Status of HIV Case-Based Surveillance Implementation — 39 U.S. PEPFAR-Supported Countries, May–July 2019
Public health surveillance
Implementation research
Action plan
DOI:
10.15585/mmwr.mm6847a2
Publication Date:
2019-11-27T15:21:22Z
AUTHORS (133)
ABSTRACT
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.
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