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Implementation Progress

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How is the Strategy Being Implemented?

Federal Implementation

The Federal government's approach to implementing the National HIV/AIDS Strategy spans multiple departments and agencies

Federal implementation plans and progress

Strategy in Action

All sectors of society—not just the government—need to help make the Strategy a reality. See how it's already being implemented around the country.

Strategy implementation in the community

Next Steps

To accomplish the Strategy's goals, we must undertake a more coordinated national response to the epidemic. This will require increasing the coordination of HIV programs across the Federal Government and between Federal agencies and state, territorial, tribal, and local governments, as well as developing improved mechanisms to monitor and report on progress toward achieving national goals. But to be effective, our national response will require that others join in these efforts to build on and refocus our existing efforts to deliver better results. Government can’t do this alone, nor should it. Success will require the participation of businesses, faith communities, philanthropy, the scientific and medical communities, educational institutions, people living with HIV, and others.

Reducing Infections

Action steps

  • Intensify HIV prevention efforts in the communities where HIV is most heavily concentrated
  • Expand targeted efforts to prevent HIV infection using a combination of effective, evidence-based approaches
  • Educate all Americans about the threat of HIV and how to prevent it

By 2015

  • By 2015, lower the annual number of new infections by 35% (from 56,300 to 42,225).
  • Reduce the HIV transmission rate, which is a measure of annual transmissions in relation to the number of people living with HIV, by 30% (from 5 person infected per 100 people with HIV to 3.5 persons infected per 100 with HIV).
  • By 2015, increase from 79% to 90% the percentage of people living with HIV who know their serostatus (from 948,000 to 1,080,000 people).

Increasing Access

Action steps

  • Establish a seamless system to immediately link people to continuous and coordinated quality care when they learn they are infected with HIV
  • Take deliberate steps to increase the number and diversity of available providers of clinical care and related services for people living with HIV
  • Support people living with HIV with co-occurring health conditions and those who have challenges meeting their basic needs, such as housing

By 2015

  • Increase the proportion of newly diagnosed patients linked to clinical care within three months of their HIV diagnosis from 65% to 85% (from 26,824 to 35,078 people).
  • Increase the proportion of Ryan White HIV/AIDS Program clients who are in continuous care (at least 2 visits for routine HIV medical care in 12 months at least 3 months apart) from 73% to 80% (or 237,924 people in continuous care to 260,739 people in continuous care).
  • Increase the number of Ryan White clients with permanent housing from 82% to 86% (from 434,000 to 455,800 people). (This serves as a measurable proxy of our efforts to expand access to HUD and other housing supports to all people living with HIV.

Reducing HIV-Related Disparities

Action steps

  • Reduce HIV-related mortality in communities at high risk for HIV infection
  • Adopt community-level approaches to reduce HIV infection in high-risk communities
  • Reduce stigma and discrimination against people living with HIV

By 2015

  • Improve access to prevention and care services for all Americans.
  • Increase the proportion of HIV diagnosed gay and bisexual men with undetectable viral load by 20%.
  • Increase the proportion of HIV diagnosed Blacks with undetectable viral load by 20%.
  • Increase the proportion of HIV diagnosed Latinos with undetectable viral load by 20%.

Last revised: 02/13/2015