1. Facilitating Routine HIV Testing in Clinical Settings: The Role of the AIDS Education & Training Centers
FTCC Meeting- July 14th, 2010
Beth-Anne Jacob, PhD
Evaluation Director
Suzanne Carlberg-Racich, PhD, MSPH
Evaluation Specialist
Midwest AIDS Training and Education Center (MATEC)

2. BACKGROUND Main Goals of Project Modes of Delivery
Facilitate the expansion of HIV testing in clinical settings
Coordinate efforts with regional and national HIV testing activities
Modes of Delivery
Training
Technical Assistance

3. Qualitative Methodology – Why?
Change process is dynamic, multifaceted, and difficult to quantify
Little was known about how goals would be achieved or changes would occur
Settings and stakeholders were quite diverse
Flexible and driven by participant voices
Conducive to examining the complexity of activities in the project
Easily accommodates emerging themes

4. METHODOLOGY Sample 12 key stakeholders
Coordinators / administrators from each implementation site (6)
Partners and collaborators (4)
MATEC staff in key roles (2)
Representing Illinois, Indiana, Missouri, Michigan & Minnesota

5. METHODOLOGY Data Collection Semi-structured interview instrument
Tailored interview protocols for each group, tailored to their role in the process
Interviews conducted by Evaluation Director
Initial (late 2008-early 2009) (n=12)
Follow-up (late 2009) (n=11)

6. FINDINGS Themes Testing Expansion:
Implementation occurs along a continuum
Significant barriers and challenges exist
Even when ‘routine offering’ is achieved, ‘routine testing’ seems unattainable
Easier to create from scratch than revise a risk-based testing program

7. Challenges / Barriers:
FINDINGS
Themes
Challenges / Barriers:
Turning plans into action and maintenance
Tracking and record keeping
Adapting old systems, creating new systems

8. The AETC Role in the Process
FINDINGS
The AETC Role in the Process
Assessing organizational readiness
Training at organizational levels
Creating a task force
Locating funding for pilot projects
Creating resource materials
Fostering networking opportunities

9. Beth-Anne Jacob, PhD
(312)