A new peer reviewed commentary published in the January issue of the American Journal of Public Health argues for new metrics to evaluate the public health response to human immunpdeficiency virus (HIV) in the U.S. The U.S. Department of Health and Human Services (HHS) has announced plans to reduce the number of new HIV infections by 75 percent in the next five years and 90 percent in the next 10 years. “Ending the HIV Epidemic” (EtHE) efforts will focus initially on 48 high burden counties: Washington, DC; San Juan, Puerto Rico; and seven states with substantial rural HIV burdens, before moving on to all U.S. counties.
Dr. Denis Nash, Distinguished Professor of Epidemiology at the CUNY Graduate School of Public Health and executive director of the CUNY Institute for Implementation Science in Population Health, notes that because ending the public health threat of HIV requires intensification and more focused targeting of implementation, there is a need for new metrics to inform and evaluate EtHE initiatives. Dr. Nash argues that newer metrics should complement the current metrics that focus on new HIV infections, individuals successfully being treated for HIV, and coverage of pre-Exposure Prophylaxis (PrEP), a drug which can prevent HIV infection.
The HHS plan should develop metrics that track the deployment and uptake of specific intervention delivery strategies, which would provide data regarding plan goals. Dr. Nash contends that HIV-related health disparities in both implementation outcomes and health outcomes require special attention.Friday Letter Submission, Publish on December 27