Community Based Organizations (CBOs): HIV/STD/HCV Prevention with the State and LHDs Jacquelyn Clymore, MS HIV/STD/Hepatitis Director Communicable Disease Branch Division of Public Health June 20, 2018

Background Prevention directly funds 31 agencies (12 CBOs) for HIV/STD/HV Prevention activities CDC strongly recommends funding CBOs to engage communities CBOs can augment the work of LHDs 2017: Regional Networks of Care added Prevention (RNCP) Directly funded contracts Subcontracts with LHDs Two way street in terms of CBO/LHD communication

Background CBO Strengths Non-traditional locations and hours Reach populations not comfortable/able to come to a govt facility May have close ties to high risk communities/key stakeholders Flexibility with marketing/messaging/outreach CBO Challenges Fiscal infrastructure/reimbursement Communication to LHDs

What CBOs Do for Communicable Disease Branch Prevention Prevention for HIV Positive Persons Risk Reduction Referral to social support Retention to care Non-Traditional Counseling, Testing, Referral Test in Jails, MSM clubs and bars, high risk neighborhoods, homeless shelters etc. Conduct client centered counseling and risk reduction Conduct referrals Verify if HIV positive client is in care Linkage to care for newly diagnosed HIV positive or re-engage previous positive persons info care

NIA (Guilford), Commwell Health (Sampson), CHI (Cumberland), WECAHN (Chatham)

20 Directly contracted agencies

Nine directly funded agencies

Five directly funded sites

9 Expanded sites (Jails/FQHC etc.)

CBO Prevention Requirements Have MOA with every LHD in each county in which they work LHDs may include deliverables in MOA Submit quarterly narratives to CDB on outcomes Host two site visits annually by Prevention Staff Have physician standing orders to conduct testing CBOs doing HIV/STD or HCV rapid testing have criteria that they must meet that are reviewed by CDB staff Provide policy manuals for Prevention supported activities Report confirmed positive HIV/STD/HCV/GC/CT test results to LHD in the county in which the client lives Must report positives on confidential communicable disease report part 1. Same reporting process used by any provider in your county.

CDB Prevention Monitoring Activities CBOs may receive contracts with Prevention or may participate in HIV/STD/HCV Rapid Testing Program Contracted CBOs are monitored as follows Newly funded CBOs receive a pre-decisional site visit to determine ability to perform required fiscal and programmatic activities Two programmatic and fiscal site visits annually from Prevention staff Prevention staff review monthly CERs for appropriate expenditures May do additional site visits or request supporting fiscal documentation if needed Submit quarterly narratives to Prevention program with outcomes

LHD Responsibility Be aware of what services CBOs provide in their counties Collaborate with CBOs with which you have signed MOAs Up to LHD to the extent of collaboration (i.e. process bloods to submit to SLPH, joint testing events, joint marketing, etc.) Accept reports of positive syphilis, HCV, GC, CT and report to CDB