The HIV Care Continuum provides a model that can be used to monitor progress toward the achievement of objectives outlined in the National HIV/AIDS Strategy for the United States (NHAS), released by the White House in July 2010, and updated in 2015. The Care Continuum captures several stages in the care of people living with HIV:
- HIV diagnosis. It is estimated that approximately 14% of people living with HIV in the nation don’t know they have it. The proportion of persons living with HIV in Georgia with undiagnosed HIV is estimated at 18%. The only way to know for sure if one is infected with HIV is to be tested. Undiagnosed persons run the risk of disease progression, and transmitting the virus to others.
- Linkage to care. Timely entry into medical care is important for treatment of HIV and other medical conditions. Linkage to care is measured as the percent of people who are seen for HIV care within 1 months of diagnosis. In the 2010 NHAS, linkage to care was defined as bein g seen within 3 months of diagnosis, but this measure was changed in the 2015 NHAS given the importance of rapid entry into care.
- Any care. Any care is a measure of minimal commitment to continued care with at least 1 HIV care visit in a year.
- Retained in care. Retention in care more closely reflects the recommended standard of care with at least 2 HIV care visits at least 3 months apart in a year.
- Viral suppression. A viral load <200 copies/ml is the important to prevent progression to AIDS and to eliminate viral transmission. Studies have shown that viral suppression reduces transmission by 96%.
Because we don't have a way to directly measure clinic appointments, HIV laboratory tests reported to DPH are used as a proxy measure for HIV care visits. For example, having had at least one CD4 or viral load in a 12 month period is taken to indicate at least 1 HIV care visit in a year.
How is Georgia doing?
Of the 49,828 persons living with HIV in Georgia in 2014, 60% had at least one HIV care visit (any care), 48% had at least 2 visits (retained in care), and 46% were virally suppressed (VL <200 copies/ml).
Among the 2885 adults and adolescents diagnosed with HIV in 2013 in Georgia, 75% were linked to care within 1 month of diagnosis.
Georgia's HIV Care Continuum
The Care Continuum slide sets are public domain and may be downloaded for copyright-free use.
- HIV Care Continuum, Georgia, 2014 – Report
- HIV Care Continuum, by Georgia Health District, 2014 – Report
- HIV Care Continuum, Georgia, 2014 – Slides
- HIV Care Continuum, Atlanta Eligible Metropolitan Area (EMA), Georgia, 2014 – Slides
- HIV Care Continuum, non-EMA counties, Georgia, 2014 – Slides
- HIV Care Continuum, Georgia, 2014, Men who have Sex with Men – Slides
- HIV Care Continuum by Georgia Health District, 2014 – Tables
For more information on the national Care Continuum and why it is important visit http://aids.gov/federal-resources/policies/care-continuum/
To see the Atlanta Care Continuum by zip code visit our partner website www.HIVContinuum.org
Know your HIV status. Get tested. Visit http://locator.aids.gov/
Page last updated 7/19/2016