National Chlamydia Coalition

Mini-Grants Overview: Reports From The Field

Washington, DC October 28, 2010

Mini-Grants Across the Country Projects in New York, Pennsylvania,

Michigan, Minnesota, Washington state, Virginia, Maryland, and Illinois

Indian Health Service, tribal and urban American Indian and Alaska Native health programs in Alaska, Arizona, and Oregon

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Background on the Grants

With funding from CDC, Partnership for Prevention provided up to $10,000 to regional, state or local organizations

Grants up to one year in duration that must be completed by July 2011

Sixty-three organizations submitted proposals, with ten selected for funding

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Purpose of the Grants

To fund innovative strategies to increase chlamydia screening and follow-up care

To encourage collaboration among NCC partners at the local level

To disseminate lessons learned To encourage replication of successful

models

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Variety of strategies, settings and audiences Use strategies including public

awareness, provider outreach and coalition-building

Settings include primary care offices/clinics, high schools and colleges, juvenile justice system, community-based organizations, and the media

Reach populations with high prevalence and low rates of screening

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Projects Currently Underway Most projects are at the mid-point; final

results not yet available Today you’ll get a quick snapshot of their

project designs Some might share sample materials and

initial findings Performance measures are built into every

project. When completed, results and lessons learned will be disseminated

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Minnesota Department of HealthCandy Hadsall, RN, MA

March 1, 2010 – March 1, 2011State of Minnesota

Minnesota Department of Health, based on an effective model for coalition-building, has organized the first statewide Minnesota Chlamydia Partnership to encourage a wide range of organizations to offer chlamydia screening and treatment.

Minnesota Chlamydia Partnership and

Summit

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Minnesota Chlamydia Partnership

•MCP: created in March 2010, 34 meetings held Jan-Sept, Steering Committee planned & led Summit, leading workgroups Sept - March.

•Minnesota Chlamydia Strategy: workgroups drafting actions for statewide strategy, MDH staff creating outline and format

•Summit: Overall attendance was 275, exceeding original objective of 100. 144 in St. Paul, and 131 in nine satellite (rural) locations. 16% were youth. Represented wide range of organizations, with most from non-profits, local or city public health department, public health clinic, or private clinics.

• Participant evaluation of Summit: 88% said their primary objective for attending the meeting was fulfilled. 33% said they volunteered to be part of workgroups. 100% want to stay informed

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Minnesota Chlamydia Partnership

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#1: Healthy sexuality information needed Consistent, positive messages everywhere Messages that cover lifespan, deal with

sexuality issues as adolescent AND as adult Mandatory Comprehensive Sexuality

Education in all types of schools; health ed in colleges

#2: Testing for CT, GC should be routine #3: Need funding – testing, treatment,

prevention, EPT, partner notification

Summit Feedback

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5 Strategy Workgroups

Educate teens, parents, teachers; primary focus: get CSE in schools

Educate providers Build awareness in all other areas of

communities Affordable testing Access to testing

ODU Chlamydia Project

Old Dominion UniversityJenny Foss & Kim CholewinskiJune 1, 2010 – May 31, 2011

Norfolk, Virginia

Old Dominion University Research Foundation, through Old Dominion University’s Student Health Service, is implementing a multi-faceted project to increase chlamydia awareness, screening and treatment at ODU and in the surrounding Tidewater region of Virginia.

Enhanced Chlamydia Screening in the Medical Home

American Academy of Pediatrics New York State Chapter 1

Gale R Burstein, MD, MPH, FAAPMarch 2010 – February 2011

Western New York StateUniversity at Buffalo, State University of NY: Three pediatric offices, located in western New York State, are pilot-testing an intervention designed to enhance the delivery of comprehensive and confidential adolescent preventive care, including sexual health services.

Question N = 84 Male FemaleI have provided info on Sexual Health 26.3% 8.7%Counseled about contraception 40% 30.4%Ordered HIV test 0% 0%Ordered Chlamydia test 0% 0%

Mid-sized suburban/rural peds practice

Question N = 58 Male FemaleI have provided info on Sexual Health 66.7% 94.3%Counseled about contraception 100% 97.2%Ordered HIV test 0% 0%Ordered Chlamydia test 0% 41.7%

Large suburban peds practice

Question N=54 Male FemaleI have provided info on Sexual Health 100% 89.9%Counseled about contraception 100% 77.8Ordered HIV test 33.3% 0%Ordered Chlamydia test 83.3% 55.6%

Small urban peds practice

Illinois SBHC Screening during Sports Physicals

Uplift School Health Center Children’s Memorial Hospital

Cynthia Mears DO FAAPMay 2010 to May 2011

Chicago, IL

Children’s Memorial Hospital, Uplift School Based Health Center. is adding free chlamydia and gonorrhea screening to student athletes’ pre-participation sports physicals provided at five school-based health centers in the Chicago and rural Illinois areas.

Illinois SBHC Screening during Sports Physicals

• Population(s) reached: 4 SBHC populations 1 suburban, 2 rural, 2 different parts of the city

• Setting(s) for implementation: All SBHC or school linked Health Centers

• Partners: IL Dept of Human services and IL Dept of Public health

Illinois SBHC Screening during Sports Physicals

• Key project components:• Students are given a “did you know” handout of adolescent health issues which includes information on Chlamydia and getting tested.• Students are asked once in the exam room if they would like to be tested for the Sexually transmitted Infections, Gonorrhea and Chlamydia.• Forms were developed by the IDPH and IL DHS to track yes and no responses. • If yes then urine screening is done and sent to the state lab and is recorded in Clinical fusion, for data collection.

