The Medical Monitoring Project (MMP) is a supplemental surveillance project conducted by the Puerto Rico Health Department (PRHD), in collaboration with the Centers for Disease Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA). It is designed to produce nationally representative data on people living with HIV in the United States. This project will enable to make an estimate of the resources needed for treatment and other services for people infected with HIV in our Island. To achieve this, we will conduct interviews and medical record reviews for a representative sample of patients reported to the HIV/AIDS Surveillance System (HASS) of Puerto Rico.
The participants will be sampled by stratified random sample with Case Surveillance Based Sampling (CSBS) methodology. The sample of eligible persons will be drawn directly from the HIV surveillance data in the National HIV Surveillance System (NHSS) data collection software, the enhanced HIV/AIDS Reporting System (eHARS), using a Statistical Analysis Software (SAS) sampling draw program developed by CDC.
Patients who agree to participate will be interviewed using a computer-assisted questionnaire administered by our staff, either at the providers’ offices or at some other place convenient for the patient. PR MMP staff will also complete a standardized data collection form to collect clinical information for available medical records. Outcomes of interest include socio-demographic variables, behavioral and clinical characteristics, supportive service needs, use of healthcare and prevention services, and adherence to clinical care guidelines among HIV-diagnosed persons.
This project is an important part of PRHD activities to generate representative estimates of clinical outcomes and HIV-related behaviors, monitor HIV-related morbidity, and to help guide the efforts to monitor progress toward the National HIV/AIDS Strategy objectives related to linkage to and retention in care.