Cross-site Monitoring and Evaluation of the Care and Prevention in the United States Demonstration Project, 2012-2016: Selected Process and Short-term Outcomes

Abstract

Objective: The Care and Prevention in the United States (CAPUS) Demonstration Project was a 4-year (2012)(2013)(2014)(2015)(2016) cross-agency demonstration project that aimed to reduce HIV/AIDS-related morbidity and mortality among racial/ ethnic minority groups in 8 states (Georgia, Illinois, Louisiana, Mississippi, Missouri, North Carolina, Tennessee, and Virginia). Its goals were to increase the identification of undiagnosed HIV infections and optimize the linkage to, reengagement with, and retention in care and prevention services for people with HIV (PWH). We present descriptive findings to answer selected cross-site process and short-term outcome monitoring and evaluation questions. Methods: We answered a set of monitoring and evaluation questions by using data submitted by grantees. We used a descriptive qualitative method to identify key themes of activities implemented and summarized quantitative data to describe program outputs and outcomes.Results: Of 155 343 total HIV tests conducted by all grantees, 558 (0.36%) tests identified people with newly diagnosed HIV infection. Of 4952 PWH who were presumptively not in care, 1811 (36.6%) were confirmed as not in care through Data to Care programs. Navigation and other linkage, retention, and reengagement programs reached 10 382 people and linked to or reengaged with care 5425 of 7017 (77.3%) PWH who were never in care or who had dropped out of care. Programs offered capacity-building trainings to providers to improve cultural competency, developed social marketing and social media campaigns to destigmatize HIV testing and care, and expanded access to support services, such as transitional housing and vocational training.Conclusions: CAPUS grantees substantially expanded their capacity to deliver HIV-related services and reach racial/ethnic minority groups at risk for or living with HIV infection. Our findings demonstrate the feasibility of implementing novel and integrated programs that address social and structural barriers to HIV care and prevention.

Implementing a Data to Care Strategy to Improve Health Outcomes for People With HIV: A Report From the Care and Prevention in the United States Demonstration Project

“…CAPUS funded 8 state health department programs to improve HIV care and prevention outcomes by using HIV surveillance and other data. 3,4 Health departments use HIV surveillance data to monitor trends in HIV diagnoses, stage the progression of disease, and describe the epidemiology of HIV disease; they also may use these data for public health interventions. 2,[5][6][7] Data to Care (D2C) is a high-impact public health strategy that uses HIV surveillance and other data to identify PWH who are in need of HIV medical care and other services and link them to those services.…”

“…CAPUS funded 8 state health department programs to improve HIV care and prevention outcomes by using HIV surveillance and other data. 3,4…”

Learning by Doing: Lessons From the Care and Prevention in the United States Demonstration Project

“…Selected cross-site process and shortterm outcome evaluation findings are reported by Mulatu and colleagues in this supplement. 15 This article is based on data collected during 2012-2016 that were obtained from grantee progress reports and presentations, federal partner presentations, and notes from site visits and grantee conference calls. These sources described program successes, factors that contributed to successes, challenges, and strategies implemented to address challenges.…”

“…20 Grantees were also able to reach large numbers of priority populations through social marketing and social media campaigns that were intended to reduce stigma and promote HIV testing and immediate linkage to care. 15…”

“…Selected cross-site process and short-term outcome evaluation findings are reported by Mulatu and colleagues in this supplement. 15…”