All people in North Carolina experience sexual health with equitable access to quality and culturally competent prevention, treatment, and management of sexually transmitted infections.

Why Is This Important?

HIV can cause lifelong physical and psychological consequences. When left untreated, HIV can also be transmitted to sexual partners and unborn children. HNC 2030, p. 76, revised

Story Behind the Curve

The North Carolina HIV diagnosis rate was 13.9 per 100,000 people in 2018. Significant racial and gender disparities exist, including higher rates of diagnosis within communities of color. For African American men and women, HIV diagnosis was 68.7 cases per 100,000 and 15.9 cases per 100,000, respectively. Hispanics were diagnosed at a rate of 17.7 cases per 100,000 people. The white population was diagnosed at only 4.9 cases per 100,000 people. HIV diagnosis is significantly higher among men who have sex with men and large disparities exist between African American, Hispanic, and white men within this group as well. Men who have sex with other men are 155 times more likely to contract HIV than men who have sex only with women. People with lower income, who lack health insurance, sex workers, and incarcerated individuals have higher rates of diagnosis and lack resources for prevention and treatment of HIV. The 2030 goals for this indicator are to reduce the rate of diagnosis to 6.0 cases per 100,000 people and reduce racial/ethnic disparities. HNC 2030 pp. 76-77, revised

Partners
Carolinas CARE Partnership
https://www.carolinascare.org/
Duke PrEP Clinic For HIV Prevention
https://www.dukehealth.org/locations/duke-prep-clinic-hiv-prevention
Durham County Department of Public Health- Formerly Incarcerated Transitions (FIT) Program
https://www.dcopublichealth.org/services/std-hiv-testing
Equality North Carolina
https://equalitync.org/issues/hiv_aids_work/
Getting To Zero Mecklenburg
https://www.mecknc.gov/HealthDepartment/GettingToZero/Pages/Home.aspx
NC Council of Churches- Growing Communities of Inclusion: A Faithful Response to HIV/AIDS
https://www.ncchurches.org/growing-communities-of-inclusion-a-faithful-response-to-hiv/
NC DHHS HIV Care Program
https://epi.dph.ncdhhs.gov/cd/hiv/program.html
NC DHHS Medicaid Be Smart Family Planning Program
 
https://ncgov.servicenowservices.com/sp_beneficiary?id=kb_article&sys_id=389050c51b5424906aacdb1ee54bcba8&table=kb_knowledge
NC DHHS NC HIV/AIDS Prevention and Care Advisory Committee (HPCAC)
https://epi.dph.ncdhhs.gov/cd/stds/programs/hpcac.html
NC DHHS North Carolina Injury & Violence Prevention Branch- North Carolina Safer Syringe Initiative
https://www.injuryfreenc.ncdhhs.gov/
North Carolina AIDS Action Network (NCAAN)
http://www.ncaan.org/
North Carolina Area Health Education Centers (NC AHEC)
https://www.ncahec.net/about-nc-ahec/statewide-work
North Carolina Association of Pharmacists (NCAP)
https://www.ncpharmacists.org/
NC Board of Pharmacy
http://www.ncbop.org/
North Carolina Community Health Center Association (NCCHCA)
https://www.ncchca.org/
North Carolina Harm Reduction Coalition (NCHRC)-Syringe Exchange Program
https://www.nchrc.org/about/
NC Institute of Medicine (NCIOM)
https://nciom.org/
North Carolina Sheriff’s Association (NCSA)
https://ncsheriffs.org/
Regional AIDS Interfaith Network (RAIN)
RAIN (carolinarain.org)
Sexual Health Initiatives For Teens (SHIFT)
https://www.shiftnc.org/
Society for Public Health Education (SOPHE)
https://www.sophe.org/
Southeast STD/HIV Prevention and Training Center
https://nnptc.org/locations/southeast-stdhiv-prevention-training-center
The North Carolina Barbers Association
https://www.ncbarbae.com/home
The Task Force For Global Health- Coalition for Global Hepatitis Elimination
https://taskforce.org/viral-hepatitis/
UNC Center for Health Equity Research (CHER)- TRANSforming the Carolinas Project
https://www.med.unc.edu/cher/
What Works
  • Address systemic issues of provider discomfort discussing HIV and sexual health especially with young people and LGBTQ populations
  • Allow pharmacists to provide post-exposure prophylaxis
  • Ensure availability of free condoms at health departments and community-based organizations
  • Ensure people who are diagnosed are linked with appropriate care and receive behavioral interventions and other supports to decrease risk of transmission
  • Harm reduction, such as needle exchange programs, housing programs
  • Implement interventions that improve access to HIV treatment
  • Increase access to PrEP (pre-exposure prophylaxis) for individuals at high risk for HIV transmission
  • Increase education and access for formerly incarcerated populations
  • Increase Medicaid eligibility
  • Make testing easy, accessible, and routine
Description of Indicator Data

NC Division of Public Health, Epidemiology Section

Additional Data Needed at Local Level
  • Availability of PrEP (pre-exposure prophylaxis) within community
  • Social media platforms used by the at-risk community
  • Community awareness of sexual health
  • Access to care for sexual health
Measures
Time
Period
Current Actual Value
Current Target Value
Current
Trend
Baseline
% Change
I
2019
15.6
1
-2%
I
2019
5.2
1
-4%
I
2019
45.0
1
-3%
I
2019
21.2
2
8%
I
2019
7.0
1
67%
I
2019
16.5
1
36%
I
2019
26.1
1
0%
I
2019
5.3
1
-12%
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy