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Social Networking Strategy: Using Social Networks to Recruit for HIV Testing

Social Networking Strategy: Using Social Networks to Recruit for HIV Testing. Loralee Trocio, MPH Cessa Karson-Whitethorn, MPH. Social Networks. Individuals are linked together to form large social networks Spread infectious diseases Route for delivering disease prevention services.

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Social Networking Strategy: Using Social Networks to Recruit for HIV Testing

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  1. Social Networking Strategy: Using Social Networks to Recruit for HIV Testing Loralee Trocio, MPH Cessa Karson-Whitethorn, MPH

  2. Social Networks • Individuals are linked together to form large social networks • Spread infectious diseases • Route for delivering disease prevention services

  3. Social Networks Brief History • Social networks approach to syphilis contact interviewing has been happening since the 1960s • Gained widespread attention with the appearance of HIV/AIDS in the 1980s

  4. Social Networks Strategy (SNS) Primary Goals • Find undiagnosed HIV positive people who are unaware of their status • Engage HIV negative people through HIV testing

  5. SNS in Action Network Associate/ Recruiter Network Associates Recruiter County/CBO Staff

  6. The Social Network Demonstration Project • 9 organizations in 7 cities • October 1, 2003 – December 31, 2005 • 422 Recruiters referred 3,172 peers • 177 were determined to be HIV+ • 63% successfully linked to services • HIV prevalence rate is almost 5 times higher than other testing programs funded by the CDC • SNS - 5.6% among those recruited • ~ 1% in other testing sites

  7. What’s happening at home? 2009 Special Project Funds from CDC 6 counties applied. 4 counties received funding. All counties who began SNS have continued to implement the intervention without additional funding.

  8. Oregon At a Glance 10 Participants Tested HIV+ via SNS 10/194 = 5.2 % prevalence rate of those tested via SNS

  9. Lane County HIV + Network Associate HIV - Network Associate HIV + Recruiter HIV -Recruiter - + - - - + - + - - -- - + + - - - + - - - - - - - - + - - + + + - - - - - - - + - -

  10. Use of Incentives for HIV Testing • $10 - $25 incentives for recruiters and network associates • Participant refusal of incentives • Potential to implement with limited funds

  11. Lessons Learned Challenges Triumphs Identification of new HIV positive individuals Partnering SNS with other HIV prevention programs Reaching hard to reach populations Clinic staff is an essential component to success New partnerships Great data for Oregon’s application for an expanded SNS demonstration project • Split roles of county staff • Paperwork developed • sHIVer continued to evolve • Self care for SNS staff • MSM recruiters are hard to identify, recruit and train • Two year plateau • Staff turnover • NA are not found via traditional practices

  12. SNS Partners • Douglas County • Harm Reduction Center Southern Oregon • Marion County • Lane County • HIV Alliance • Yamhill County • Benton-Linn • Megan Johnson • Matt Navarre • OHA HIV Prevention Program Staff

  13. The Future Enhanced SNS Demonstration Project • Engagement of all Ryan White Part B Case Managers • Partner with adult business • Use Partner Services data • Dual rapid test algorithm • Peer testing component

  14. Prevent HIV Oregon For more information, contact Loralee Trocio: loralee.j.trocio@state.or.us @Prevent_HIV _OR

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