La iniciativa CERO es posible
Introducción
Over the course of three decades, Human Immunodeficiency Virus (VIH) has gone from being a mysterious terminal illness, to a medical challenge inspiring massive global mobilization, to its current reality as an understood and very manageable chronic health condition. Similarly, Hepatitis C (VHC) holds the title of “the fastest viral disease ever to be identified and cured,” with just 25 years between its discovery in 1989 and availability a 90% effective curative treatment in 2014. (fuente)
Today, we are equipped with the knowledge and resources to end the VIH epidemia y eliminar VHC. Expert stakeholders from throughout the state have contributed their knowledge and passion to advancing this work, by collaborating on this statewide initiative to help make ending the VIH epidemic and eliminating VHC achievable goals for Indiana.
Zero is Possible: Indiana’s Plan to End VIH and Hepatitis C (ZIP-IN Plan) represents a collaborative effort, informed by healthcare and community partners across the state, and is aligned with the national Ending the VIH Epidemic: A Plan for America (EHE) and the Viral Hepatitis National Strategic Plan for the United States: A Roadmap for Elimination, 2021-2025. The ZIP-IN Plan presents an approach to collectively address VIH and VHC, due to the shared high-risk populations, barriers to treatment, healthcare providers and community support networks, and opportunities to develop a comprehensive, whole-person approach to patient care, counseling, and treatment. The strategies within the ZIP-IN Plan were developed in consultation with a wide array of healthcare providers, community partners, and people with lived experience, who participated in listening sessions, focus groups, surveys, and technical workgroups over a research and planning period spanning more than a year.
Contribución al plan
El Plan ZIP-IN se elaboró en 2020 con las aportaciones de más de 300 personas y 100 organismos. El exhaustivo proceso incluyó:
10 Regional Listening Sessions with Continuum of Care (CoC) regions across the state, 130+ attendees
7 organizaciones comunitarias que abarcan 9 regiones de cooperación al desarrollo recabaron la opinión de miembros de la comunidad con experiencias vividas a través del proyecto "La voz de la comunidad".
44 entrevistas a informadores clave para recabar opiniones sobre prioridades e intereses
3 sesiones de escucha del personal del IDOH con un total de 46 personas
69 IDOH VIH/STD/VH Division Staff completed a Culture and Capacity Survey
Attended and observed meetings, conferences, trainings and events (CoC meetings, CAG meetings, Harm Reduction Coalition meetings, VHC and VIH Project ECHO sessions)
Incorporó datos y recomendaciones generados a través del Proceso de planificación de EHE del condado de MarionConsultó el informe de Evaluación de las necesidades de los consumidores de PVVS en todo el estado (diciembre de 2019) y otros documentos y planes relevantes
Collected and analyzed statewide and regional EHE and VHC indicators Mapped county of residence of clients engaged in services, by provider to better understand service utilization patterns
Realización de un estudio del entorno de los recursos para las personas que viven con el VIH y las personas que viven con el VIH/SIDA (29 organismos completaron la encuesta y se recopilaron datos de un total de 205 organizaciones).
~300 partes interesadas incluidas en la lista de contactos de planificación
Alineación con los objetivos nacionales
The ZIP-IN Plan goals are aligned with the national Ending the VIH Epidemic plan, as well as the Viral Hepatitis National Strategic Plan.
Ending the Epidemic: A Plan for America has a goal of reducing new VIH infections by 75% in five years and by 90% in 10 years. To achieve these goals, the plan focuses on four key strategies that together can end the VIH epidemic in the US: Diagnose, Treat, Prevent, and Respond.
Para medir el éxito, Ending the Epidemic: Un plan para América propone los siguientes indicadores:
The Viral Hepatitis National Strategic Plan for the United States: A Roadmap to Elimination sets forth a clear vision for how the US will be a place where new viral hepatitis infections are prevented, every person knows their status, and every person with viral hepatitis has high-quality healthcare and treatment and lives free from stigma and discrimination. In pursuit of this vision, the Hepatitis Plan has established five primary goals:
Prevent new viral hepatitis infections
Improve viral hepatitis-related health outcomes of people with viral hepatitis
Reduce viral hepatitis-related disparities and health inequities
Improve viral hepatitis surveillance and data usage
Achieve integrated, coordinated efforts that address the viral hepatitis epidemics among all partners and stakeholders
To measure success, Viral Hepatitis National Strategic Plan for the United States: A Roadmap to Elimination proposes the following indicators:
Spanish 
English