During the February 2019 State of the Union, President Trump publicly announced a plan to end HIV transmissions in the United States by 2030. The Ending the HIV Epidemic Initiative (EHE) aims to reduce HIV infections in the United States by 75% in five years, and by 90% in 10 years. The announcement was the culmination of a push by the Department of Health and Human Services and conversations between advocates and the new administration before it took office. The EHE also stands on the shoulders of the National HIV/AIDS Strategy, which was the first comprehensive response to the US epidemic and the basis for successive state plans to reduce and eventually end HIV.
The Federal government will evaluate the effectiveness of the EHE initiative via traditional epidemiological indicators: HIV incidence, knowledge of serostatus, HIV diagnoses, linkage to HIV medical care, viral suppression and pre-exposure prophylaxis (PrEP) coverage. Although crucial to evaluating outcomes, these indicators do not address the varying contexts across localities in which EHE will be implemented. Understanding context will be crucial to identifying facilitators and barriers that may impact EHE implementation in each jurisdiction.
amfAR's free and interactive Ending the HIV Epidemic database includes demographic, policy, service provider, and epidemiological indicators across EHE jurisdictions. The database displays graphs and maps, and allows users to rank and compare indicators across jurisdictions. amfAR's Ending the HIV Epidemic database has three primary purposes:
- To help a broad audience understand the opportunities and challenges across EHE jurisdictions;
- To assist EHE sites identify other jurisdictions with similar policies, services or infectious disease contexts to share planning and intervention strategies;
- To provide supplemental and complementary information to better evaluate outcomes across EHE sites.