{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T15:45:57Z","timestamp":1764603957392,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T00:00:00Z","timestamp":1676246400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institutes of Health (NIH)","award":["K23MH118969","P30 AI117943"],"award-info":[{"award-number":["K23MH118969","P30 AI117943"]}]},{"name":"Third Coast Center for AIDS Research (CFAR), an NIH-funded center","award":["K23MH118969","P30 AI117943"],"award-info":[{"award-number":["K23MH118969","P30 AI117943"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The rapid implementation of molecular HIV surveillance (MHS) has resulted in significant challenges for local health departments to develop real-time cluster detection and response (CDR) interventions for priority populations impacted by HIV. This study is among the first to explore professionals\u2019 strategies to implement MHS and develop CDR interventions in real-world public health settings. Methods: Semi-structured qualitative interviews were completed by 21 public health stakeholders in the United States\u2019 southern and midwestern regions throughout 2020\u20132022 to identify themes related to the implementation and development of MHS and CDR. Results for the thematic analysis revealed (1) strengths and limitations in utilizing HIV surveillance data for real-time CDR; (2) limitations of MHS data due to medical provider and staff concerns related to CDR; (3) divergent perspectives on the effectiveness of partner services; (4) optimism, but reluctance about the social network strategy; and (5) enhanced partnerships with community stakeholders to address MHS-related concerns. Conclusions: Enhancing MHS and CDR efforts requires a centralized system for staff to access public health data from multiple databases to develop CDR interventions; designating staff dedicated to CDR interventions; and establishing equitable meaningful partnerships with local community stakeholders to address MHS concerns and develop culturally informed CDR interventions.<\/jats:p>","DOI":"10.3390\/ijerph20043269","type":"journal-article","created":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T04:07:19Z","timestamp":1676261239000},"page":"3269","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Ending the HIV Epidemic: Identifying Barriers and Facilitators to Implement Molecular HIV Surveillance to Develop Real-Time Cluster Detection and Response Interventions for Local Communities"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8703-4929","authenticated-orcid":false,"given":"Moctezuma","family":"Garcia","sequence":"first","affiliation":[{"name":"Department of Social Work, College of Health & Sciences, San Jos\u00e9 State University, San Jose, CA 95112, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2090-9620","authenticated-orcid":false,"given":"Samantha","family":"Devlin","sequence":"additional","affiliation":[{"name":"The Chicago Center for HIV Elimination, University of Chicago, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared","family":"Kerman","sequence":"additional","affiliation":[{"name":"The Chicago Center for HIV Elimination, University of Chicago, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8445-2711","authenticated-orcid":false,"given":"Kayo","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Department of Health Promotion & Behavioral Sciences, University of Texas Health Sciences Center, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa R.","family":"Hirschhorn","sequence":"additional","affiliation":[{"name":"Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"II","given":"Gregory","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Schneider","sequence":"additional","affiliation":[{"name":"The Chicago Center for HIV Elimination, University of Chicago, Chicago, IL 60637, USA"},{"name":"Department of Medicine, University of Chicago, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9651-254X","authenticated-orcid":false,"given":"Moira C.","family":"McNulty","sequence":"additional","affiliation":[{"name":"The Chicago Center for HIV Elimination, University of Chicago, Chicago, IL 60637, USA"},{"name":"Department of Medicine, University of Chicago, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S130","DOI":"10.1016\/j.amepre.2021.05.029","article-title":"HIV cluster and outbreak detection and response: The science and experience","volume":"61","author":"Oster","year":"2021","journal-title":"Am. 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