Evaluation of the National Human Immunodeficiency Virus Surveillance System for the 2011 Diagnosis Year

Details

• Alternative Title:
  J Public Health Manag Pract
• Personal Author:
  Karch, Debra L. ; Chen, Mi ; Tang, Tian
• Description:
  Context ; In 2009, the Centers for Disease Control and Prevention completed migration of all 59 surveillance project areas (PAs) from the case-based HIV/AIDS Reporting System to the document-based Enhanced HIV/AIDS Reporting System. ; Objectives ; We conducted a PA-level assessment of Enhanced HIV/AIDS Reporting System process and outcome standards for HIV infection cases. ; Design ; Process standards were reported by PAs and outcome standards were calculated using standardized Centers for Disease Control and Prevention SAS code. ; Setting ; A total of 59 PAs including 50 US states, the District of Columbia, 6 separately funded cities (Chicago, Houston, Los Angeles County, New York City, Philadelphia, and San Francisco), and 2 territories (Puerto Rico and the Virgin Islands). ; Participants ; Cases diagnosed or reported to the PA surveillance system between January 1, 2011, and December 31, 2011, using data collected through December 2012. ; Main Outcome Measures ; Process standards for death ascertainment and intra- and interstate case de-duplication; outcome standards for completeness and timeliness of case reporting, data quality, intrastate duplication rate, risk factor ascertainment, and completeness of initial CD4 and viral load reporting. ; Results ; Fifty-five of 59 PAs (93%) reported linking cases to state vital records death certificates during 2012, 76% to the Social Security Death Master File, and 59% to the National Death Index. Seventy percent completed monthly intrastate, and 63% completed semiannual interstate de-duplication. Eighty-three percent met the 85% or more case ascertainment standard, and 92% met the 66% or more timeliness standard; 75% met the 97% or more data quality standard; all PAs met the 5% or less intrastate duplication rate; 41% met the 85% or more risk factor ascertainment standard; 90% met the 50% or more standard for initial CD4; and 93% met the same standard for viral load reporting. Overall, 7% of PAs met all 11 process and outcome standards. ; Conclusions ; Findings support the need for continued improvement in HIV surveillance activities and monitoring of system outcomes.
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• Keywords:
  • acquired immunodeficiency syndrome
  • AIDS
  • evaluation
  • HIV
  • surveillance
  • Acquired Immunodeficiency Syndrome
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
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• Source:
  J Public Health Manag Pract. 20(6):598-607
• Pubmed ID:
  24253405
• Pubmed Central ID:
  PMC4602389
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  20
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/34928/cdc_34928_DS1.pdf
• File Type:
  [PDF - 280.29 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ecaedc1a367b1f75ae26d2ea87516f8ffcfe7ff64c4a333b9b47d76c6c7d7148