Screening Family Planning Limited-Service Clients for Chlamydia & Gonorrhea in New Jersey

1. Screening Family Planning Limited-Service Clients for Chlamydia & Gonorrhea in New Jersey

2. Family Planning & STDP Brainstorming • Limited-Service Clients in Family Planning Agencies do not receive a full pelvic exam and wish to receive a pregnancy test only. • It is believed that most women presenting at a Family Planning Agency for only a pregnancy test, against the clinician’s advise to undergo a full exam, are at greater risk for Sexually Transmitted Infections then the average Full-Service Family Planning cliental.

3. How Did We Do It! • Money to screen Limited-Service Family Planning women was first supported by the CY2003 Supplemental IPP grant, but not received until very late in the calendar year. • We presented the information to the Family Planning Agencies at their Clinic Coordinator’s Meeting. • Screening this at-risk population began in CY2004 in Family Planning Agencies that agreed to participate. • This supplemental grant became included in the base IPP grant which has continued to support this effort.

4. How Do We Prove That Our Brains Can Storm • Examine number of Limited-Service women screened, screening coverage, and positivity rates at participating Family Planning Agencies since the beginning of the project in CY2004. • Compare those rates to the rates of disease in Full-Service Clients.

5. FAMILY PLANNING AGENCIESLimited Service Clients (Females Only)Total Screened/Percent Positive 2004 - 2005 - 2006

6. FAMILY PLANNING Limited-Service Clients (Females)Age & Percent Positive2004 – 2005 - 2006

7. Bat Question What You ThinkIs What You Get? • You start these projects thinking “ this is pretty straight forward, no problem, this is a piece of cake.” • Then you take a look at what you have and BAM, how could so much be unclear? • Regardless of how unclear the data may be, this is still a high-risk population that has a great need for screening. BAM

8. The Rundown • These rates are higher than Full-Service clients, demonstrating need. • Age trends mimic those in full-service clients. • Although, the women >25 had lower rates of disease, it was still high enough to warrant continued screening. • Even though I did not talk about the GC data, it showed higher than average disease rates and mimicked the CT data except lower. • Site-Visits are necessary for data coding education and information gathering. BEEP, BEEP

9. What Now?My Three Wishes • Debbie, Margaret, and myself to set up Site-Visits with every Agency and for Cicatelli to accompany and assist us in training staff. • To gather enough information from the participating agencies to have a clear & consistent project allowing us to look at screening coverage and population comparisons. • Increase participation throughout the Family Planning Agencies.

10. Preview of What’s Coming in New Jersey • Begin screening previously positive women, four months after their initial positive result. Starting in the Family Planning Agencies and expanding into STD Clinics and School-Based Programs. • Begin a universal screening project in one high school district, modeled after the Philadelphia Project.