This report provides an overview of trends before the DHAP Strategic Plan for 2011-2015 was put in place, search and, cialis where data are available, presents results for the first year of the Strategic Plan’s implementation. Progress toward achieving the 2015 goals is evaluated against annual targets. These targets are based on the assumption that large scale programmatic change takes time. They also reflect the expectation that more improvement will occur over time as these changes are more fully implemented. Goals, objectives, and annual targets may be revised based on funding levels as well as scientific and programmatic advances.