |
Integrate prevention services, including adherence to treatment and partner notification services for persons diagnosed with HIV and AIDS, into the delivery of patient care in both public and private sectors. |
4
Modified |
Reduce the disparities, stigma and discrimination in access to prevention and care services that are experienced by communities of color, women, and MSM. |
| 5 |
Increase the proportion of HIV care providers offering routine, periodic STD screening and treatment to HIV-infected clients. |
| 6 |
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. |
| 7 |
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. |
| 8 |
Increase the proportion of HIV care providers offering routine, periodic TB screening and treatment to HIV-infected clients. |
9
Modified |
Increase the proportion of persons newly diagnosed with HIV (including pregnant women) who need substance abuse treatment services that are successfully linked to those services. |
10
Modified |
Increase the proportion of persons newly diagnosed with HIV who need social and mental health services that are successfully linked to those services. |
| Short-term Milestone 4 : By 2010, strengthen the capacity nationwide to monitor the epidemic, develop and implement effective HIV prevention interventions and evaluate prevention programs.
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Objectives |
1
Modified |
Improve the capacity to measure incidence of new infections; track the prevalence of disease and its complications; monitor the transmission and prevalence of drug resistant virus; monitor behaviors, including behaviors that increase the risk of HIV infection (among persons who are HIV-uninfected) and behaviors that increase the risk of HIV transmission and the risk of disease progression (for persons who are living with HIV); 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 successfully provide demonstrably effective HIV prevention interventions. |
| 3 |
Support realistic and feasible evaluation efforts to ensure the delivery of interventions at the highest possible quality. |
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