Status of HIV Case-Based Surveillance Implementation — 39 U.S. PEPFAR-Supported Countries, May–July 2019

• DOI: 10.15585/mmwr.mm6847a2
• Publication Date: 2019-11-27T15:21:22Z
• Authors: Joshua R. Holmes; Thu-Ha Dinh; Nasim Farach; Eric-Jan Manders; James Kariuki; Daniel H. Rosen; Andrea A. Kim; ; ; Alean Frawley; Patrick Tema; Kristen L. Hess; Khuteletso Bagapi; Penh Sun Ly; Vanthy Ly; Rachel Albalak; Varough Deyde; Tyson Volkmann; Martine Chase; Rhonda A. Moore; Sasha E. Walrond; Avery Hinds; Keven Antoine; Nicola Skyers; Jose Manuel Rodas; Sandra I. Juarez; Tomasa Sierra Pineda; José Salvador Sorto; Maria Mastelari; Manuel Sagastume; Ingrid Castillo; Luz Maria Romero; Enrique Beteta; Aka-Camara Aoua; G. Laissa Ouedraogo; Legre Roger Lobognon; Rinaldy Capellán; Luis Bonilla; Jacob Dee; Rogers Galaxy Nga...; Denis Yoka Ebengo; Caroline Ryan; Munyaradzi Pasipa...; Beyene Moges; Frehywot Eshetu; Ayalew A. Haile; Silas Quaye; Valerie Pelletier; Joelle Deas Van O...; Timbila Jean Bapt...; Leonard Kingwara; Faith N. Ngari; Catherine Ngugi; Anthony Waruru; Joseph L. Barker; Margaret Ndisha; Peter Young; Phouthone Southalack; Bouathong Simanovong; Douangchanh Xaymo...; Martha Conkling; Refiloe Mpholo; Tigest Mekonnen; Linda Mattocks; Evelyn Kim; Subrat Das; Mamadou B. Traore; Sory Traore; Kristen Heitzinger; Maria Rein; Peter Kerndt; Adam Wolkon; Michael de Klerk; Nicholus Mutenda; Charles Nzelu; Ibrahim Dalhatu; Stacie Greby; Ibrahim Jahun; Mukhtar Ahmed; Victor Sebastian; Ademola Oladipo; Matthias Alagi; Moyosola Bamidele; Mustapha Bello; Henry Debem; Raphael Akpan; Aminu Yakubu; Ayodele Fagbemi; Nguhemen Tiger; Ifunanya Mgbakor; Ibrahim Dangana; Abel Yamba; Poruan Temu; Peniel Boas; Gene MacDonald; Janise Richards; Placidie Mugwaneza; Mboup Souleymane; Astou Guèye Gaye; Safiatou Thiam; Moussa Sarr; Mireille Cheyip; Zukiswa Edna Pinini; Sarah Porter; Shirley Nkone; Richard Lino Loro...; Moses Mutebi Nganda; Sudhir Bunga; Alex Bolo; George S. Mgomella; Jeremiah Mushi; Zaharani Kalungwa; Suvimon Tanpradech; Kunjanakorn Phokh...; Thitipong Yingyong; Herbert Kiyingi; Muramuzi Bangizi ...; Edgar Kansiime; Musenge Kenneth; Roksolana Kulchynska; Ihor Kuzin; Nataliya Podolchak; Ezra J. Barzilay; Violetta Martsyno...; Abu S. Abdul-Quader; Vo Hai Son; Nguyen Tuan Anh; Suilanjo Sivile; Andrew Banda; Stanley Kamocha; Elizabeth Gonese; Brian Kumbirai Moyo; Kelsey Mirkovic
• Keywords: Public health surveillance; Implementation research; Action plan

Human immunodeficiency virus (HIV) case-based surveillance (CBS) systematically and continuously collects available demographic health event data (sentinel events*) about persons with HIV infection from diagnosis and, if available, throughout routine clinical care until death, to characterize epidemics guide program improvement (1,2). Surveillance signals such as high viral load, mortality, or recent can be used for rapid public action. To date, few standardized assessments have been conducted describe CBS systems globally (3,4). For this assessment, a survey was disseminated during May-July 2019 all U.S. President's Emergency Plan AIDS Relief (PEPFAR)-supported countries CDC presence† (46) implementation identify facilitators barriers. Among the 39 (85%) that responded,§ 20 (51%) implemented CBS, 15 (38%) were planning implementation, four (10%)¶ had no plans implementation. All reported capturing information at point of diagnosis, 85% captured sentinel data. The most common characteristic (75% countries) facilitated using system CBS. Barriers included lack country policies/guidance on mandated reporting unique identifiers match deduplicate patient-level data, security standards. Although surveyed implementing these barriers need addressed implement effective inform national response epidemic.