THPE713 - Poster Exhibition
Federal agencies collaborating to reach the community: enhancing HIV testing in primary care settings through the health resources and services administration AIDS Education and Training Centers (AETC) program
J. Myers1, M.-S. Kang Dufour1, K. Khamarko1, J. Beal2, N. Warren3, P. Cook4, L. Bradley-Springer4, K. Koester1, L. Wegman5
1AIDS Education and Training Centers National Evaluation Center, University of California at San Francisco, San Francisco, United States, 2Florida/Caribbean AIDS Education and Training Center, Tampa, United States, 3Pacific AIDS Education and Training Center, University of California at San Francisco, San Francisco, United States, 4Mountain Plains AIDS Education and Traning Center, University of Colorado Denver, Denver, United States, 5Health Resources and Services Administration HIV/AIDS Bureau, Rockville, United States
Background: As part of the response to the U.S. National HIV/AIDS Strategy (NHAS), the Centers for Disease Control and Prevention provided supplemental funding to the Health Resources and Services Administration, HIV/AIDS Bureau, AETC Program to enhance on-going efforts to train and support primary care providers in the implementation of HIV-testing in non-HIV settings. Over the course of two years (fiscal years 2008 - 2010), the AETCs conducted intensive education, clinical training, and technical assistance to increase HIV testing in primary care settings.
Methods: We used standardized participant and event record forms to analyze training and technical assistance program trends across the period of supplemental funding. We also collected case studies from across AETC regions to describe in-depth HIV testing training and technical assistance best practices.
Results: During the 2-year period of federal collaboration, AETCs delivered more than 6,500 HIV testing-related trainings. Compared to the first quarter of 2008, AETCs conducted 11% more trainings during the last quarter of 2010 (p< 0.001). Compared to non-testing trainings, testing trainings were longer (average of 5.6 vs. 2 hours) and more likely to include skills-building activities (37% compared to 11%, p< 0.001). AETC testing trainings increased the number of reported HIV tests at targeted sites. Across case studies, best practices for establishing testing included: engaging in long-term relationship-building with clinic staff, especially with upper level administrators and medical directors; using multiple strategies to market testing to patients; and establishing clinic procedures that make testing a standard of care, including ensuring immediate linkage to HIV care. Particularly effective efforts resulted when AETCs targeted health care providers - such as Native American-serving providers?serving groups at disproportionate risk for HIV transmission.
Conclusions: Collaborations among federal partners and their grantees can effectively support the NHAS-guided response with targeted programs linking HIV prevention and care at the community level.
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