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TITLE X FAMILY PLANNING/HIV INTEGRATION PROJECT (LESSONS LEARNED) Michael Brannon M.S.

TITLE X FAMILY PLANNING/HIV INTEGRATION PROJECT (LESSONS LEARNED) Michael Brannon M.S. HIV/STD Prevention Program Manager (713) 439-6295 mbrannon@hcphes.org. TITLE X: FAMILY PLANNING/HIV INTEGRATION PROJECT. Three Primary Lessons Learned:

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TITLE X FAMILY PLANNING/HIV INTEGRATION PROJECT (LESSONS LEARNED) Michael Brannon M.S.

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  1. TITLE X FAMILY PLANNING/HIV INTEGRATION PROJECT (LESSONS LEARNED) Michael Brannon M.S. HIV/STD Prevention Program Manager (713) 439-6295 mbrannon@hcphes.org website:http://www.hcphes.org

  2. TITLE X: FAMILY PLANNING/HIV INTEGRATION PROJECT Three Primary Lessons Learned: • Changing roles of staff (Clinic and HIV Prevention Program). • The proper reporting and documentation of client Family Planning/HIV integration visits. • The need for HIV rapid testing. website:http://www.hcphes.org

  3. TITLE X: FAMILY PLANNING/HIV INTEGRATION PROJECT • Staff accepting new roles (Clinic and HIV prevention program staff) • Clinic Staff: • Nursing staff required to provide ABC (Abstinence, Be Faithful, Condom Use) of HIV prevention education to all Family Planning (FP) clients. • Nurses provide post test negative results, and when performing HIV rapid testing provide preliminary positive results as needed. • Front office staff secure the client’s general consent which now includes routine HIV screening. • Lab Assistants/Medical Assistants perform HIV rapid testing and perform venipuncture on all FP/HIV integration clients in need of a blood serology. website:http://www.hcphes.org

  4. TITLE X: FAMILY PLANNING/HIV INTEGRATION PROJECT • Staff Accepting new roles (Cont.) • HIV Counselor/Educator • Monitor HIV integration documentation and assist with quality assurance activities (client visit records and lab paperwork). • Provide routine in-service trainings for all staff participating in the FP/HIV integration process (this includes ABC of HIV Prevention, HIV skill building, age appropriateness, cultural sensitivity, general family planning information and HIV rapid testing). • Perform FP/HIV Outreach to support Clinic FP services. • Counsel high risk clients as needed. • Have now restructured one of the HIV Integration project positions to coordinate daily activities across all of the health clinics and rotate themselves and assigned staff to all health clinics. website:http://www.hcphes.org

  5. TITLE X: FAMILY PLANNING/HIV INTEGRATION PROJECT • Properly documenting & reporting client HIV integration visits. • Working with staff to properly document and report client visit. • Requesting through billing contractor (Ahlers) that data program be upgraded to include Cicatelli age group reporting requirements. This will enable all reports to be electronically generated. Because of the current difference in breakdowns the staff is required to generate this report manually, which creates data reporting discrepancies. Conflicting reported age groups are: • Ahlers reported age group is 30 – 44, and 45 – over. • Cicatelli reported age groups are 30-34, 35-39, 40-44, and 45- over. website:http://www.hcphes.org

  6. TITLE X: FAMILY PLANNING/HIV INTEGRATION PROJECT • Need for HIV rapid testing to support project activities. • With the availability of HIV rapid testing there is over 95% client participation in HIV screening and nearly 100% post test counseling. • With standard HIV serology testing post test counseling drops to 33 %, which prior to the addition of rapid testing was 18%. • Revise HCPHES Family Planning polices and procedures to include standardized HIV Integration activities and rapid testing. • Staff support is significantly increased with the addition of HIV rapid testing. website:http://www.hcphes.org

  7. TITLE X: FAMILY PLANNING/HIV INTEGRATION PROJECT • POSITIVE OUTCOMES: • Clients feel less isolated and stigmatized. • Health clinic staff is more involved in the HIV services process. • HIV counselor/educators are increasing community awareness about HCPHES family planning clinic services. • The FP/HIV integration process is being standardized. website:http://www.hcphes.org

  8. TITLE X: FAMILY PLANNING/HIV INTEGRATION PROJECT • UNIQUE CHALLENGES • Addressing the needs of the underserved male population (HIV/STD Task Force Work group and Clinical Health & Prevention section outlined objectives). • Staff training (currently providing position specific training) • Revising and improving HIV post-test counseling procedures, data collection and analysis. • Standardizing all HIV/STD information in all HCPHES Clinics • Incorporating HIV Rapid testing into Family Planning Services. website:http://www.hcphes.org

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