Evaluating the OPA HIV Prevention Grant: A Collaboration between CFHC and Region IX Alissa Perrucci, PhD, MPH Program Evaluation Manager, CFHC Lissa Suden, MA HIV Project Manager, CFHC Maryjane Puffer, BSN, MPA Director, Clinical & Community Health Programs, CFHC

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference2 Process  Grant application for funding cycle required evaluation of the ABC intervention  Needs assessment from HIV conference in New Orleans indicated 70% of the grantees were uncertain about how to approach ABC evaluation  Opportunity to provide feedback (regionally) on ABC approach

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference3 Participating Grantees California  City and Co. of SF  JWCH  La Clínica de la Raza  NEVHC  SDFC  Tri-City  Valley Arizona  Coconino Co.  Mt. Graham  Maricopa Co.  Yavapai Co.

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference4 Project aims  Current risk assessment at baseline and follow-up Sexually active (vaginal, oral, anal) Number of partners Frequency of condom use  Acceptability of ABC message

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference5 Eligible participants  All clients obtaining HIV testing under the OPA HIV grant  Anonymous test patients complete baseline only

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference6 Design  Self-administered survey HIV test subsequent FP visit  No follow-up at results visit  Survey is placed in patient chart  Exception is anonymous OraSure/blood  Survey completed in private after counseling

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference7 Design, cont’d  100 baseline surveys collected from each agency  Follow-up surveys collected for 15 months from start of baseline through 4/27/07 Maximum of 100 follow-up surveys Follow-up period long enough to capture patients returning for annual exam  Anonymous survey ID links baseline and follow-up

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference8 Design, cont’d Confidential Testing:  Baseline survey at HIV test  Follow-up survey placed in chart for collection at any subsequent FP visit Anonymous Testing:  Baseline survey at HIV test

Preliminary Findings

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference10 Sample  1,229 baseline surveys  461 follow-up surveys

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference11 Participant characteristics  Language 67% English 33% Spanish  Gender 75% Female 25% Male

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference12 Participant characteristics, cont’d  Latina/o 61% Yes 39% No  Relationship status Single 37% Married 20% Partner 43%

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference13 Participant characteristics, cont’d  Heard of ABC? 51% Yes 49% No  Had ____ sex in the last 6 months? 89% had vaginal sex 60% had oral sex 15% had anal sex

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference14 Sexual activity: Baseline N(vaginal)=1,204; N(oral)=1,080; N(anal)=967

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference15 Sexual activity: Follow-up N(vaginal)=454; N(oral)=393; N(anal)=370

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference16 Number of partners Baseline:  Mean=1.72  st.dev.=2.09; range 0 to 29 Follow-up:  Mean=1.04  st.dev.=0.99; range 0 to 10

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference17 Frequency of condom use: Baseline N(vaginal)=1,163; N(oral)=747; N(anal)=238

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference18 Frequency of condom use: Follow-up N(vaginal)=414; N(oral)=193; N(anal)=60

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference19 Options for A, B, and C

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference20 Abstinence as an option

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference21 Monogamy as an option

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference22 Partner monogamy as an option

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference23 Condoms as an option

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference24 Limitations  Not able to evaluate the effectiveness of ABC message No comparison group Passive follow-up (who followed-up?)  No response rates  Can the impact of exposure to the ABC message be measured? Variation in counseling styles Duration and delivery of message  Those practicing abstinence/at higher risk may not return to the clinic

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference25 Next Steps  Further comparison of baseline and follow-up data  Qualitative analysis of write-in responses  Final report for OPA (Sep 07)

June 14th, 2007 California Family Health Council OPA/OFP HIV Conference26 Contact Information Alissa Perrucci California Family Health Council, Inc Ninth Street, Suite 110 Berkeley, CA (510) ext.2316