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Project H.E.A.R.T Janet Sheridan SC Family Planning Program Division of Women and Children's Services
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OBJECTIVE Exchange of knowledge related to successes/challenges met with the integration of HIV/AIDS and reproductive health services
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Project H.E.A.R.T. H-HIV E-Education A-And R-Routine T-Testing
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Where? Charleston, South Carolina Serving patients from 3 counties-Berkeley, Dorchester and Charleston Staff includes: RN (project manager), Disease Investigation Specialist (DIS), Administrative Support, Health Educator
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Who do we serve? Large Population of sexually active women of childbearing ability, their unborn children and their sexual partners.
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Our Goal CDC reports that 25% of people with HIV are unaware of their status. Our goal is simple: Increase the number of women and men that know their status.
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Why Public Health Clinics? Public Health Clinics represent one of only a few possible health care delivery sites available to uninsured or underinsured women and men.
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Women Served
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Women by Race
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Day to Day Activities 30-40 women are assessed at Northwoods per day Extended hours: Mon-Thur 8a-6:30p Friday- 8-5 One Saturday per month 8-5 Male family planning services Tues/Thurs 8-6:30 HIV testing by appointment or walk-in
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Pregnancy Testing and HIV Testing 2005 1485 pregnancy tests performed 599 (40%) positive 2006 2104 pregnancy tests performed 830 (39%) positive
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Successes Pre-Grant Less than 5% tested Closest free HIV test was 15 miles away Male partners not able to be tested Difficult to provide HIV counseling in community d/t lack of trained staff and limited resources Current Apx. 76% of women were tested in 2006 On site HIV testing 209 Men tested for HIV last year Networking with Father-to- Father Project, Mason’s, It’s Up to Me Project, Dept. of Social Services, College fraternity and sororities and faith-based organizations
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Successes Pre-Grant Agency required cultural competency training Message for men: Use condoms/get him tested and/or treated Current Optimal customer service skills specific to African American and Hispanic population Men’s reproductive health needs and concerns addressed 300 males participated in male reproductive health services project
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Successes Pre-grant SC HHNA demonstrated that the Hispanic population in SC lacked adequate health care information r/t HIV and experience restricted access to care Current Approximately 55% of all HIV tests during grant year 3 were provided to Hispanic enrolled clients
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Successes Pre-Grant HIV testing only for “high risk” clients Rarely offered/provided HIV testing to patients presenting for a pregnancy test Current Utilizing CDC recommended opt-out HIV testing Routine part of women’s health care Test high percentage of women who come in for a pregnancy test
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Minimizing Barriers to Full Implementation Staffing Training/Education Language/Reading Cultural Awareness and Sensitivity Clinic Flow
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