San Joaquin County

Target Audience (race, age, risk group, etc.): Clients

Intervention Strategy Description:

Add a consent form to receive an HIV test to existing booklet on prenatal testing, and adapt booklet as needed for San Joaquin population. For women who decline testing, follow-up with one-on-one counseling

Intervention Strategy Justification (why this the most useful and effective method):

Rates of counseling low in SJ. This will provide proof of receiving information linked to a consent for testing.

Implementation

Community Partners: California AIDS Clearinghouse; County clinics where this program piloted

Contact at Community Agency: Russ Toth; Clinic liaison

Monitoring

Overview of Monitoring Plan:

County coordinator will liaise with clinics where these booklets put into practice to measure number of booklets distributed, and number of consents received. Will monitor rate of test acceptance/ decline, as well as increase or decrease on clinic counseling as a result of this self-teach method.

Data variables collected:

Demographics on client (?), rate of information on risks and benefits of test, number of consents signed (number accepting and declining), number of one-on-one counseling follow-ups with decliners, acceptability of this method with clinic staff (measure with survey). Number of women offered a test (self-report and chart review).

Frequency of data collection:

County coordinator will liaise with clinic staff on a bi-weekly basis. Consent forms will be copied (or abstracted) and forwarded to County office. Charts will be abstracted quarterly.

Person (s) responsible for data reporting:

Clinic liaison and county coordinator

Intervention Plan B Date: 7/24/01 County: SJ

Overall Description

Target Audience (race, age, risk group, etc.): Providers: at Public healthy Beginnings clinics and private

Intervention Strategy Description:

Luncheon -in services will be given in 20 clinics or doctors offices on the offering of HIV and State law surrounding VCT

Intervention Strategy Justification (why this the most useful and effective method):

To increase the number of providers who offer testing in SJ.

Implementation

Community Partners: Clinic staff and private providers

Contact at Community Agency: numerous

Community Agency Resources Used (personnel, printed materials, space): space; personnel time

County Resources given to Community Agency: technical assistance, training materials, lunch

County liaison with Agency:

Monitoring

Overview of Monitoring Plan:

County coordinator will tabulate type of offices visited and number and type of providers trained at each office.

Data variables collected:

Demographics, knowledge attitudes and practices pertaining to VCT, client demographics, acceptability of training.

Frequency of data collection:

Data collected at all 20 sessions conducted.

Person (s) responsible for data reporting:

County coordinator

Data management plan:

Forms will be copied and sent to Stanford on a monthly basis

Data reporting plan:

Stanford will summarize data on a quarterly basis.

Intervention Plan C Date: 7/24/01 County: SJ

Overall Description

Target Audience (race, age, risk group, etc.): HIV-positive mothers and HIV-exposed infants

Intervention Strategy Description:

HIV-positive mothers will be case-managed to ensure optimal prevention of perinatal transmission, and exposed infants will be given enhanced case management during the first 18 months of life to ensure adherence to ARV therapy and prophylactic treatment for PCP, etc..

Intervention Strategy Justification (why this the most useful and effective method):

Because SJ is a rural county without a treatment center for HIV-exposed children, clients have to be transported to neighboring urban centers, and are in danger of defaulting their visits.

Implementation

Community Partners: Nursing case management

Contact at Community Agency: Tina

Community Agency Resources Used (personnel, printed materials, space): transportation, staff

Monitoring

Overview of Monitoring Plan:

County coordinator will liaise with case managers and keep a log to monitor the number of women and children seen, and infections averted with this enhanced program.

Data variables collected:

Demographics on clients, rates of testing , PNC use, viral load/ CD4 counts, and risk behavior amongst mothers; number of infants followed, number of visits, number of opportunities for intervention realized. Data on seroconversion and seroreversion from previous years.

Frequency of data collection:

County coordinator will liaise with case managers on a bi-weekly basis

Person (s) responsible for data reporting:

County coordinator, with case managers

Data management plan:

Forms will be copied and sent to Stanford on a monthly basis

Data reporting plan:

Stanford will summarize data on a quarterly basis.



