President Obama on July 30 signed an Executive Order detailing principles and priorities to guide collective national work to address HIV through 2020.
The original goals of the strategy first released in 2010 were to reduce new HIV infections, increase access to care and improve health outcomes for those living with HIV, reduce HIV disparities and health-related disparities and coordinate the national response.
Priorities through 2020 include widespread testing and linkage to care and broad support for those living with HIV and remaining in treatment.
According to the Executive Order, the update guides the country’s response to prioritize the following groups:
– Gay, bisexual, and other men who have sex with men of all races and ethnicities, noting the particularly high burden of HIV among
– Black gay and bisexual men
– Black women and men
– Latinos and Latinas
– People who inject drugs
– Youth aged 13 to 24 years, noting the particularly high burden of HIV among young Black gay and bisexual men
– People in the Southern United States
– Transgender women, noting the particularly high burden of HIV among Black transgender women
Together, by aligning Federal and community efforts on the principles and priorities detailed in the updated Strategy, the goal is to achieve the following outcomes by 2020:
- Increase the percentage of people living with HIV who know their serostatus (HIV status) to at least 90 percent.
- Reduce the number of new diagnoses by at least 25 percent.
- Reduce the percentage of young gay and bisexual men who have engaged in HIV-risk behaviors by at least 10 percent.
- Increase the percentage of newly diagnosed persons linked to HIV medical care within one month of diagnosis to at least 85 percent.
- Increase the percentage of persons with diagnosed HIV infection who are retained in HIV medical care to at least 90 percent.
- Increase the percentage of persons with diagnosed HIV infection who are virally suppressed to at least 80 percent.
- Reduce the percentage of persons in HIV medical care who are homeless to no more than 5 percent.
- Reduce the death rate among persons with diagnosed HIV infection by at least 33 percent.
- Reduce disparities in the rate of new diagnoses by at least 15 percent in the following groups: gay and bisexual men, young Black gay and bisexual men, Black women, and persons living in the Southern United States.
- Increase the percentage of youth and persons who inject drugs with diagnosed HIV infection who are virally suppressed to at least 80 percent.
To guide implementation of the updated strategy, a federal action plan will be released in December.
According to the order, “working together to achieve the outcomes of the updated Strategy, Federal and community partners will bring us closer to realizing the Strategy’s vision:
“The United States will become a place where new HIV infections are rare, and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity, or socio-economic circumstance will have unfettered access to high quality, life-extending care, free from stigma and discrimination.”