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Michael Kharfen Communications & Community Outreach Bureau Chief

Michael Kharfen Communications & Community Outreach Bureau Chief District of Columbia Department of Health. SYNChronicity DC HIV Public-Private Partnerships “Offer the Test”. Michael Kharfen Bureau Chief, Partnerships, Capacity Building, Community Outreach DC Department of Health

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Michael Kharfen Communications & Community Outreach Bureau Chief

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  1. Michael KharfenCommunications & Community Outreach Bureau Chief District of Columbia Department of Health

  2. SYNChronicityDC HIV Public-Private Partnerships“Offer the Test” Michael Kharfen Bureau Chief, Partnerships, Capacity Building, Community Outreach DC Department of Health HIV/AIDS, Hepatitis, STD and TB Administration

  3. Partnership Portfolio • Corporate • HIV Testing and Gilead • Department of Motor Vehicles • Social Service Center • Foundation • DC Female Condom Project and MAC AIDS Fund • Education/Distribution • Government/Academic • DC Partnership for HIV/AIDS Progress and NIH • Research • Clinical Services

  4. HIV/AIDS in DC Prevalence of HIV/AIDS in the District of Columbia, 2009 1.9% • 16,721 reported living with HIV/AIDS in the District at the end of 2009 • 5,505 new HIV cases reported between 2005 and 2009 • 3.2% of the District’s population diagnosed with HIV/AIDS • One-third to one-half of people (locally) may be unaware of their HIV status. (Source: DC NHBS data) 0.4% 2.7% 3.0% 2.3% 3.0% 2.7% 3.1% Percentage 0-1.4% 1.5%-2.4% 2.5%-3.4%

  5. HIV/AIDS in DC HIV Prevalence by Race/Ethnicity (diagnosed cases)

  6. HIV/AIDS in DC

  7. Public Health Imperative • Generalized Epidemic • Missed Opportunities • DC Policy Recommendation • Routine annual testing for all adults and adolescents (ages 13 to 84) • DC Routine HIV Testing Program • Hospitals (EDs) • Primary care clinics • Outreach testing • Success • More than 40 partners • 43,000 in 2007 to 122,000 in 2011

  8. Private Sector Approach • Pharma inspired components • Consumer Driven “Ask for the Test” • Provider Driven “Offer the Test” • Gap • Private Practitioners • New Partnership • GBC Health • Pfizer • Private Sector Core Competency • Detailing

  9. “Offer the Test” • Department of Health Materials • Handbook • Poster • Patient Information Cards • Button • Sales representative training • ~200 primary care practices

  10. Provider Survey • Details • Period: 12/1/10 – 2/11/11 (3 months) • Method: Internet / Phone • Respondents: 106 • Focus • Provider & Patient Demographics • Provider Understanding of HIV/AIDS in DC • Provider Testing Practices • Provider Knowledge of Testing Guidelines

  11. Provider Survey

  12. Provider Survey

  13. Provider Survey • DC Testing Recommendation • Aware: 69% • Implementing: 49% • Barriers • Limited time to perform HIV counseling • None • Cost or reimbursement concerns • Limited time to perform HIV testing • HIV is not an issue for my patient population

  14. Lessons Learned • Partnerships work • Shared health missions • Shared health goals • Data/Evaluation • National model significance • Challenges • Sustainability • Communication • Refresh design, training, materials

  15. Questions

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