Since 2007 the Medical Monitoring Project (MMP) has provided important information at the national and local level about HIV-diagnosed persons receiving care. More recently, case surveillance-based sampling for MMP has been successfully implemented in all 23 national sites, including San Francisco. This approach provides a more comprehensive picture of the sociodemographic characteristics of and outcomes among all HIV diagnosed persons, including those who are not engaged in care. Such data are essential at the national and local levels in order to prioritize, target and apply evidence-based HIV prevention, care and treatment responses.
Given the proven health benefits of HIV medical care and treatment for the individual HIV positive patient, as well as the population level benefit of reduced further HIV transmission when viral suppression is achieved, it is imperative that each step of the HIV care cascade be supported. The Medical Monitoring Project provides information critical to understanding people living with diagnosed HIV’s (PLWDH) experiences with HIV medical care including sociodemographic disparities in care access and utilization, barriers to sustained and adequate care, met and unmet needs for supportive services and use of healthcare and prevention services. This information helps to provide an understanding of all aspects of health and well-being for persons living with HIV in the United States, and can be used to inform and guide HIV prevention, care and treatment efforts. The change from sampling from medical provider facilities to sampling from the HIV care registry has further advanced the ability of MMP to provide crucial information on the care experiences among all HIV diagnosed persons and to inform future HIV prevention and care strategies.
The San Francisco Department of Public Health (SFDPH) has extensive experience sampling, locating and recruiting PLWDH from our HIV case registry, and enrolling them in a linkage and navigation program for assistance establishing initial HIV care and/or for maintaining retention in HIV care. This experience has been gained through 1) an HIV surveillance research study aimed at identifying people who, as indicated by laboratory data in the HIV case registry, had fallen out of care, locating them and providing re-linkage services, 2) routine use of HIV surveillance for data-to-care activities in conjunction with the SFDPH linkage and navigation program, 3) as a MMP site initially chosen by CDC as a Case Surveillance Based Sampling Pilot site and 4) HIV partner services.
Given this experience, we are well poised to identify persons who are both in and out of HIV medical care from the HIV case registry and locate and recruit them into MMP. We will continue to ensure that MMP data collected will be employed by key local and national users to inform budgeting, planning and service delivery decisions, to support HIV prevention and treatment efforts as part of the CDC-RFA-PS18-1802 and that this data will be used to inform local and national HIV prevention and treatment efforts.
925 clients served over 5 years (185 per year)