“ Integrating County Departments with Community-Based Providers to Reach HIV Positive Women in the Jails. ” Armida Ayala, MHA, Ph.D. & Marcela Sanchez,

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Presentation transcript:

“ Integrating County Departments with Community-Based Providers to Reach HIV Positive Women in the Jails. ” Armida Ayala, MHA, Ph.D. & Marcela Sanchez, BA County of Los Angeles Department of Health Services CityMatCH Annual Urban Maternal & Child Health Leadership Conference August 23-26, 2003 Pittsburgh, PA

Background 4,082 Square Miles 9.8 Million Residents Proportion of State Population: 28% Proportion of State AIDS Cases: 35% Living with HIV/AIDS: 53,000 (Estimated) Population: Latino/a 44.6% White 31.1% Asian12.3% African-American 9.7% Native American 0.5% Pacific Islander 0.3% 2

3 Background Limited data on the number of HIV positive female inmates who are pregnant or of childbearing age Lack of access to perinatal prevention of HIV transmission in jails.

4 Objectives Identify HIV positive female inmates in the jails Develop effective collaborations Integrate existing prevention of perinatal HIV transmission efforts.

5 Methods Perinatal HIV Learning Cluster Team meetings Integrated surveillance, prevention and training Consolidation of data from PSD surveillance and IMACS ( Information Management for AIDS Cases & Services).

6 Results More than 60% of the female inmates were African American and Latino Eighty five percent (85%) received a pre- release plan in the past 3-5 months Only 6% received their HIV medications at this discharge from the jail.

7 Conclusions Successful identification of the target population Increased integration of surveillance, prevention, case management and correctional systems Improved linkage to perinatal prevention of HIV transmission education and related services Increased training of jail providers to include prenatal prevention of HIV transmission education.

8 Next Steps Increase training among providers about perinatal prevention of HIV transmission Enhance health outcomes to avoid recidivism in the jails Improve case finding and follow-up Increase integration of surveillance and evaluation with service planning and project monitoring Expand early detection and testing efforts with other departments.

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