Missouri’s efforts under the Integrated HIV Surveillance and Prevention Programs Cooperative Agreement will address the CDC’s stated goals of ensuring that everyone with HIV is aware of their infection, linked to and retained in HIV medical care, and virally suppressed. These primary goals will be accomplished through the continuation of Missouri’s long history of collaboration in support of a coordinated and comprehensive service delivery system for persons living with HIV (PLWH) throughout the state. Strategies included within this Cooperative Agreement reflect a strong focus on data-driven High Impact Prevention (HIP) activities consistent with the national prevention goals of achieving and sustaining viral suppression and reducing new infections. Missouri’s proposed activities have been developed based on available surveillance data and include an emphasis on services tailored to address the needs of disproportionately impacted and emerging populations to ensure that limited HIV prevention resources are allocated in the most equitable and impactful manner.
Missouri’s objectives will be achieved through continued partnership with contractors throughout the state to provide comprehensive HIV prevention education and testing services, behavioral and biomedical intervention services, and HIV surveillance activities. Each of Missouri’s contracted partners is experienced in providing HIV prevention and/or surveillance services and is able to tailor prevention services to meet the unique needs of individual regions and/or communities. These organizations and their subcontractors provide prevention interventions and approved behavioral risk reduction education targeted to populations at highest risk for HIV infection and/or transmission in accordance with national, statewide, and regional goals and priorities. Missouri’s HIV prevention services are integrated with sexually transmitted infection (STI) and viral hepatitis prevention services, thereby increasing opportunities to intervene in the spread of HIV by providing seamless referrals for high risk individuals to HIV testing, linkage to care, or reengagement in care services.
Missouri’s HIV surveillance program monitors and analyzes data to identify and track trends in disease incidence. Accurate identification and timely reporting are integral parts of successful disease control, increasing Missouri’s ability to develop and implement effective HIV prevention and care strategies that are responsive to disproportionately impacted or emerging communities. HIV surveillance data are used to inform programmatic and resource allocation decisions for both HIV prevention and care services.
Missouri’s proposed project includes a request for demonstration project funding to implement a cohort review of individuals newly diagnosed with HIV. Through the proposed cohort review, Missouri will identify common demographic, risk, and social factors that negatively impact linkage to medical care for newly diagnosed PLWH. This information will be used to target intensive linkage to care services to identified individuals. Additionally, findings from the cohort review will be used to adapt and/or expand Missouri Disease Intervention and Ryan White HIV Care System services for newly diagnosed PLWH.