		STANFORD UNIVERSITY, SCHOOL OF MEDICINE

		DEPARTMENT OF PEDIATRICS



			Target Audience (race, age, risk group, etc.): Clients *Intervention Strategy Description:* Add a consent form to receive an HIV test to existing booklet on prenatal testing, and adapt booklet as needed for San Joaquin population. For women who decline testing, follow-up with one-on-one counseling *Intervention Strategy Justification (why this the most useful and effective method):* Rates of counseling low in SJ. This will provide proof of receiving information linked to a consent for testing. Implementation Community Partners: California AIDS Clearinghouse; County clinics where this program piloted Contact at Community Agency: Russ Toth; Clinic liaison *Monitoring* *Overview of Monitoring Plan:* County coordinator will liaise with clinics where these booklets put into practice to measure number of booklets distributed, and number of consents received. Will monitor rate of test acceptance/ decline, as well as increase or decrease on clinic counseling as a result of this self-teach method. *Data variables collected:* Demographics on client (?), rate of information on risks and benefits of test, number of consents signed (number accepting and declining), number of one-on-one counseling follow-ups with decliners, acceptability of this method with clinic staff (measure with survey). Number of women offered a test (self-report and chart review). *Frequency of data collection:* County coordinator will liaise with clinic staff on a bi-weekly basis. Consent forms will be copied (or abstracted) and forwarded to County office. Charts will be abstracted quarterly. *Person (s) responsible for data reporting:* Clinic liaison and county coordinator Intervention Plan B Date: 7/24/01 County: SJ Overall Description Target Audience (race, age, risk group, etc.): Providers: at Public healthy Beginnings clinics and private *Intervention Strategy Description:* Luncheon -in services will be given in 20 clinics or doctors offices on the offering of HIV and State law surrounding VCT *Intervention Strategy Justification (why this the most useful and effective method):* To increase the number of providers who offer testing in SJ. Implementation Community Partners: Clinic staff and private providers Contact at Community Agency: numerous Community Agency Resources Used (personnel, printed materials, space): space; personnel time County Resources given to Community Agency: technical assistance, training materials, lunch County liaison with Agency: Monitoring *Overview of Monitoring Plan:* County coordinator will tabulate type of offices visited and number and type of providers trained at each office. *Data variables collected:* Demographics, knowledge attitudes and practices pertaining to VCT, client demographics, acceptability of training. *Frequency of data collection:* Data collected at all 20 sessions conducted. *Person (s) responsible for data reporting:* County coordinator *Data management plan:* Forms will be copied and sent to Stanford on a monthly basis *Data reporting plan:* Stanford will summarize data on a quarterly basis. Intervention Plan C Date: 7/24/01 County: SJ Overall Description Target Audience (race, age, risk group, etc.): HIV-positive mothers and HIV-exposed infants *Intervention Strategy Description:* HIV-positive mothers will be case-managed to ensure optimal prevention of perinatal transmission, and exposed infants will be given enhanced case management during the first 18 months of life to ensure adherence to ARV therapy and prophylactic treatment for PCP, etc.. *Intervention Strategy Justification (why this the most useful and effective method):* Because SJ is a rural county without a treatment center for HIV-exposed children, clients have to be transported to neighboring urban centers, and are in danger of defaulting their visits. Implementation Community Partners: Nursing case management Contact at Community Agency: Tina Community Agency Resources Used (personnel, printed materials, space): transportation, staff *Monitoring* *Overview of Monitoring Plan:* County coordinator will liaise with case managers and keep a log to monitor the number of women and children seen, and infections averted with this enhanced program. *Data variables collected:* Demographics on clients, rates of testing , PNC use, viral load/ CD4 counts, and risk behavior amongst mothers; number of infants followed, number of visits, number of opportunities for intervention realized. Data on seroconversion and seroreversion from previous years. *Frequency of data collection:* County coordinator will liaise with case managers on a bi-weekly basis *Person (s) responsible for data reporting:* County coordinator, with case managers *Data management plan:* Forms will be copied and sent to Stanford on a monthly basis *Data reporting plan:* Stanford will summarize data on a quarterly basis.