1. STDTest.org
Launched in 2003 as partnership btween SFDPH and ISIS – Syphilis testing only
First 6 months,140 syphilis tests performed.
6 (4.3%) new syphilis infections identified: four infectious and two latent;
5 were in gay men, of whom one was HIV-positive, two HIV-negative and two unknown.
All received medical eval and treatment
(Klausner, Levine, Kent, AIDSCare, Nov. 2004)

2. Assessment
Informal discussions with community members about low usage rates of STDTest.org
Reasons:
One test - syphilis, not complete panel
Hard to convey what it is
Concern abt. confidentiality re: gov’t oversight

3. Community Advisory Board
Gathered together representative group of SF residents to enhance STDtest.org
Cross-section of youth, clinicians, MSM, Latinos and African-Americans
Met twice in-person (June and Oct. ’07), and multiple exchanges

5. Pictures rotate through 15 different images of singles, couples and groups
Prominent HOW IT WORKS button

6. In order to be consistent with national testing recommendations, implemented simple quiz to determine recommended tests
Anyone who has symptoms or is a partner of someone diagnosed with an STD is given instructions to see a clinician, not USE STDtest.org

7. Using private lab system (LabCorp) – do not do rectal collections, so inc. do-it-yourself instructions
All disease names link to information about the STD, as well as link to BASICS in the navigation bar at the top

8. At this point, a person who is HIV-positive can “un-check” the HIV testing recommendation

9. Every field must be filled in, zip codes must reflect city and county of SF

10. Lab Slip is in 2 pages; contains Unique ID by which individual will receive results

12. Standard page for when test results not available yet; HIV test results – website lets patient know when they are ready; must get results by phone; all results given explanation, inc. that if positive, health dept will be contacting them to ensure proper treatment, AND referrals to local public health clinic

13. All services are provided free of charge; donations will be solicited to cover costs

14. Usability Testing and Launch
Recently completed usability testing with 12 SF residents
Currently implementing changes from user comments
Planned launch early April, 2008
Marketing plan in development
Evaluation plan in development

15. Acknowledgements
San Francisco Department of Public Health, STD Prevention and Control:
Dr. Jeff Klausner, Jacque McCright, Kyle Bernstein, Bob Kohn, Rachael Perez
ISIS Staff & Contractors – Andy Woodruff, David Begor, Caryn Graves, Lauren Steltzer
Community Advisory Board Members

16. Executive Director and Founder
Contact Information
Deb Levine
Executive Director and Founder
ISIS, Inc.