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Facilitating Routine HIV Testing in Clinical Settings: The Role of the AIDS Education & Training Centers. FTCC Meeting- July 14 th , 2010 Beth-Anne Jacob, PhD Evaluation Director Suzanne Carlberg-Racich, PhD, MSPH Evaluation Specialist Midwest AIDS Training and Education Center (MATEC).
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Facilitating Routine HIV Testing in Clinical Settings: The Role of the AIDS Education & Training Centers FTCC Meeting- July 14th, 2010 Beth-Anne Jacob, PhD Evaluation Director Suzanne Carlberg-Racich, PhD, MSPH Evaluation Specialist Midwest AIDS Training and Education Center (MATEC)
BACKGROUND • Modes of Delivery • Training • Technical Assistance • Main Goals of Project • Facilitate the expansion of HIV testing in clinical settings • Coordinate efforts with regional and national HIV testing activities
METHODOLOGY Qualitative Methodology – Why? • Change process is dynamic, multifaceted, and difficult to quantify • Little was known about how goals would be achieved or changes would occur • Settings and stakeholders were quite diverse
METHODOLOGY Sample • 12 key stakeholders • Coordinators / administrators from each implementation site (6) • Partners and collaborators (4) • MATEC staff in key roles (2) • Representing Illinois, Indiana, Missouri, Michigan & Minnesota
METHODOLOGY Data Collection • Semi-structured interview instrument • Tailored interview protocols for each group, tailored to their role in the process • Interviews conducted by Evaluation Director • Initial (late 2008-early 2009) (n=12) • Follow-up (late 2009) (n=11)
FINDINGS Themes Testing Expansion: • Implementation occurs along a continuum • Significant barriers and challenges exist • Even when ‘routine offering’ is achieved, ‘routine testing’ seems unattainable • Easier to create from scratch than revise a risk-based testing program
FINDINGS Themes Challenges / Barriers: • Turning plans into action and maintenance • Tracking and record keeping • Adapting old systems, creating new systems
FINDINGS The AETC Role in the Process • Assessing organizational readiness • Training at organizational levels • Creating a task force • Locating funding for pilot projects • Creating resource materials • Fostering networking opportunities
Beth-Anne Jacob, PhD (312) 996-0514 bethanne@uic.edu