1 / 20

HIV and STDs IN Guilford County: a comprehensive guide for a way forward

Center for Health Policy Health Inequalities Program Duke University Beth Stringfield. HIV and STDs IN Guilford County: a comprehensive guide for a way forward. There is an HIV/STD epidemic in Guilford County. HIV/STDs in Guilford County. 33,635 cases of reportable STDs Underestimated

Download Presentation

HIV and STDs IN Guilford County: a comprehensive guide for a way forward

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Center for Health Policy Health Inequalities Program Duke University Beth Stringfield HIV and STDs IN Guilford County: a comprehensive guide for a way forward

  2. There is an HIV/STD epidemic in Guilford County

  3. HIV/STDs in Guilford County • 33,635 cases of reportable STDs • Underestimated • Rates exceed NC averages • Number excludes other STDs

  4. HIV/STDs in Guilford County • 1615 cases of HIV/AIDS • 3rd highest in the state • Approximately 339 with unknown HIV infection

  5. HIV/STDs in Guilford County • Many more at high risk! • Drug use • 39% HS students drank alcohol • 38% HS students smoked marijuana • Sexual risk • 48% HS, 17% of MS students sexually active • Only 37% of adolescents reported condom use • Only 26% of adults reported condom use

  6. HIV/STDs in Guilford County • Racial and ethnic disparities • Rates of STDs 10x greater among non-Whites • New AIDS cases • 69.1% African American • 29.1% White • Why? • Lower income and education levels • Poorer access to health care • High levels of HIV/STD stigma

  7. HIV/STDs in Guilford County • Economic and Societal Costs • Lifetime medical costs range from $266,600 to $385,000, depending on when an individual begins treatment. • ARV therapy alone costs around $1,500 per month for a patient with >300 CD4 count. • The lifetime costs associated with productivity losses are $742,100.

  8. HIV/STDs in Guilford County • In addition to a worsening epidemic and widening disparities… • America has gone silent on HIV/STDs • Federal funding has decreased or remained stable • Restrictions on federal funding • Access to care limitations • Economic downturn

  9. What is currently being done in Guilford County? • Community based organizations work together to meet the prevention and treatment needs of Guilford County’s population • Outreach, testing, and coordinating services • ASOs already implement evidenced based interventions to reach high risk populations • ASOs have demonstrated competence

  10. What are the gaps in services? • Needs assessments, personal interviews, and focus groups have highlighted areas of need • Prevention services for youth, Hispanics, MSM, and HIV+ individuals • Treatment and service capacity

  11. Reducing Transmission in Guilford County • Efforts to prevent disease transmission are critically important • Effective HIV prevention efforts combine behavioral, biomedical, and structural interventions

  12. Reducing Transmission in Guilford County • Behavioral Interventions • Designed to reduce HIV/STD risk and are conducted at the individual, group, or community level • Evidence of efficacy (25-50% risk reduction) • 63 Evidenced-Based Interventions ( EBIs) • 21 Diffusion of Evidenced Based Intervention programs (DEBIs)

  13. Reducing Transmission in Guilford County • Biomedical Interventions • Based on biological sciences • HIV/STD testing • Identify to prevent future transmission • Facilitate early entry into treatment • Antiretroviral treatment • Reduce infectiousness • Improve quality of life

  14. Reducing Transmission in Guilford County • Structural Interventions • Address structures, laws, or policies which may affect transmission risk or access to prevention, treatment, and care services • Improve availability, accessibility, and acceptability of HIV/STD services

  15. What can MC-WLCHF do? • Funding is needed to address HIV/STDs • Recommendations consider current funding and service availability, forthcoming funding changes, service gaps, and intervention efficacy and cost-effectiveness • Build on the strengths of service providers • Behavioral, biomedical, and structural strategies

  16. What can MC-WLCHF do? • Behavioral Interventions • Implement behavioral interventions to meet prevention needs of youth, Hispanics, MSM, and HIV+ individuals • DEBI examples: Focus on imPACT, VOCES, Popular Opinion Leader, CLEAR • Continue to support behavioral interventions for high risk populations • DEBI examples: SISTA, RAPP, Community Promise

  17. What can MC-WLCHF do? • Biomedical Interventions • Support routine HIV testing in medical care settings • Increase funding for case management and continue funding for support services • Structural Interventions • Support an HIV/STD advocacy group • Provide capacity building services including evaluation assistance

  18. What are the consequences of doing nothing? • Many programs which currently provide essential services to high risk populations will not be funded • Additional services that could help prevent future infections will not be available • The number of individuals with unknown infection will remain high and these people may unknowingly infect others • Reductions in support services for HIV+ individuals will likely result in less access and adherence to medications, poorer QOL, and increases in HIV transmission • Disparities by race/ethnicity will continue to widen • Moses Cone remains the only major private funder in Guilford County. Removing this funding will have a significant impact on treatment, care and prevention services in Guilford County

  19. Authors • Sara LeGrand, MS • Matthew Toth, MSW

  20. Beth Stringfield, Program Director North Carolina Community AIDS Fund Duke University Center for Health Policy 2812 Erwin Road, Suite 403 Durham, NC 27705 919.613.5431

More Related