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Report; improving HIV surveillance among American Indians and Alaska Natives in the United States
  • Published Date:
    January 2013
Filetype[PDF-552.99 KB]


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  • Description:
    Executive summary - Introduction - Background - Methods - Summary of key finings on improving surveillance of HIV infection among AI/AN persons- Recommendations - Contributors - References

    In proposed action steps to address the National HIV/ AIDS Strategy goal of reducing new HIV infections, the Federal Implementation Plan for the Strategy specifically encourages improved surveillance to better characterize HIV among American Indians and Alaska Natives (AI/ AN). The Implementation Plan calls for the Centers for Disease Control and Prevention (CDC) to provide state health departments that have high concentrations of AI/AN populations with recommendations on effective HIV surveillance activities. To develop these recommendations, CDC followed a two-step process. First, an assessment was conducted from July through September 2011, including a literature review and a series of discussions with representatives of AI/AN public health agencies and organizations and the Indian Health Service (IHS), as well as several state health departments. Second, current AI/AN-related HIV surveillance practices were assessed through focus group and key informant discussions with HIV surveillance staff in six states and three cities within them that have separately funded HIV surveillance programs and have the largest populations or proportions of AI/AN persons (Alaska, Arizona, California, New Mexico, Oklahoma, Texas and Los Angeles, San Francisco and Houston). This report provides these recommendations and describes the activities that led to their development.

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