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Evaluating the OPA HIV Prevention Grant: A Collaboration between CFHC and Region IX

Evaluating the OPA HIV Prevention Grant: A Collaboration between CFHC and Region IX. Alissa Perrucci, PhD, MPH Program Evaluation Manager, CFHC Lissa Suden, MA HIV Project Manager, CFHC Maryjane Puffer, BSN, MPA Director, Clinical & Community Health Programs, CFHC. Process.

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Evaluating the OPA HIV Prevention Grant: A Collaboration between CFHC and Region IX

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  1. Evaluating the OPA HIV Prevention Grant: A Collaboration between CFHC and Region IX Alissa Perrucci, PhD, MPH Program Evaluation Manager, CFHC Lissa Suden, MA HIV Project Manager, CFHC Maryjane Puffer, BSN, MPA Director, Clinical & Community Health Programs, CFHC

  2. Process • Grant application for funding cycle 2004-2006 required evaluation of the ABC intervention • Needs assessment from HIV conference in New Orleans indicated 70% of the grantees were uncertain about how to approach ABC evaluation • Opportunity to provide feedback (regionally) on ABC approach California Family Health Council OPA/OFP HIV Conference

  3. California City and Co. of SF JWCH La Clínica de la Raza NEVHC SDFC Tri-City Valley Arizona Coconino Co. Mt. Graham Maricopa Co. Yavapai Co. Participating Grantees California Family Health Council OPA/OFP HIV Conference

  4. Project aims • Current risk assessment at baseline and follow-up • Sexually active (vaginal, oral, anal) • Number of partners • Frequency of condom use • Acceptability of ABC message California Family Health Council OPA/OFP HIV Conference

  5. Eligible participants • All clients obtaining HIV testing under the OPA HIV grant • Anonymous test patients complete baseline only California Family Health Council OPA/OFP HIV Conference

  6. Design • Self-administered survey • Baseline @ HIV test • Follow-up @ subsequent FP visit • No follow-up at results visit • Survey is placed in patient chart • Exception is anonymous OraSure/blood • Survey completed in private after counseling California Family Health Council OPA/OFP HIV Conference

  7. Design, cont’d • 100 baseline surveys collected from each agency • Follow-up surveys collected for 15 months from start of baseline through 4/27/07 • Maximum of 100 follow-up surveys • Follow-up period long enough to capture patients returning for annual exam • Anonymous survey ID links baseline and follow-up California Family Health Council OPA/OFP HIV Conference

  8. Confidential Testing: Baseline survey at HIV test Follow-up survey placed in chart for collection at any subsequent FP visit Anonymous Testing: Baseline survey at HIV test Design, cont’d California Family Health Council OPA/OFP HIV Conference

  9. Preliminary Findings

  10. Sample • 1,229 baseline surveys • 461 follow-up surveys California Family Health Council OPA/OFP HIV Conference

  11. Participant characteristics • Language • 67% English • 33% Spanish • Gender • 75% Female • 25% Male California Family Health Council OPA/OFP HIV Conference

  12. Participant characteristics, cont’d • Latina/o • 61% Yes • 39% No • Relationship status • Single 37% • Married 20% • Partner 43% California Family Health Council OPA/OFP HIV Conference

  13. Participant characteristics, cont’d • Heard of ABC? • 51% Yes • 49% No • Had ____ sex in the last 6 months? • 89% had vaginal sex • 60% had oral sex • 15% had anal sex California Family Health Council OPA/OFP HIV Conference

  14. Sexual activity: Baseline N(vaginal)=1,204; N(oral)=1,080; N(anal)=967 California Family Health Council OPA/OFP HIV Conference

  15. Sexual activity: Follow-up N(vaginal)=454; N(oral)=393; N(anal)=370 California Family Health Council OPA/OFP HIV Conference

  16. Number of partners Baseline: • Mean=1.72 • st.dev.=2.09; range 0 to 29 Follow-up: • Mean=1.04 • st.dev.=0.99; range 0 to 10 California Family Health Council OPA/OFP HIV Conference

  17. Frequency of condom use: Baseline N(vaginal)=1,163; N(oral)=747; N(anal)=238 California Family Health Council OPA/OFP HIV Conference

  18. Frequency of condom use: Follow-up N(vaginal)=414; N(oral)=193; N(anal)=60 California Family Health Council OPA/OFP HIV Conference

  19. Options for A, B, and C California Family Health Council OPA/OFP HIV Conference

  20. Abstinence as an option California Family Health Council OPA/OFP HIV Conference

  21. Monogamy as an option California Family Health Council OPA/OFP HIV Conference

  22. Partner monogamy as an option California Family Health Council OPA/OFP HIV Conference

  23. Condoms as an option California Family Health Council OPA/OFP HIV Conference

  24. Limitations • Not able to evaluate the effectiveness of ABC message • No comparison group • Passive follow-up (who followed-up?) • No response rates • Can the impact of exposure to the ABC message be measured? • Variation in counseling styles • Duration and delivery of message • Those practicing abstinence/at higher risk may not return to the clinic California Family Health Council OPA/OFP HIV Conference

  25. Next Steps • Further comparison of baseline and follow-up data • Qualitative analysis of write-in responses • Final report for OPA (Sep 07) California Family Health Council OPA/OFP HIV Conference

  26. Contact Information Alissa Perrucci California Family Health Council, Inc. 2550 Ninth Street, Suite 110 Berkeley, CA 94710 perruccia@cfhc.org (510) 486-0412 ext.2316 California Family Health Council OPA/OFP HIV Conference

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