XIX International AIDS Conference

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TUPE724 - Poster Exhibition


Evaluation optimizes the responsiveness of HIV clinical training and capacity building programs delivered by the U.S. health resources and services administration funded AIDS education and training center (AETC) program

M.-S. Kang Dufour1, S. Shade1, J. Myers1, K. Khamarko1, L.R. Wegman2, F. Malitz2

1University of California San Francisco, Center for AIDS Prevention Studies, San Francisco, United States, 2HRSA, HIV/AIDS Bureau, Rockville, United States

Background: The US National HIV/AIDS Strategy (NHAS) prioritizes training of new clinical providers to care for and treat people with HIV from under-served communities. The federally-funded AETC program has supported this priority through expert training and capacity building for the past 25 years. We present results from the first national outcome evaluation of this program.
Methods: We used standardized process data on training and participant characteristics from 11 regions combined with post-training outcome data from 6 regions. We assessed differences in self-reported knowledge resulting from training and assessed factors associated with training outcomes.
Results: In FY 2009/2010, across all regions, the AETCs conducted 17,202 training events attended by 141,751 trainees. The majority of trainings were individual clinical consultations (38%) or technical assistance (21%). Participants were mostly female (69%), white (68%) clinicians (66%). Among clinicians, many were novice HIV care providers, either with no experience (19%) or new (< 1 year; 13%), who worked in rural settings (20%) or settings where more than half of their HIV-infected clients were racial or ethnic minorities (32%). Trainings that incorporated skills building or technical assistance significantly increased trainees' perceived ability to apply the training content. Clinicians who were novice HIV care providers reported lower knowledge at baseline and greater knowledge increases after training compared to experienced providers. Among clinicians who were novice providers, those in rural settings or settings where more than half of HIV-infected patients are racial or ethnic minorities were significantly more likely to report being able to apply training content.
Conclusions: The AETC program is responsive to the implementation plan outlined in the US NHAS. AETC trainings reach new HIV providers responsible for America's most underserved populations. Results from this evaluation have informed development of programs to train providers in primary care, minority and minority-serving, and rural settings.


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