High School-Based STD/HIV High School-Based STD/HIV Screening Efforts Screening Efforts

Puerto Rico, 2006-2007Puerto Rico, 2006-2007

STD/HIV/AIDS Prevention STD/HIV/AIDS Prevention DivisionDivision

Infertility Prevention ProjectInfertility Prevention Project

ObjectivesObjectives

Describe the STD/HIV screening Describe the STD/HIV screening protocol developed by STD/HIV/AIDS protocol developed by STD/HIV/AIDS Prevention Division Prevention Division

Present strategies used and Present strategies used and screening processscreening process

Summarize findingsSummarize findings

BackgroundBackground

8% of the total population of Puerto 8% of the total population of Puerto Rico (304,688) is between the ages Rico (304,688) is between the ages of 14 to 18 years old*,of 14 to 18 years old*,

49% are females*49% are females* Total enrollment for public high Total enrollment for public high

schools in 2006 was 118,459 schools in 2006 was 118,459 studentsstudents

* Census 2000* Census 2000

Comparison between students from 9th to 12th Grade of Publics Schools of Puerto Rico

who are sexually active during 2005Department of Education

SAN JUAN, PUERTO RICO, 2006SAN JUAN, PUERTO RICO, 2006

33.2 36.831.0

28.337.6

0

10

20

30

40

50

60

70

80

90

100

1991 1995 1997 2001 2005

1991

1995

1997

2001

2005

Year

Perc

ent

San Juan

BackgroundBackground

Departmentof

Education

PRDOHSTD/HIV Prevention

Aguadilla

May

agüe

z

Arecibo

Ponce

Bayamón

Cagua

s

Fajardo

News CoverageNews Coverage

News coverage of collaborative agreement between Secretary of the Department of Health Dr. Rosa Perez Perdomo and Secretary of the Department of Education Dr. Rafael Aragunde. September 2006.

Coordination ProcessCoordination Process

PRDOH Prevention Personnel

School District

School Director

Teachers

Students

Parents

STD/HIV Screening Flow STD/HIV Screening Flow ChartChart

Student

Syphilis and HIV blood samples

Registry and filling of lab slip

Chlamydia and G/C sample

STD/HIV Pre-test Counseling by DIS and signing of consent

STD/ HIV Health Education

Tests results distribution and

Referral for Treatment

Teachers’ PresentationTeachers’ Presentation

Health Health EducationEducation RegistrationRegistration

STD/HIV Pre-test Counseling STD/HIV Pre-test Counseling by DIS and Signing of Consent by DIS and Signing of Consent

Chlamydia and Gonorrhea Chlamydia and Gonorrhea testing testing

Syphilis and HIV blood sample Syphilis and HIV blood sample collectioncollection

RESULTSRESULTS

STD/HIV ScreeningSTD/HIV Screening

Source: Puerto Rico IPP 2006-2007

Ct/GC 1162

HIV/ VDRL 1167

1100

1105

1110

1115

1120

1125

1130

1135

1140

1145

1150

1155

1160

1165

1170

Nu

mb

rer

of

tes

ts Ct/GC

HIV/VDRL

Type of test

Distribution by Gender in CT/GC Distribution by Gender in CT/GC teststests

(n=1162)(n=1162)

Source: Puerto Rico IPP 2006-2007

59%

41%

M F

Chlamydia Test Results Chlamydia Test Results Distribution by SiteDistribution by Site

Site

Total tests of CT/GCPositive test results of

Chlamydia

% PositivityM F Total M F Total

1  30 65 95 1 7 8 8%

2  39 39 78 1 9 10 13%

3 41 75 116 0 7 8 7%

4 31 52 83 0 2 2 2%

5 57 72 129 0 0 0 0%

5 81 124 205 0 7 7 3%

7 106 169 275 7 14 21 8%

8* 90 91 181  1  8  9 5%

 Total 475 687 11621162 9 46 5656 5%5%

* We are still receiving results from this site

STD Clinic CoverageSTD Clinic CoverageMetro (CLETS)

Fajardo

Bayamón

Toa Baja

Arecibo

Isabela

Mayagüez

Caguas

Juncos

Humacao

Ponce Guayama

HIV/STD Clinics: Fajardo, CLETS, Caguas, Bayamón, Mayagüez

STD only: Juncos, Ponce, Arecibo, Humacao, Guayama, Isabela and Toa Baja

Labs: Metro (San Juan), Ponce and Mayagüez

AchievementsAchievements

Development of a unique public health Development of a unique public health initiativeinitiative

Positive response of the studentsPositive response of the students All CT cases have been treated All CT cases have been treated

promptlypromptly Reaching priority target group for IPPReaching priority target group for IPP Higher awareness about CT and GC Higher awareness about CT and GC

among high school studentsamong high school students

ChallengesChallenges

Fiscal and Human ResourcesFiscal and Human Resources

Time ConsumingTime Consuming

School DynamicsSchool Dynamics

Thank you for your Thank you for your attention!attention!