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HIV Care Continuum

Education Packet

HIV Care Continuum – This packet is a compilation of several recent fact sheets and other resources. You may wish to customize it to meet the needs or interests of particular groups, such as event participants, providers, patients, clients, or the general public. So please feel free to distribute all or part of this packet as either a printout or PDF.   


Fact Sheets and Infographics

Understanding the HIV Care Continuum (CDC) – This fact sheet provides an overview of what the HIV care continuum is, the differences between prevalence-based and diagnosis-based continuums of care, the steps in the HIV care continuum, how these steps are measured, and approaches for improving the outcomes at every step of the HIV care continuum.

What Is the HIV Care Continuum? (HIV.gov) – This fact sheet answers frequently asked questions about the continuum, including what the care continuum is, why it is considered important, what it shows, and how it is being used.

HIV Continuum of Care (Clinicalinfo.HIV.gov) – This glossary entry and associated infographic traces six steps along the HIV care continuum with the goal of reaching and maintaining an undetectable viral load. Also available in Spanish.

Health Communication Makes an Impact on the HIV Continuum of Care (Health Communication Capacity Collaborative) – This fact sheet/infographic highlights evidence indicating that health communication can make a measurable impact on the HIV care continuum. An associated Continuum of Care evidence fact sheet provides more detailed information about this topic, including evidence on the role of HIV-related health communication in community engagement, interpersonal communication, and mHealth (mobile health).

HIV Care Continuum Infographics (CDC) – This page has recent infographics on the continuum for the U.S. as a whole, as well as several specific groups. The infographics include:

Reports, Guidelines, and Other Resources

HIV National Strategic Plan for the United States: A Roadmap to End the Epidemic – 2021-2025 (HIV.gov) – Released in 2021, the HIV Plan presents a framework for U.S. efforts to end the HIV epidemic. The Executive Summary (pages 1-5) outlines the HIV Plan’s key goals and objectives, many of which relate directly or indirectly to the HIV care continuum.  Core indicators and disparities indicators set specific targets for 2025 for increasing knowledge of HIV status, linkage to HIV care, and viral suppression, with particular emphasis on population groups heavily impacted by HIV. 

Selected National HIV Prevention and Care Outcomes in the United States (CDC) – This fact sheet summarizes recent outcomes for four national indicators specifically related to the HIV care continuum: knowledge of HIV serostatus (diagnosed HIV infection); linkage to HIV medical care; retention in HIV medical care; and viral suppression. Breakdowns for these indicators by gender are also provided.

Vital Signs: HIV Transmission Along the Continuum of Care – United States, 2016 (CDC) – This report provides evidence that, along the care continuum, HIV transmissions arise either from persons with HIV infection who have not received an HIV diagnosis, or from those who have a diagnosed infection that is not controlled (viral suppression has not been achieved).

Monitoring Selected National HIV Prevention and Care Objectives by Using HIV Surveillance Data United States and 6 Dependent Areas, 2019 (CDC) – This report presents the results of focused analyses of U.S. HIV surveillance data to measure progress toward ending the HIV epidemic. It includes information on the stage of HIV disease at time of diagnosis, linkage to HIV medical care, viral suppression, prevalence-based HIV care continuum, HIV deaths and survival, use of pre-exposure prophylaxis (PrEP), and perinatal HIV infections. 

Core Indicators for Monitoring the Ending the HIV Epidemic (EHE) Initiative (Data Reported Through December 2019) (CDC) – This report provides data on the six core indicators of the EHE initiative, of which three – knowledge of HIV status, linkage to HIV care, and viral suppression – are part of the HIV care continuum.  The other three indicators covered in the report are estimated new HIV infections, HIV diagnoses, and PrEP coverage. These tables include data for states and selected counties. Breakdowns by gender, age, race/ethnicity, and transmission category are also provided.

Core Indicators for Monitoring the Ending the HIV Epidemic Data Tables (Preliminary Data): HIV Diagnoses and Linkage to Medical Care, 2019 and 2020 (CDC) – These tables include data for states and selected counties on the linkage-to-care step in the HIV care continuum. Breakdowns by gender, age, race/ethnicity, and transmission category are also provided.

IAPAC Guidelines for Optimizing the HIV Care Continuum for Adults and Adolescents (International Association of Providers of AIDS Care) – Drawing on a systematic review of the HIV research literature, this guidance document offers recommendations to optimize the HIV care continuum for adults and adolescents.

Using Community Health Workers to Improve Linkage and Retention in Care (Boston University School of Public Health and other organizations) – This set of resources, available on the TargetHIV website, was developed to help clinics integrate community health workers into an HIV multidisciplinary team model. It includes:

HIV Care Continuum Data for the New England States

AIDSVu Local Data – This resource includes extensive state and county-level HIV data for individual states, including data on the HIV care continuum. The care continuum data, when available, are presented in bar graph format, and are accessible from an “HIV Care Continuum” navigation button that appears directly under the AIDSVu map of each state. For your convenience, we are linking to each AIDSVu state report here: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont

Connecticut, Massachusetts, Rhode Island, and Vermont also have recent HIV care continuum data and reports posted on their state’s health department websites. These include:

HIV Continuum of Care, Connecticut, 2019 – These are annotated bar graphs summarizing data on the care continuum in the state. Information is also presented on how quickly persons are linked to care after their HIV diagnosis.

2018 Massachusetts HIV/AIDS Epidemiologic Profile: The Massachusetts HIV Care Continuum – This report includes detailed information on the stages of care for people living with HIV, with breakdowns by race/ethnicity and transmission category. An associated slide set summarizes this information in a series of charts and graphs.

Rhode Island HIV 90-90-90 Initiative – This web page describes the state’s 2020 goals of assuring that 90% of people living with HIV will know their status, 90% of people living with HIV will be engaged in HIV care, and 90% of people living with HIV will have viral suppression. The bottom of the page includes a bar graph chart illustrating the HIV care continuum in Rhode Island during 2018.

2017 Vermont HIV Annual Report – The last page of this report focuses on linkage to care and viral suppression of people diagnosed with HIV in Vermont during 2017 – the latest year for which published data are available.

 

The contents listed on this page are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, the New England AIDS Education and Training Center.