hiv std prevention and intervention program june 2009 cnmi department of public health l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
HIV/STD Prevention and Intervention Program June 2009 CNMI Department of Public Health PowerPoint Presentation
Download Presentation
HIV/STD Prevention and Intervention Program June 2009 CNMI Department of Public Health

Loading in 2 Seconds...

play fullscreen
1 / 22

HIV/STD Prevention and Intervention Program June 2009 CNMI Department of Public Health - PowerPoint PPT Presentation


  • 211 Views
  • Uploaded on

HIV/STD Prevention and Intervention Program June 2009 CNMI Department of Public Health . HIV/STD Resource & Treatment Center Building N-29 Navy Hill, Saipan . STDs. STDs remain a significant public health concern in the CNMI CNMI notifiable disease reports STDs remain the highest

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'HIV/STD Prevention and Intervention Program June 2009 CNMI Department of Public Health' - venus


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.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide5

STDs

  • STDs remain a significant public health concern in the CNMI
  • CNMI notifiable disease reports
    • STDs remain the highest
  • Chlamydia remains the most commonly reported infectious disease in the CNMI
  • STDs are under reported
slide9

2009 HIV Epidemiology for the CNMI

  • Cumulative number - since 1997:
    • 29 cases diagnosed in CNMI since 1997
    • 1 new male case in late 2008; 1 female partner tested positive early 2009
  • 8 clients with HIV known to the HIV Program:
    • 5 are adult males and 3 adult females
    • 4 on ART
  • Gender:
    • 13 Females
    • 16 Males
  • Reported Mode of Transmission:
    • 18 Heterosexual (5 men, 13 women)
    • 5 MSM
    • 2 Mother to Infant
    • 4 Unknown mode
    • 0 Intravenous drug use
vertical transmission mother to infant
Vertical Transmission – Mother to Infant
  • 2 cases – late 1990’s (Chuckese).
  • Since 2000, 4 deliveries; no positive infants; 5th case to delivery 2009.
  • ART during pregnancy; CDC guidelines for prevention of perinatal transmission - peripartum (AZT)
  • Collaborative effort – physicians (OB,Ped,IM), nurses, pharmacist, prevention staff, clients
slide13

2009 HIV Screening – CNMI

Who do we screen ?

  • Positive STD clients (referrals from government & private clinics)
  • Prenatal clients – routine testing, unless opts-out
  • Non-resident Workers Health Program (HIV, RPR, CXR for Tb) – 30,000/yr (private sector)
  • All blood products – procured through American Red Cross
  • Correctional clients
  • Self-referred clients
  • Active Tuberculosis clients (DPH Chest Clinic)
  • Family Planning Program clients - Oraquick™ HIV Rapid Test
  • Adolescent Clinic (high school) & NMC (community college)
slide14

2008 HIV Screening

  • 942 HIV total tests conducted through Public Health in 2008
    • Mostly prenatal cases
      • 1,384 live births at CHC in 2007
    • Not including private clinic testing
    • 306 HIV tests conducted at the HIV/STD Resource and Treatment Center in 2008.
  • 2008, Oraquick™ HIV Rapid Test introduced in November, testing about 30/month
    • Family Planning clients; contraception control
client services
Client Services
  • Ryan White CARE Act Part B
    • Discretionary funds that is payer of “last resort” for Core Services
      • Core Services
        • Medications & AIDS Drug Assistance Program (ADAP)
        • Out-patient care
        • Laboratory services
        • Inter-island transportation
        • Dental & eye care
        • Health Insurance Continuum of Coverage Programs (HICCPs)
          • Private insurance co-payments
slide16
HIV/STD Prevention Staff
    • MD
      • shared IM with CHC during clinic days
    • RN
      • shared RN with DPH during clinic days
    • Program Manager
      • Manages CDC’s HIV and STD Prevention Grant, HIV Surveillance Grant, and HRSA’s RWCA Part B
      • Counseling, Testing & Referral Services (CTR) certified
    • STD Case Worker
      • Case managers positive STD referrals
      • Contact tracing
      • CTR certified
    • HIV Case Worker
      • Same as STD Case Worker but for HIV (+) clients & partners
      • Vacant at the moment
    • HIV Community Worker
      • Outreach & education
      • Alien Health Screening Program client management
    • HIV Clinical Attendant
      • Clerical duties (appointments, follow-ups, procurement, etc.)
some training outcomes since 2000
Some Training Outcomes since 2000
                  • HIV demystified - less stigma/fear about HIV (clinical staff more informed – nurses, lab, support)- positive, caring attitude
  • Improved awareness –barriers to care, universal precautions, guidelines PEP, ART, and prevention of vertical transmission
  • Importance - STD risk assessment, HIV testing, POS rapid testing, client support and services
  • Much better understanding – HAART & complicatons, monitoring CD4 & VL, adherence, secondary prevention
  • Appreciation of challenges faced by PIC’s
  • Access to consultants
slide18

Needs Strengthening

  • MONITORING & EVALUATION:
    • Improvement of data collection, analysis & reporting
    • Improve reporting, data-sharing and case management with private providers
  • DIAGNOSIS, TREATMENT & CARE:
    • Increase in certified Counselors, training of new staff – constant turnover
    • Improved contact tracing & partner services
    • More HIV testing in primary care clinics (private)
    • ? Dedicated medical provider for HIV/STD Clinic
    • ? On site STD laboratory testing/processing
  • EDUCATION & OUTREACH:
    • Enhance screening activities & outreach (at-risk population e.g. MSMs, sex workers, etc.)
cnmi hiv std contacts
CNMI HIV/STD Contacts

James U. Hofschneider, MD, HIV/STD Physician (MAP)

Laura Shevy, MD, HIV/STD Physician (CHC)

John Dax Moreno, DPH Communicable Disease Manager

Carol Paez, RN, STD/HIV Nurse (Part-time)

Alingmar Uludong-Ogumoro, HIV Community Worker

Delma Dela Cruz, HIV Administrative Assistant

Tenta Tenorio, STD Caseworker

Telephone #: 664-4050

Fax #: 664-4051

E-mail:

juhofschneider@gmail.com

johndax.moreno@gmail.com

outreach activities
Outreach Activities

Street Market outreach in Garapan with Guahan Project’s Barbara Bernardo and JoBeth Aquino

outreach activities22
Outreach Activities

World AIDS Day & Street Market outreach with Napu Life Foundation