1. Estimating Need Geography and Planning Services Gunther Freehill County of Los Angeles Department of Health Services Office of AIDS Programs and Policy January 6, 2004

2. 2 Planning Perspectives Racial and Ethnic Groups Gender Interventions or Services Behavioral Risk Group Geography All of the Above…

3. 3 Service Planning Areas Public Health Services Area Health Officer and Medical Director Multiple Supervisorial Districts

4. 4 Key Variations Among SPAs Population Size Racial and Ethnic Groups Area Impact of HIV Epidemic Historical Current

5. 5 What We Know… Residence At Time of HIV Test At Time of AIDS Diagnosis Reported Racial and Ethnic Identity Reported Gender Reported Risk Behavior At Time of HIV Test At Time of AIDS Diagnosis

6. 6 What We Don’t Know… Changes in Residence Since AIDS Diagnosis Since HIV Test Private HIV Tests and Results Changes in Risk Geographic Area of HIV Risk Behavior Optimal Location of HIV Prevention Services

7. 7 What We’ve Done… Identify Six Indicators Assign Weights Generate Estimate of Proportions Among SPAs Apply within SPA

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9. 9 Weighted Indicators

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11. 11 Indicators for HIV Services By Service Planning Area The total number indicated is divided among SPAs, and represented as a proportion Within Service Planning Areas The distribution of a single indicator among populations within each SPA

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22. 22 Summaries for Populations African-Americans Among SPAs Asians and Pacific Islanders Among SPAs Latinos Among SPAS Native Americans Among SPAs Whites Among SPAs

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28. 28 Summaries for SPAs Indicators by Racial and Ethnic Groups

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37. 37 Summaries Male - Female Indicators by Racial and Ethnic Groups

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40. 40 Your Tasks… Identify the Indicators of HIV Need Assign Weights Among the Indicators Advise on the Implementation of the BRG Model By Service Planning Area By Racial and Ethnic Group By Intervention By Gender

41. 41 Acknowledgments Eduardo Alvarado Kyle Baker Connie Chavers Earl Leonard Pamela Ogata HIV Epidemiology