
HRSA’s “Zero New Infections” framework is a five-pronged approach guiding their activities towards an AIDS-free generation.
Other News in 2014
HRSA's HIV/AIDS Bureau releases the revised Guide for HIV/AIDS Clinical Care, a 600-page document on best practices and clinical management of HIV disease.4
The U.S. Food and Drug Administration approves a once-daily fixed-dose combination pill of the antivirals dolutegravir, abacavir, and lamivudine (Triumeq) for the treatment of HIV infection in adults aged 18 years and older.5
2014
HRSA’s HIV Care Continuum Efforts Bring Country One Step Closer to Achieving an AIDS-free Generation
The continuum of engagement in care (later changed to the HIV Care Continuum) was a phrase used by Dr. Laura Cheever, HRSA’s Associate Administrator for the HIV/AIDS Bureau, in her seminal 2007 editorial to describe the fluid nature of HIV health care delivery and patient experience.1 Today, that concept of engaging patients and moving them along the HIV Care Continuum to achieve and sustain viral load suppression has received unprecedented attention and led to a federal HIV Care Continuum Initiative,2 in which the Ryan White HIV/AIDS Program plays a critical role.
The HIV Care Continuum has given the country metrics through which to understand HIV care and treatment in the United States. Moreover, it has facilitated targeted interventions to populations in need and identified critical points where people living with HIV (PLWH) are most likely to fall out of care.
The Ryan White HIV/AIDS Program 2012 Services Report (RSR) client-level data (released in 2014) revealed that PLWH who receive care in HAB-funded clinics are better engaged, retained, and virally suppressed than national HIV Care Continuum estimates for the general population.3 For example, in 2012 approximately 75% of Ryan White HIV/AIDS Program clients were virally suppressed and 82% were retained in care. Retention in care was defined as having at least one outpatient/ambulatory medical care visit before September 1, 2012, and at least two visits within 90 or more days apart, and viral suppression was defined as having at least one outpatient/ambulatory medical care visit, and at least one viral load count, and a last viral load test of <200. Together, with advancements in treatment efficacy and prevention knowledge, the future of HIV and of the Ryan White HIV/AIDS Program have never been more promising.
With 60% of estimated people diagnosed with HIV in the country receiving at least one Ryan White HIV/AIDS Program service, HRSA’s HIV/AIDS Bureau has a critical role to play in advancing the HIV Care Continuum and working towards an AIDS-free generation. The tools with which to get there are in place and the Ryan White HIV/AIDS Program’s “Zero New Infections Framework,” provides the roadmap with which to do so.

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Toward Passage - 1986
HRSA Debuts First
AIDS Program - 1987
AZT Reimbursement
Program Launches - 1988
Pediatric AIDS
Grants Begins - 1989
HRSA Funds Move
Outside Epicenters - 1990
CARE Act Is Adopted,
Named for Indiana Teen -
The Early Years - 1991
HRSA Awards First
CARE Act Grants - 1992
Training Creates Access
to Expert Care - 1993
Largest Epicenters
Now Number 25 - 1994
AZT Is Found to Protect
Newborns From HIV - 1995
The Age of Combination
Therapy Arrives -
Adapting to Change - 1996
CARE Act
Reauthorized - 1997
Programs Unite
Under One Umbrella - 1998
Administration Addresses
Epidemic in Minorities - 1999
Minority AIDS Initiative
is Launched - 2000
Reauthorization Focuses
on People Not in Care -
A New Millennium - 2001
HRSA Publishes Treatment
Guide for Women - 2002
CARE Act Expertise
Goes Global - 2003
Global HIV/AIDS
Program Begins - 2004
HRSA Addresses
Severity of Need - 2005
New Treatment
for Addiction -
New Approaches - 2006
The CARE Act
Makeover - 2007
New Policies—
Waves of Change - 2008
Continuing Work
on Re-entry Programs - 2009
Improving
Performance Data - 2010
20 Years and
a Legacy of Care -
The Road Ahead - 2011
30 Years of AIDS:
Honoring the Past,
Looking Toward the Future - 2012
Care is Prevention - 2013
High-Impact Prevention - 2014
HIV Care Continuum
One Step Closer to an
AIDS-free Generation - 2015
Celebrating 25 Years of
Passion, Purpose,
and Excellence -
Optimizing Health Outcomes - 2016
HRSA’s Efforts to Achieve the Goals of the National HIV/AIDS Strategy - 2017
HIV and Hepatitis C Coinfection