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Goal #5 To increase individual knowledge of serostatus and strengthen systems for successful referral to early intervention services.
  1. At least 85 percent of the estimated 800,000 to 1,000,000 HIV-infected individuals will know their HIV serostatus.
  2. At least 90 percent of health care sites receiving public funds and serving at-risk persons will provide appropriate HIV counseling and testing services.
  3. At least 80 percent of known HIV infected individuals, either directly or through referral, will receive primary and secondary prevention services.
Action Steps
  1. Working with governmental and nongovernmental partners, enhance community-level assessments of needed primary and secondary prevention services.
  2. Monitor progress toward objectives.
  3. Identify opportunities for common HIV prevention data collection and development of uniform data sets.
  4. Integrate HIV prevention services into standards of care for the diagnosis and treatment of HIV disease.
  5. In collaboration with the FDA, develop, test, and implement rapid HIV testing procedures.
  6. Strengthen the capacity of State, and local health departments to provide partner notification services to private health care providers offering HIV counseling and testing.
  7. Develop alternative methods to provide HIV counseling and testing services.
  8. Work with professional groups, hospitals, and State health departments to ensure that health care workers receive adequate training on primary and secondary HIV prevention (in collaboration with HRSA).
  9. Study the impact of discrimination as a barrier to prevention services. Assist publicly funded counseling and testing sites establish selection criteria and systems for monitoring the quality of referral laboratories.
  10. Interview persons newly diagnosed with HIV infection to identify missed opportunities for earlier diagnosis and CD4+ testing.
  11. Conduct a study of incident AIDS cases to determine what services HIV-positive clients are receiving over time to identify service gaps (in collaboration with HRSA).
  12. Provide guidelines and training to HIV counselors to improve the quality of counseling.

Counseling, testing, referral partner notification programs are supported as part of cooperative agreements with state and local health departments.

$ 169 million
$ 167 million
$ 181 million

All major racial and ethnic groups and persons engaging in behaviors that place them at risk for acquiring HIV.


A major avenue for constituency involvement is the HIV Prevention Community Planning Process. Through this mechanism, State and local health departments form community planning groups to assist in developing HIV prevention plans. In addition, there is regular and extensive consultation with representatives from State and local health departments, community planning groups, and national organizations.


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CDCC #1- Appendix A: Prevention