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Pender Community Health Centre

Pender Community Health Centre. Success. Patient's engaged in care 85% in 2011 to 100% in 2012-13 Lost to care patient reduced from 10 in 2011 to 0 in 2012-13 Viral load testing q 4 mths from 82% 2011 to 98% in 2013. Successful Changes.

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Pender Community Health Centre

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  1. Pender Community Health Centre

  2. Success • Patient's engaged in care 85% in 2011 to 100% in 2012-13 • Lost to care patient reduced from 10 in 2011 to 0 in 2012-13 • Viral load testing q 4 mths from 82% 2011 to 98% in 2013

  3. Successful Changes • Establishing the HIV registry and constantly upgrading it • Forging community contacts especially outreach • Monthly case management of "gaps in care" patients

  4. Innovation • Creating  a User Manual for registry maintenance and sustainability. • Developing creative ways to help patients transition from DTES clinic to various areas in BC . • Developing Aboriginal resource list (eg initiation of monthly Talking/Healing Circles at Pender).

  5. Challenges • Decreasing active POF from 65 in 2001 to 54 in 2012 to 45 in 2013. • Overall uptake for ARVT remains at 78% and at 88% for those in greatest need. • Outside data presented at HIV Update in Nov 2012 suggest leading cause of death in HIV + persons is End-stage liver disease ( and 80-90% of our HIV+ population is co-infected) followed by addiction- overdose mortality .....

  6. Challenging Questions ?? • How do we increase our availability and reduce our barriers for HIV + patients in the DTES?? • Recognizing that our patient population is often transient ( in & out of jails, hospitals, recovery programs) and often striving to leave the DTES.  How do we try to improve these transitions?? How to avoid splitting patient care? • How do we support our patient for earlier and sustainable initiation of ARVT??

  7. Ideas for the future • Increase linkage with community teams to identify and reduce barriers for access. • Consider broadening scope for more outreach and treatment specifically directed at Hep C co-infected patients. • Continue efforts to develop creative individualized ways to open the door for more HIV + patients and help them transition their care outside DTES.

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