Evaluating the Impact of Integrating Viral Hepatitis Services for HIV and STD Prevention

Moderator: Danni Lentine

Evaluation Methods

Presenter: Danni Lentine, CDC

Example from NYC (IDU Utilization)

Presenter: Robin R. Hennessy, NYC Department of Health and Mental Hygiene

Example from Denver (Viral Hepatitis Prevention Services at Denver Public Health)Presenter: Julie Subiadur, Denver Public Health

CDC/RTI Evaluation of Hepatitis Integration on HIV Prevention

Background: Many similarities in risk behaviors for viral

hepatitis, HIV, and STDs Existing service settings (e.g., STD clinics, HIV

CTS, jails) are good venues to provide viral hepatitis services

CDC, Division of Viral Hepatitis funded 18 demonstration projects in 2000

Evaluation includes CDC funded sites and sites that are not funded by CDC

CollaboratorsRTI International

Division of HIV/AIDS Prevention, CDC

Division of Viral Hepatitis, CDC

National Alliance of State and Territorial AIDS Directors (NASTAD)

CDC/RTI Evaluation of Hepatitis Integration on HIV Prevention

GOALS:

1. Measure the impact of adding viral hepatitis services (e.g., HAV and HBV immunization, HCV counseling and testing, and referrals) on HIV, STD, and hepatitis prevention

2. Identify “environmental” and programmatic factors that contribute to successful programs, and how common barriers have been addressed.

CDC/RTI Evaluation of Hepatitis Integration on HIV Prevention

METHODS:

Case studies to describe the experience of selected integration sites. Primarily qualitative, supplemented by quantitative data, and include a pre- and post-integration assessment.

The “unit of analysis” is the facility

Hepatitis Integration Site Visits

States Visited

Health Department Viral Hepatitis Integration Project (VHIP)

STD Clinics (11)

Jail (4)

HIV/CTS (7)

Indian Health Service/Substance Abuse (1)

AlaskaHawaii

Denver, COSan Francisco, CA

San Diego, CA

Texas

Portland, OR

Seattle, WA

Florida

New York, NY

Puerto Rico

Illinois

METHODS: Interviews with integration staff (e.g.,

administrative, direct service, data-related)

Observe program operations and observe clinic sessions, and

Analyze existing data (e.g., infection rates, testing rates and results, number of referrals and vaccinations, cost data)

CDC/RTI Evaluation of Hepatitis Integration on HIV Prevention

METHODS:

Year-by-year analysis of viral hepatitis HIV, and STD activities (e.g., clinic visits, vaccine doses administered, HIV tests, HIV positives identified, hepatitis C testing, etc)

Semi-quantitative scale

CDC/RTI Evaluation of Hepatitis Integration on HIV Prevention

CDC/RTI Evaluation of Hepatitis Integration on HIV Prevention

Dissemination plans: Final report expected this summer Journal Publications Program examples and other guides