1. Funding and Evaluating DIS: California’s Evaluation of Utilization of DIS for Linkage to HIV Care
Jessica Frasure-Williams, MPH
Chief, STD/HIV Service Integration Unit
STD Control Branch, California Department of Public Health
National Coalition of STD Directors’ Annual Meeting
Savannah, GA ∙ October 26-30, 2015

2. Overview Background Evaluation Measures and Methods Data Collection
Local Health Jurisdiction Case Studies
Next Steps

3. Background

4. HIV Prevention in STD Programs
HIV Case Finding
Linkage to HIV Care
Re-Engagement with HIV Care
PrEP

5. What are we measuring? Process: What does it take?
Case studies of participating LHJs
Data completeness
Partner services timeliness outcomes
Outcome: Does it work?
% of cases/partners newly tested for HIV
% of cases/partners in care, linked to care, re-engaged with care
Cost Effectiveness: Is it worth it?
Cost per new HIV case detected
Cost per HIV case linked to care/re-engaged with care

6. Data Collection STD Surveillance Data (CalREDIE) HIV Surveillance Data
(Local)

7. Local Case Study #1: Identifying Co-Infected GC/HIV Cases for Follow-Up
GC Case
HIV Surveillance Data
STD Surveillance Data
SSuN Sample (2.5%)
DIS does interview,
PS, LTC, and enters
outcome data
GC=Gonorrhea, PS=Partner Services, LTC=Linkage to Care, SSuN=STD Surveillance Network

8. Local Case Study #2: Identifying Co-Infected GC/HIV Cases for Follow-Up
GC Case
STD Surveillance Data
HIV Surveillance Data
STD Surveillance Data
DIS does interview,
PS, links to LTC, and
enters outcome data
GC=Gonorrhea, PS=Partner Services, LTC=Linkage to Care

10. 32% Missing
*Early Syphilis Cases, January-Present

11. 46% Missing
*Early Syphilis Cases, January-Present

12. 80% Missing Confirmation
*HIV+ Early Syphilis Cases, Jan -Present

13. Next steps Data quality assurance activities
Linkage to Care Training for DIS (CA PTC)
Joint STD/Office of AIDS Policy Letter
Statewide LTC capacity assessment
Time-motion study of DIS in 5 LHJs
Outcome and cost analyses

14. Thank You! Heidi Bauer Nyisha Underwood Brett AugsJoost Rilene Ng
Edwin Lopez
Holly Howard
Dennese Neal
Brandy Maddox
Marion Carter
Contact Information