Figure 2.

Steps and outcomes of the Data to Care (D2C) process among people with diagnosed HIV infection (PWH) who had virologic failure, Care and Prevention in the United States (CAPUS) Demonstration Project, Louisiana Department of Health, 2012-2016. D2C is a high-impact public health strategy that uses HIV surveillance and other data to identify PWH who are in need of HIV medical care and other services and link them to those services.⁸ The CAPUS Demonstration Project was a 4-year cross-agency demonstration project funded by the US Department of Health and Human Services Secretary’s Minority AIDS Initiative Fund through the Centers for Disease Control and Prevention (CDC).³ Virologic failure was defined as 2 consecutive viral load test results >1000 copies/mL at least 90-365 days apart in the past year with no clinically significant decrease between results (defined as a 3-fold decrease in viral load) or a viral load >500 000 copies/mL with no subsequent test within 3 months. PWH with an undetectable viral load within the past year and a subsequent viral load (taken at least 90 days later) that was >1000 copies/mL were excluded. This criterion was in place from October 1, 2013, through July 7, 2014, to exclude PWH who had minor changes in their viral load or other treatment-related issues unrelated to adherence. This D2C activity was implemented between October 1, 2013, and September 29, 2016, by the Louisiana Department of Health. A substantially improved viral load was defined as a 3-fold decrease in viral load. Data source: Panel on Antiretroviral Guidelines for Adults and Adolescents.¹⁹