Chlamydia Practice Improvement Project

(CPIP)

Michigan Department of Community Health (MDCH)Project Director: Amy PetersonProject Coordinator: Nancy DeisingGrant Cycle: 4-1-10 to 3-31-11

You’re an Essential

Piece

Michigan Department of Community Health (State of Michigan) has partnered with Molina Healthcare, the largest Medicaid managed care provider in Michigan, to adapt an award-winning, culturally-specific awareness model to increase chlamydia screening among female plan members age 16-24 in southeastern Michigan, including the city of Detroit.

CPIP Program Components

Provider Identification and Enrollment On-Site Provider Meetings Provider Follow-up and Incentives Patient Education Targeted Client Incentives

You’re an Essential

Piece

Data 2009 Baseline Data:

Females16-24 year old Continuously enrolled in Molina Sexually active

2009 CPIP Baseline: 38.26% (N=20 sites) Only 14 out the 20 sites are participating

Molina Statewide 2009: 63.2% Michigan Medicaid Statewide 2009: 61.5%

Adolescent Rights Understanding Your Childs Rights

to Confidential Health Services: Handout Laminated Flyer Plastic Placard Placard-Frame

Minor Consent for Care and Confidential Health Information Handout

Michigan Minor Consent Law Brochure

Minor’s Rights to Confidential Health Services

Order Form

Items

Provider Toolkit Focus on HEDIS

Member Mailing “It’s Time for Your Yearly

Medical Exam” Includes member incentive

for project GYT Brochure created by

MDCH

Planned Parenthood of Greater Washington and North Idaho

Amy Claussen – VP of Education and Professional Training

Maria RazoMarch 2010 - January 2011

Yakima, WashingtonPlanned Parenthood of Greater Washington and North Idaho is expanding its current Promotoras de Salud or “promoters of health” sexual health education program to focus on chlamydia-specific grassroots outreach within the Latino/a community in Yakima County.

Promotoras de Salud

Adagio HealthTony Felice

June 1, 2010 – May 31, 2011Pittsburgh, PA

Second Quarterly Call September 22, 2010

Adagio Health, Inc., using GIS mapping to identify communities at high risk for chlamydia, is targeting residents of a low-income housing project with focus-group tested materials and chlamydia testing and treatment in alternative community settings.

Community Approach to Increasing

Chlamydia Screening

An outline of theNorthview Heights Program

Using GIS mapping of chlamydia cases, the area of focus was selected in Allegheny County

A health center was already doing some chlamydia/gonorrhea screening—positivity has been above 12%

Focus groups were utilized to develop messages and determine the best places to screen and when

Since the project began there have been several stumbling blocks

The Allegheny County Health Department and the PA Department of Health are committed partners to improving screening rates

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Allegheny County Map of Reported Chlamydia 2009

Weaving Systems of Care

Center for Health TrainingWendy Nakatsukasa-Ono

May 1, 2010 – April 30, 2011Regions VIII, IX and X/National

The Center for Health Training and its partners are developing, testing and disseminating a toolkit to guide the standard delivery of STD care to American Indian and Alaska Native people.

Jackson County Health DepartmentKathy O’Laughlin, RN, MS

5/1/2010-4/30/2011Murphysboro, IL

Jackson County Health Department is implementing a provider outreach program to encourage routine chlamydia screening in private pediatric, internal medicine, and family practices, along with a peer mentor program to increase public awareness about chlamydia.

Promoting Chlamydia Screening in a Rural

Area

CATCh: Community-based Adolescent Testing for

Chlamydia

Maryland Department of Juvenile ServicesJennifer Maehr, MDJessica Burns, RN

Abigail Donaldson, MD July 1, 2010 - June 31, 2011

Baltimore, Maryland

Second Quarterly Call September 22, 2010

Maryland Department of Juvenile Services is providing chlamydia and gonorrhea screening, treatment, and education through case management and somatic health staff for at least 500 Baltimore juvenile justice youth who are under community supervision.

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CATCh: Community-based Adolescent Testing for Chlamydia

Objectives Performance Measures Screen at least 500 youth in 12 months for CT and GC with “free” urine NAA testing during participation in community supervision.

Track # tests done and report prevalence of CT and GC in male and female youth at DERC and FIT programs, compare to detained youth.

Provide individual STI counseling, family planning information, condoms, on-site treatment, and referrals for additional care and partner treatment.

Track services provided. Develop resources to provide to youth and to refer.

Provide 4 group education sessions for the youth: Survive Outside/Making Proud Choices Curriculum.

Staff training on Survive Outside.Track # of sessions given to youth.

Train case managers and program staff on adolescent reproductive health, STIs, and risk reduction.

Development of training, # Staff trained, # sessions given.

Survey youth and staff for satisfaction with the program and resources offered.

Develop and give satisfaction surveys.

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CATCh: Preliminary Results July 1-October 15

Site &Client Sex

Potential

Clients

Total Tests Done

+CT# (%)

+GC# (%)

# Treate

don-site

FIT unitFemale

250girls w/ visit

to case manager

41by case

managers

9(22%)

2(5%)

9by RN or MD

DERCMale

149youth

enrolled

110by nurses

8(7%)

1(1%)

4by RN

Total 399 151 17(11%)

3(2%)

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CATCh: Preliminary Results FIT UnitJuly 1-October 15, 2010

# Clients with Post-Test

MD/RN On-Site Visit at

FIT

# Pregnancy Tests Done

On-Site

# Youth Administere

d EC On-Site

# Youth Given EC

as Advance Provisio

n

# Youth Referred

for Additional Services

24(remaining

clients receive results by

phone)

11(all negative)

5 14 12

For further information on the NCC Mini-Grants,

please see www.prevent.org/ncc

Washington, DC October 28, 2010