The Michigan Department of Health and Human Services (MDHHS), HIV Care and Prevention Section and HIV/STD Surveillance and Epidemiology Section intend to use data-driven, evidence-based best practices to increase each level of the HIV continuum of care. Through this five-year project period, Michigan will:
• Increase the number of negative clients who remain negative by navigating high-risk clients to PrEP, providing a wide range of consumer and provider engagement trainings for PrEP support and adherence, and syringe service programs especially in areas highly impacted by Hepatitis C and the opioid epidemic.
• Increase the percentage of clients who know their HIV status by various methods including targeted and routinized testing, continued work on stigma and discrimination reduction, and partner services.
• Link individuals to care using integrated data systems to reduce the time between diagnosis and linkage, increasing collaborations with Ryan White early intervention services programs, building primary care provider capacity in areas with few infectious disease providers, and standardizing data to care protocols for statewide implementation.
• Use data to identify unmet need and target technical assistance in all of the above areas, requiring extensive HIV surveillance data timeliness and completeness.
• Focus limited resources on high-risk populations including young black men who have sex with men, transgender women, and pregnant women and babies born to women with HIV.
• Use surveillance data for innovative programing including cluster analysis, Data to Care (D2C), trend and outbreak monitoring to prevent HIV infections.
MDHHS HIV Surveillance and Prevention programs have a long history of collaborative relationships, specifically in the areas of quality management, resource allocation, training, and data sharing which greatly supports the opportunity to implement a coordinated response to the National HIV/AIDS Strategies 2020.
MDHHS HIV Surveillance and Prevention programs have well established infrastructure to carry out all Component A strategies and objective and have allocated 75% to strategies one through seven. MDHHS has leveraged other federal, state, and private funds to execute PS18-1802 strategies and will work in unison with partners such as the MDHHS Continuum of Care Unit, MDHHS STD Section, other related MDHHS divisions, community based organizations, health care systems, the Michigan HIV/AIDS Council, Ryan White partners, local health departments, and others who will assist in achieving work plan objectives.
MDHHS has submitted a Component B proposal for consideration. MDHHS has seven data systems that record infections that include, but are not limited to, HIV, syphilis, chlamydia, and gonorrhea. Types of data include laboratory reporting, testing and referral events, pre-exposure prophylaxis referrals, partner services, and reports for CDC and HRSA.
MDHHS has applied for Component B funds to increase the efficiency and completeness of data reporting by developing a systems analysis to consolidate existing data reporting programs. By enabling the systems to share information, MDHHS HIV Surveillance and Prevention will improve the way the data is accessible to local health departments and MDHHS staff; the identification of gaps in HIV and STD prevention and intervention efforts; and the ability to target outreach activities more thoroughly to those areas or populations.