Updated: August 29, 2022
National HIV/AIDS Strategy
The National HIV/AIDS Strategy (2022–2025) provides stakeholders across the nation with a roadmap to accelerate efforts to end the HIV epidemic in the United States by 2030. The Strategy reflects President Biden’s commitment to re-energize and strengthen a whole-of-society response to the epidemic while supporting people with HIV and reducing HIV-associated morbidity and mortality.
The White House’s Office of National AIDS Policy (ONAP), part of the Domestic Policy Council, facilitated development of and published the Strategy, which builds on the 2021 HIV National Strategic Plan and the two prior National HIV/AIDS Strategies (2010, 2015).
Vision and Goals
The Strategy articulates a clear vision to guide the nation’s response to HIV:
The United States will be a place where new HIV infections are prevented, every person knows their status, and every person with HIV has high-quality care and treatment, lives free from stigma and discrimination, and can achieve their full potential for health and well-being across the lifespan.
This vision includes all people, regardless of age, sex, gender identity, sexual orientation, race, ethnicity, religion, disability, geographic location, or socioeconomic circumstance.
The Strategy sets bold targets for ending the HIV epidemic in the United States by 2030, including a 75% reduction in new HIV infections by 2025 and a 90% reduction by 2030. To guide the nation toward realizing the vision, the Strategy focuses on four goals:
- Prevent new HIV infections.
- Improve HIV-related health outcomes of people with HIV.
- Reduce HIV-related disparities and health inequities.
- Achieve integrated, coordinated efforts that address the HIV epidemic among all partners and stakeholders.
Objectives, Strategies, and Priority Populations
For stakeholders across the nation, the National HIV/AIDS Strategy:
- Details 21 objectives and 78 strategies for federal and nonfederal stakeholders to implement to achieve the goals.
- Designates five priority populations disproportionately impacted by HIV so that federal agencies and other stakeholders can focus efforts and resources to achieve the greatest impact.
- Identifies nine core indicators to monitor national progress, establishes a disparity indicator stratified by the priority populations to measure progress toward reducing significant HIV-related disparities, and identifies the topic of a new indicator to be developed.
View the NHAS At-a-Glance that summarizes the goals, objectives, and strategies.
Development Process
ONAP developed the updated Strategy in the latter half of 2021, informed by significant input from community stakeholders, including people living with HIV, and supported by federal partners from nine federal Departments whose programs, policies, services, or activities contribute to our national response to HIV. The Strategy builds on the progress achieved and lessons learned from the prior national strategies and seeks to leverage new tools and opportunities to address the challenges that remain.
Implementing the Strategy
Federal Implementation Plan
Following release of the Strategy in December 2021, ONAP, with support from the HHS Office of Infectious Disease and HIV/AIDS Policy, convened the NHAS Federal Interagency Workgroup, composed of representatives of the agencies that contributed to developing the Strategy and who share responsibility for its implementation. Together, they produced a Federal Implementation Plan (PDF 707 KB) documenting federal agencies’ commitments to programs, policies, research, and activities during fiscal years 2022–2025 to meet the Strategy’s goals, pursuant to their respective missions, funding, and resources. The actions detailed in this plan include agency-specific ones as well as collaborative, cross-agency ones and all are intended to help move the NHAS Indicators of Progress in the right direction.
Call to Action for Nonfederal Stakeholders
But federal activity alone can’t end the HIV epidemic. That is why the Strategy is a national one, not just a federal one. The Strategy is a call to action for stakeholders from all sectors of society. Achieving its goals will require the engagement of stakeholders from all sectors of society in a more coordinated, re-energized national response to HIV. This includes the collaborative and aligned efforts of people with or at risk for HIV; public health professionals; health care providers; people working in state, tribal, and local government; staff of faith- and community-based organizations; educators; researchers; and people leading and working in private industry. The NHAS Federal Implementation Plan can provide inspiration to nonfederal stakeholders, supporting their own efforts to identify and implement complementary actions that accelerate our efforts to end the HIV epidemic in the United States.
The National HIV/AIDS Strategy and the Ending the HIV Epidemic in the U.S. Initiative
The Strategy and the Ending the HIV Epidemic in the U.S. (EHE) initiative are closely aligned and complementary. They have the common goal of reducing new HIV transmissions in the United States by 75% by 2025 and by 90% by 2030. The Strategy is the broader, overarching national plan that extends across many federal departments and encompasses the entire nation. The EHE initiative will be a leading component of the work by the Department of Health and Human Services – in collaboration with state, tribal, territorial, and local partners – to implement the Strategy.