The Ruth M. Rothstein CORE Center/Hektoen Institute for Medical Research Pamela Vergara-Rodriguez, Patricia Aguado, Susan Ryerson-Espino

Proyecto Promover Overview Target: Mexican identified men and women of all sexual and gender identities in the Chicago EMA. GoalsObjectives Interventions Decrease HIV testing Stigma Increase awareness of HIV Serostatus Raise HIV Awareness Reduce HIV Stigma Increase HIV testing Identify New HIV+ Mexicanos Social Marketing Campaign Community Education Community Networking/ Outreach Increase early linkage & retention of HIV infected Mexicanos Reduce barriers to linkage Reduce HIV stigma Increase patient retention CHARLAS (psychosocial support & navigation)

Setting: Print Campaign Community Education & Networking Testing Activities: Health fairs, festivals, Swap-O-Rama Community Intervention Social Marketing Education Networking/Outreach Staffing: Promotora Key Collaborator: CORE HIV Testing Consortium

Setting:Ruth M. Rothstein Core Center Bilingual Clinics and the community (agency or home). Staffing: Clinical Patient Navigator Incentives: $15.00 per CHARLA Individual Intervention CHARLAS : 5 series, 60 minute discussions to identify and address structural and psychological barriers

HIV Care Continuum Targets of Intervention Activities Stigma reductionIdentificationLinkageRetention Intervention Activities: Social Marketing Campaign XX Community Education XXX Community Networking /Outreach XXX CHARLAS XXX

Social Marketing UPDATE PROGRESS Focus group collaboration Developed drafts of print campaign with consultant CHALLENGES Identifying Culturally Competent consultants System level Data staffing June ’14: Community Feedback Interviews July ’14: Material Refinement Sept. ’15: Dissemination to 500 business & individuals

Community Education UPDATE PROGRESS Community & church content drafted CHANGES NO provider training CHALLENGES Finding relevant video July ‘14: Finalize content Submit to IRB Sept.’14: Begin Community Education Sept. ’15: Conduct 6 sessions with organizations & churches

Community Networking/Outreach UPDATE PROGRESS Systematic mapping of assets Informal/ preliminary linkages Collaboration with CORE Testing Department CHANGES No Provider Testing Intervention CHALLENGES Late start due to staffing delay Sept ’14: Begin flea market testing Sept ‘15: Test 500 Mexicanos in Chicago Ongoing Networking and Collaboration

CHARLAS UPDATE PROGRESS Refinement of 5 series CHARLAS content based on literature Barriers to Care Assessment and 3 of 5 CHARLAS CHANGES No longer conducting Healthy Relationships DEBI. Using Healthy Relationship to develop a CHARLA dedicated to disclosure and safe sex. CHALLENGE Content that is respectful, not overly intrusive, personable and conversational and culturally tailored. BarriersCharlas INFORM REDUCE

Sept ‘14: Enrollment begins Sept ‘15: Engage and Retain 20 newly diagnosed HIV infected Mexicans in care Sept ‘15: Engage and Retain 20 Lost to Care or At-Risk* HIV infected Mexicans in care CHARLAS UPDATE *At-Risk = Sporadic Engagement, Poorly controlled HIV

Partners and Collaborators CORE HIV Testing Consortium CCHHS- Cook County Health and Hospital System Mexican Consulate of Chicago, Mujeres Latinas en Acción, Project Vida, Calor, El Rincón, HAS Established Community Partners Cultural Competency Experts (Mexican Immigration, HIV, Community Testing) Advisory Board Group Walgreens, Local Pilsen Pharmacy/Botanica, San Jose Obrero Mission, St. Pius V Catholic Church, Pilsen Little Village Prospective Community Partners

Promotora Patient Navigator Project Director Evaluator Principal Investigator Proyecto PROMOVER Intern

Staff Pamela Vergara-Rodriguez, MD, Principal Investigator, , Patricia Aguado, PhD, LCSW, Project Director, , Susan Ryerson-Espino, PhD, Evaluator, , Naomi Jimenez, MSW, Clinical Patient Navigator, , Monica Puente, Promotora, , Sebastino Aviles, MPH-MSW Intern, academic year