The Hepatitis B Initiative A 3-tier model for hepatitis B prevention in the Korean faith- based community Theresa P. Castillo, MA CHES Executive Director, HBI-DC AAPI National Health Summit Presentation September 15, 2006

The Hepatitis B Initiative 2 Overview HBI Background HBI-DC’s Faith-Based Model Future Projects

The Hepatitis B Initiative 3 HBI-DC Mission To mobilize faith-based communities to prevent hepatitis B and its consequences among at- risk groups, particularly Asian Americans and Pacific Islanders by: Developing culturally and linguistically appropriate outreach materials on HBV Collaborating with existing community resources to launch educational campaigns and set up HBV screening and vaccination events

The Hepatitis B Initiative 4 The Hepatitis B Initiative History: In 1997, Leslie Hsu co-founded HBI at Harvard University. HBI is dedicated to raising awareness among Asian Americans about hepatitis B. HBI-Boston: A student-run model, working with community clinics (The Albert Schweitzer Fellowship) HBI-DC: A faith-based model, working with pastors and leaders of the congregation

The Hepatitis B Initiative 5 A Faith-Based Model In 2002, HBI-DC partnered with the Korean Central Presbyterian Church (KCPC) to develop a faith-based, outreach initiative. Developed a 3-tier public health approach to increase hepatitis B awareness: (1) educational seminars, (2) screenings, and (3) vaccination events. Immediately following Sunday services, hepatitis B educational seminars were presented to the entire congregation. Volunteers from the church assisted in the set up of screening/vaccination events. Clinical/Admin Coordinators were crucial to success.

The Hepatitis B Initiative 6 Rev. Kim & his wife get screened

The Hepatitis B Initiative 7 Bringing HBI-DC to the Community Timeline Step 1Step 2Step 3Step 4 Booklet DVD Myth/Fact Talking Points Testimonials Forms Handouts Supply List How to get startedEducationScreening/VaccinationVolunteer Training Pre/Post test Instruction sheets

The Hepatitis B Initiative 8 Participatory learning development on all HBI-DC educational materials

The Hepatitis B Initiative 9 Korean Campaign Timeline 2002First Hepatitis B Ministry established at Korean Central Presbyterian Church (KCPC) 2003Offer education, free screenings and vaccinations for English Ministry, followed by Korean Ministry at KCPC; Focus groups and bilingual booklets developed 2004First Pastor’s luncheon organized for DC, MD, and VA pastors to raise awareness about HBV 2005HBI-DC trains 4 churches to implement screenings and vaccinations in their respective communities 2006English Ministry Pastor’s Conference

The Hepatitis B Initiative 10 First Churches to join HBI-DC* Christ Central Presbyterian Church First United Methodist Church HOPE Chapel Korean Central Presbyterian Church McLean Korean Presbyterian Church Open Door Presbyterian Church Pilgrim Korean Community Baptist Church Seoul Presbyterian Church * Chinese Christian Church of Virginia

The Hepatitis B Initiative 11 Korean Campaign Results 1568 individuals screened; 33 individuals diagnosed as chronically infected with hepatitis B Approximately 62% of participants never been exposed to hepatitis B (965 individuals) As much as 46% of our participants are uninsured Approximately 78% had a 3 shot vaccination completion rate A Korean bilingual toolkit (containing education, screening, and vaccination materials created through extensive community input).

The Hepatitis B Initiative Future HBI-DC Projects Partnerships with AAPCHO, APIAHF, Office of Minority Health/HHS to release guidebook Expanding to other AAPI communities in DC Metro area (pilot-test in Chinese Church) Grassroots Fundraiser Campaign

The Hepatitis B Initiative 13 Partners The Albert Schweitzer Fellowship Asian Pacific Islander Health Forum Asian Pacific Islander Partnership for Health Asian American Health Program Association of Asian Pacific Community Health Organizations Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services DC Department of Health Fairfax County Department of Health Gilead Sciences GlaxoSmithKline Hepatitis B Information and Support List The Hepatitis B Foundation The Hepatitis Foundation International Inova Health System Foundation, Inova's Congregational Health Partnership, and the Inova Reference Laboratory Jade Ribbon Campaign Maryland Department of Health Merck & Co., Inc Montgomery County Department of Health The National Task Force on Hepatitis B Immunization, Focus on Asians and Pacific Islanders The Office of Minority Health, U.S. Department of Health and Human Services President’s Advisory Commission on AAPI The Office the Surgeon General, U.S. Department of Health and Human Services Virginia Department of Health White House Initiative on AAPIs See more at

The Hepatitis B Initiative 14 Contact Information For more information on HBI-DC: Theresa P. Castillo, MA CHES Executive Director HBI-DC Metro Area P.O. Box Washington, DC