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History of SF CTL . 1985 Mass Screening, Group Counseling, 2 Weeks Wait 198? One on One Counseling, 2 Weeks Wait198? 1 Week Wait1994 World Health Organization Approves use of RTA 2003 Rapid Testing, No wait for Negatives ?Prelimary Positive," 1 Week Wait for Confirmation2007 Rapid Tes
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1. New Method for Diagnosing HIVRapid Testing Algorithm(RTA) Study San Francisco Counseling
Testing and Linkage Unit
2007
2. History of SF CTL 1985 Mass Screening, Group Counseling, 2 Weeks Wait
198? One on One Counseling, 2 Weeks Wait
198? 1 Week Wait
1994 World Health Organization Approves use of RTA
2003 Rapid Testing, No wait for Negatives “Prelimary Positive,” 1 Week Wait for Confirmation
2007 Rapid Testing Algorithm, RTA Study,
No Wait
200? RTA Standard of Care
3. The RTA Study
Using a sequence of up to 3 HIV rapid tests, we will provide clients with information about their HIV status within 1 hour and
link into care the same day
4. Background for Study Early care reduces disease progression
Nationally, 30% do not return for confirmation, in SF it is 40%
False positives
New rapid technology
5. Intervention
One appointment
Clients linked to care at same visit
6. Test #
7. Numbers
8. Study Structure Standard consent
100 to 150 Positive tests at intervention sites
100 to 150 Positive tests at control sites
18 Months
LA second site (200 to 300)
9. Intervention Control AIDS Healthcare Foundation
Asian & Pacific Islander Wellness Center
Bay Area Addiction Research and Treatment
Forensic AIDS Project
Glide Health Services
Magnet
Tenderloin Health
Estimated 150 New Positives
AIDS Health Project
City Clinic
Larkin Street Youth Services
Mission Neighborhood Health Center
Native American Health Center
St Anthony's Free Medical Clinic
St. James Infirmary
Tom Waddell Health Center
Women's Community Clinic
Estimated 150 New Positives
10. Study Objectives Feasibility and Cost (Can we do it & $)
Validation (Does it work)
Impact on Linkage to Care
Protocols and Best Practices (What did we learn)
11. OraQuick #1 Blood or Oral
Store at room temperature
Screens for HIV-1 and HIV-2
Read in 20-40 minutes
12. Stat-Pak #2 Blood Only
Store at room temperature
Screens for HIV-1 and HIV-2
Read results in 15-20 minutes
13. Uni-Gold #3 Blood Only
Store at room temperature
Screens for HIV-1
Read in 10-12 minutes
14. Follow up Process
Getting HIV+ clients into care
Standardized citywide protocol
Have contact at SFDPH to assist with any questions/concerns, problems related to linkages
15. Concerns RTA This is new, dealing with some unknowns
Having to adhere to 3 testing standards
Powerful news for the client and counselor in one session
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16. Benefits RTA Addresses false positives
Help people to feel more comfortable with rapid testing
All clients will know their results within one hour
Reduces # of clients who do not receive confirmatory results
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17. Contacts Teri Dowling
SF CTL Program Manager
415-554-9167
Teri.dowling@sfdph.or
Shelley Facente
Coordinator for CTL Evaluation and Quality Assurance
415-554-9136
Shelley.facente.@sfdph.org
Thomas Knoble
Coordinator for Community Interventions
415-702-7379
Thomas.knoble@sfdph.org
Omar Menendez
Coordinator for Linkages
415-703-7280
Omar.menendez@sfdph.org