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Evaluating HIV Prevention: A Framework for National, State and Local Levels

Division of HIV/AIDS Prevention-Intervention Research and Support, Centers for Disease Control & Prevention, 1600 Clifton Rd., Mailstop E-37, Atlanta, GA 30333, dlr3{at}cdc.gov

Jim Buehler

CDC/Pediatric HIV Division, Georgia Dept. of Human Resources, Atlanta, GA

Michelle Renaud

Macro International, 3 Corporate Square, Suite 370, Atlanta, GA 30329

Aisha Gilliam

Program Evaluation Research Branch, NCHSTP/CDC, Atlanta, GA 30333

Janet Heitgerd

Program Evaluation Research Branch, NCHSTP/CDC, Atlanta, GA 30333

Bonita Westover

Program Evaluation Research Branch, NCHSTP/CDC, Atlanta, GA 30333

Linda Wright-Deaguero

DPRAM/Epidemiology Program Office/CDC, Atlanta, GA 30333

Kelly Bartholow

Program Evaluation Research Branch, NCHSTP/CDC, Atlanta, GA 30333

Sue Swanson

Conwal, Inc., Atlanta, GA

The 21st century brings with it the 20th year of the human immunodeficiency virus (HIV) epidemic in the United States. HIV prevention programs have matured; however, evaluations of those programs have lagged behind. Nationwide, the need for such evaluation has never been greater. It is time to comprehensively assess the status of HIV prevention and control. We must build on previous studies to create a comprehensive, integrated national picture that includes evaluations at national, state, and local levels of the quality, costs, and short- and long-term effectiveness of various HIV prevention programs and policies. The Centers for Disease Control and Prevention (CDC) encourages a phased approach to implementing a comprehensive evaluation strategy. This paper, which describes the 1995-1997 evaluation framework and activities of the Program Evaluation Research Branch, National Center for HIV, Sexually Transmitted Disease (STD), and Tuberculosis (TB) Prevention, is offered as a platform on which future efforts in determining the most effective means to prevent HIV can be built. Lessons learned in developing this comprehensive evaluation framework have advanced HIV prevention. This framework and lessons learned may also, in this era of performance measurement and public accountability, be generalizable beyond HIV prevention to the comprehensive and strategic evaluation of other politically complex, publically-funded disease prevention and health promotion programs.

American Journal of Evaluation, Vol. 20, No. 1, 35-56 (1999)
DOI: 10.1177/109821409902000104


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