1. 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

2. 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

3. 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

4. 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

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

6. 20 Directly contracted agencies

7. Nine directly funded agencies

8. Five directly funded sites

9. 9 Expanded sites (Jails/FQHC etc.)

10. 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.

11. 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

12. 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