The funding requested through this proposal is necessary to maintain and promote high quality public health surveillance of HIV diagnosis and care in North Carolina (NC) through the Medical Monitoring Project (MMP).
Purpose: We are requesting renewed funding to maintain the NC MMP and our capability for surveillance of behavioral factors and clinical care issues to both in-care and out-of-care HIV-infected persons in NC.
Process: To gather the described information, MMP staff will use multiple sources of contact information to find and expertise in establishing rapport to interview and collect medical record information from the required proportion of the 400 people living with HIV randomly selected from the NC electronic HIV/AIDS Surveillance System. These interviews will provide information on behaviors that facilitate HIV transmission; access to and the barriers to HIV-related secondary prevention services; utilization of HIV-related medical services; and adherence to drug regimens for both HIV-infected persons that are in-care and out-of-care in NC. Medical record abstractions provide information on clinical conditions that occur in HIV-infected persons as a result of their disease or their medications and on HIV care and support services being received by the HIV-infected SP. Data collected through interviews and abstractions will be evaluated for quality and transmitted to CDC contractors using CDC approved methodologies.
Outcomes: The information derived from MMP data analyses will be used by our HIV/AIDS Prevention and Treatment/Care Units for evaluation and planning, by the NC Communicable Disease Branch and NC stakeholders to inform budget, planning, and public health program development, including for our End the Epidemic plan, and by CDC for monitoring and evaluation at the national level.