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Enhancing HIV Care Continuum: Strategies for Positive Health Outcomes

Explore key elements of the care continuum in HIV management to increase awareness, retention, linkage to care, and viral suppression. Understand the importance of monitoring ART adherence and engagement in care for improved outcomes. Learn evidence-based interventions and partnerships for continuum success.

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Enhancing HIV Care Continuum: Strategies for Positive Health Outcomes

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  1. Elements of the Care Continuum Michael J. Mugavero, MD, MHSc Associate Professor of Medicine University of Alabama at Birmingham Birmingham, Alabama FORMATTED: 12/09/15 New Orleans, Louisiana: December 15-17, 2015

  2. National HIV/AIDS Strategy: 2020 Goals Increase HIV serostatus awareness to at least 90% Slide 10 of 38 Increase retention among persons diagnosed to at least 90% Increase linkage to care w/in 1 month of Dx to at least 85% Increase proportion of persons diagnosed with viral suppression to at least 80% Ulett et al. AIDS Pt Care STDs 2009;23:41-49, Mugavero et al. Clin Infect Dis 2011;52(S2).

  3. Slide 13 of 38 ~90% of HIV Transmissions in 2009 in the US Skarbinski et al. JAMA Intern Med 2015;175

  4. Slide 21 of 38 Adapted from: Giordano TP (2012) Measuring retention in HIV care. www.medscape.com.

  5. Slide 30 of 38 Guidelines: Monitoring ART Adherence Plasma HIV RNA (viral load) is the biological correlate of the adherence behavior, NOT a screening tool for adherence! Thompson MA et al. Ann Intern Med 2012;156

  6. Slide 38 of 38 Take Home Points • Engagement across the continuum of HIV care is dynamic and impacts individual & population health • Systematic monitoring of engagement in care and ART adherence is foundational • Prognostic value of missed visits • Predictive value of self-reported NON-adherence • Evidence-based interventions for engagement in care and ART adherence amenable to clinical settings • Partnerships with public health and community agencies essential to improve continuum outcomes

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