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Morne JE, Tesoriero JM, Martin EG, Birkhead GS, Holtgrave DR, Hagos K, Zucker H. Ending the HIV Epidemic: New York's Quest to Become the First State to Reduce HIV Prevalence. Public Health Rep 2020; 135:65S-74S. [PMID: 32735198 DOI: 10.1177/0033354920917403] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
In 2014, New York State became the first jurisdiction to launch a statewide initiative to end AIDS by reducing the number of persons living with HIV for the first time since effective HIV treatment became available. The Ending the Epidemic (ETE) initiative encompasses (1) identifying and linking undiagnosed persons with HIV to care, (2) retaining persons with HIV in care, and (3) facilitating access to preexposure prophylaxis for persons at risk for acquiring HIV. We used a framework for public health program implementation to describe key characteristics of the ETE initiative, present progress toward 13 ETE target metrics, and identify areas in need of increased programming. We provide evidence suggesting that New York State is on track to end AIDS as an epidemic by the end of 2020. As of 2017, 76% of progress toward our primary ETE target had been achieved. Substantial progress on several additional metrics critical to decreasing HIV prevalence and to improving the health of persons living with HIV had also been achieved. Lessons learned included the following: (1) ETE-based programming should be tailored to each jurisdiction's unique political and social climate, HIV epidemiology, fiscal resources, and network of HIV service providers; (2) key stakeholders should be involved in developing ETE metrics and setting targets; (3) performance-based measurement and timely communication to key stakeholders in real time are essential; and (4) examining trends in HIV prevention and care metrics is important for developing realistic ETE timelines.
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Affiliation(s)
- Johanne E Morne
- 1094 AIDS Institute, New York State Department of Health, Albany, NY, USA.,1084 Center for Collaborative HIV Research in Practice and Policy, State University of New York, Albany, NY, USA
| | - James M Tesoriero
- 1094 AIDS Institute, New York State Department of Health, Albany, NY, USA.,1084 Center for Collaborative HIV Research in Practice and Policy, State University of New York, Albany, NY, USA
| | - Erika G Martin
- 1084 Center for Collaborative HIV Research in Practice and Policy, State University of New York, Albany, NY, USA.,1084 Department of Public Administration and Policy, Rockefeller College of Public Affairs and Policy, University at Albany, State University of New York, Albany, NY, USA
| | - Guthrie S Birkhead
- 1084 Center for Collaborative HIV Research in Practice and Policy, State University of New York, Albany, NY, USA.,1084 School of Public Health, University at Albany, State University of New York, Albany, NY, USA
| | - David R Holtgrave
- 1084 Center for Collaborative HIV Research in Practice and Policy, State University of New York, Albany, NY, USA.,1084 School of Public Health, University at Albany, State University of New York, Albany, NY, USA
| | - Karen Hagos
- 1094 AIDS Institute, New York State Department of Health, Albany, NY, USA.,1084 Center for Collaborative HIV Research in Practice and Policy, State University of New York, Albany, NY, USA
| | - Howard Zucker
- 1094 New York State Department of Health, Albany, NY, USA
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