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Threat Assessment

MHRP’s threat assessment research informs policy development and public health practices to decrease the rates of HIV and other STIs in the military. 

Protecting Force Health and Readiness

MHRP helps develop, implement and monitor initiatives to reduce the threat of HIV and HIV-related sexually transmitted and blood-borne pathogens to force health and the blood supply. 

MHRP investigators comprehensively characterize all new HIV infections in the Army and routinely provide scientific consultation for HIV investigations. The health information generated helps inform prevention efforts and affect policy change. 

Developing Evidence-based Preventive Interventions

MHRP conducts studies that generate knowledge products to inform the development, delivery and assessment of evidence-based preventive interventions to help public health leaders:

  • Assess and ensure safety of battlefield blood supply
  • Identify gaps in service delivery
  • Address barriers that limit access to care
  • Provide services and education that promotes responsible sexual behavior
  • Inform force policy and develop and implement strategies

In 2014, MHRP identified the primary HIV infection attribution category in the Army for the first time since repeal of Don’t Ask Don’t Tell, which defines a very specific population most at risk for HIV that can now be provided with targeted preventive intervention activities.

Our Threat Assessment Division conducts Service-specific studies, especially in the area of prevention, recently focusing on the use of HIV pre-exposure prophylaxis (PrEP). MHRP is taking a systematic, multidisciplinary approach to PrEP to evaluate who is using it, how PrEP is being implemented, and identifying the military-unique issues around PrEP. The data from these studies is being used within the DoD to identify gaps and barriers to care. MHRP researchers are working with the U.S. Army Public Health Command and other military services to develop and implement HIV prevention interventions and test them as they are rolled out to ensure they are effective.