Beachin’: High Impact Prevention and Scalability in Broward County, Florida Alyssa Bosold Ashley...
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Beachin’: High Impact Prevention and Scalability in Broward County, Florida Alyssa Bosold Ashley Hill Public Health Associates, Class of 2014 Office for State, Tribal, Local and Territorial Support Centers for Disease Control and Prevention Summer Meeting June 1, 2015 Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support
Beachin’: High Impact Prevention and Scalability in Broward County, Florida Alyssa Bosold Ashley Hill Public Health Associates, Class of 2014 Office for
Beachin: High Impact Prevention and Scalability in Broward
County, Florida Alyssa Bosold Ashley Hill Public Health Associates,
Class of 2014 Office for State, Tribal, Local and Territorial
Support Centers for Disease Control and Prevention Summer Meeting
June 1, 2015 Centers for Disease Control and Prevention Office for
State, Tribal, Local and Territorial Support
Slide 2
SIGNIFICANCE AND BACKGROUND
Slide 3
Why High Impact Prevention & Scalability? High Impacted
Prevention Recommended by CDC to reduce new HIV cases Scalability
Monitoring and evaluation should focus on encouraging scalable
interventions Few examples of scalability in literature Even fewer
examples at local health department level
*http://www.cdc.gov/hiv/policies/hip.html
Slide 4
HIV/STIs in Broward County, Florida Florida Highest rate of new
HIV cases in the nation in 2013 (N= 5,377) N=6, 132 newly reported
infections in 2014 MSA (2014) Miami, Fort Lauderdale, West Palm
Beach (N=2,582) Broward N=993 new HIV cases in 2014 second highest
in the state N=660 Gonorrhea cases in 2015 (1) N=2,342 Chlamydia
cases in 2015 (2) N=75 Syphilis cases in 2015 (2)
http://broward.floridahealth.gov/programs-and-services/infectious-disease-services/hiv-aids/hiv-aids-surveillance/index.html
http://floridahealth.gov/diseases-and-conditions/aids/surveillance/fact-sheet1.html
http://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/_documents/msr/2015-msr/index.html
Slide 5
Palm Beach Broward Miami-Dade Diagnosed AIDS Cases Florida,
through 2013 Each dot = 3 cases Map excludes Department of
Corrections (N=4,619) Note: 72,849 (56%) are known dead Data as of
6/30/2014 N= 130,038
http://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/epi-slide-sets.html
Slide 6
Fort Lauderdale Beach Photo by Florida Department of Health in
Broward County Broward County in March Influx of Tourists Spring
Break Winter Party Increased social activity can lead to increased
transmission of HIV/STDs
Slide 7
Response: The Broward Beach Blitz (February 14,2015- March 6,
2015) Photo by Florida Department of Health in Broward County
Slide 8
METHODS
Slide 9
Methods The Broward Beach Blitz goals: Distribute condoms
Engage businesses through the Business Response to AIDS (BRTA)
initiative Conduct HIV/STI screenings Promote interagency
collaboration Administer condom knowledge surveys (condom polls)
Engage stakeholders (i.e. community partners, populations at risk)
Interagency Collaboration
Slide 10
Slide 11
Distribution of Beaches
Slide 12
Google.com/maps Beach Assignments
Slide 13
High Impact Prevention Advances the prevention goals of the
National HIV/AIDS Strategy Uses combinations of scientifically
proven, cost-effective, and scalable interventions Targets
populations in geographic areas with the most need Promises great
impact to HIV prevention efforts
http://www.cdc.gov/hiv/policies/hip.html
Slide 14
High Impact Prevention Components Descriptions adapted from
http://www.cdc.gov/hiv/policies/hip.html ComponentDescription
Effectiveness and Cost Utilizes funds to most efficiently reduce
overall rates of HIV Infection Feasibility of full-scale
implementation Interventions are practical to implement on a large
scale, at reasonable cost Coverage in the target populations Select
interventions based on number of individuals potentially reached
Interaction and targeting Considers how interventions interact, and
how they can most effectively be combined to reach the most
affected populations in a given area. PrioritizationAssesses impact
of activities on HIV infection rates. Uses interventions with the
greatest potential to reduce infections.
Slide 15
Analysis For Evaluation Qualitative Data Calendars, outreach
activity report, evaluation forms, debriefing Coded based on
categories Location, Time, Attitudes, and Community Engagement
Quantitative Data Condom polls (knowledge surveys) Number of
condoms distributed, businesses engaged, tests conducted, etc.
http://www.cdc.gov/hiv/policies/hip.html
Slide 16
RESULTS: QUALITATIVE
Slide 17
Analysis of Staff Notes: Location & Target Population
Description of Broward Beach Blitz Sites; google.com/maps Las Olas
Blvd: Spring Breakers Sebastian Street: MSM, young adults Hollywood
Beach: elderly, white, family oriented, snowbirds (tourists from
Canada and Northern areas)
Slide 18
Analysis of Staff Notes: Timing
Slide 19
RESULTS: QUANTITATIVE
Slide 20
Results Data collected during outreach activities conducted
March 2- 6, 2015 20 BRTA partners recruited as condom distribution
sites 8 agency collaborations (community organizations/advocacy
groups) 36 staff volunteers, 119 total volunteer hours 50 combined
HIV/STI screenings 607 risk reduction session were conducted 307
condom polls completed *Responses were excluded if person was <
18 years
Slide 21
Results: Condom Polls Question: Resident or Visitor Question:
Condom use
Slide 22
Results: Condom Polls Question: Condoms are effective against
transmission of HIV/STIs Question: Best type of condom for
protection against HIV/STIs
Slide 23
Results: Condom Polls Question: Condoms are enjoyable
Slide 24
DISCUSSION AND SUGGESTIONS
Slide 25
Evaluation: High Impact Prevention ComponentProgressSuggestions
Effectiveness and Cost Success with volunteer recruitment, BRTA
Designing cost effectiveness algorithm for comparison Compare cost
effectiveness after each event to assess progress Determine
potentially averted cases and cost of treatment vs. prevention
Coverage in the target populations Qualitative analysis suggests
that Fort Lauderdale Beach during the afternoon reaches Spring
Breakers Other locations target different demographics Collect
uniform quantitative data on demographics reached at specific hour
intervals, by location
Slide 26
Evaluation: High Impact Prevention Cont.
ComponentProgressSuggestions Interaction and targeting 50 Combined
HIV/STI Screenings Use location/time/demographic data to determine
target populations for testing PrioritizationPrioritization based
on high numbers of PLWA and lack of business partners Condom polls
suggest we reached a group in need of education Chart new infection
rates, especially by zip code
Slide 27
Scalability Planning: Suggestions Increase Cost-Effectiveness
With tool for comparison, can test strategies for maximizing
resources and reaching large groups Potential Strategies from
qualitative data: recruiting more partners, utilizing police and
city resources, increase staff at target hours Expanded Data
Collection Collect quantitative data to confirm ideal locations for
interaction/targeting and reaching large numbers of high-risk
demographics Quality assurance measures
Slide 28
For more information, please contact CDCs Office for State,
Tribal, Local and Territorial Support 4770 Buford Highway NE,
Mailstop E-70, Atlanta, GA 30341 Telephone: 1-800-CDC-INFO
(232-4636)/TTY: 1-888-232-6348 E-mail: [email protected]:
http://www.cdc.gov/[email protected]://www.cdc.gov/stltpublichealth
The findings and conclusions in this presentation are those of the
authors and do not necessarily represent the official position of
the Centers for Disease Control and Prevention. Thank you Centers
for Disease Control and Prevention Office for State, Tribal, Local
and Territorial Support