Gale Burstein: National Chlamydia Coalition


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Reflections and closing remarks from Gale Burstein, MD, MPH, FAAP, Medical Director, STD and TB Prevention and Control, Erie County Department of Health, representing the Society for Adolescent Medicine

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Gale Burstein: National Chlamydia Coalition

  1. 1. Gale Burstein, MD, MPH Society for Adolescent Health and Medicine December 4, 2009
  2. 2. <ul><li>A collaborative, means-oriented arrangement </li></ul><ul><ul><li>may be temporary </li></ul></ul><ul><li>Allows distinct people or organizational entities to pool resources and combine efforts in order to effect change </li></ul>*
  3. 3. <ul><li>Often coalitions are short-term alliances for achieving a political objective </li></ul><ul><li>Public Health tends to use them to cope with fragmented funding, overlapping mandates, and limited resources with a much longer time horizon </li></ul><ul><li>The common threat or opportunity gives rise to the coalition and allows it to exist </li></ul><ul><li>Such collaborative processes can gain political influence and potentially initiate social movements </li></ul>
  4. 4. Formation Implementation Maintenance 12 months 20 months 16 months Continues until achieving goals
  5. 5. <ul><li>Rapid agreement on purpose </li></ul><ul><li>Shared sense of mission </li></ul><ul><li>Makes strategic sense </li></ul><ul><li>Allow organizational autonomy for members </li></ul><ul><li>Started with frame of clear structure and processes </li></ul><ul><li>Dedicated leadership and staffing </li></ul><ul><li>Recognize limits of volunteers </li></ul><ul><li>Scope of participants—something new, and familiar </li></ul><ul><li>Positioned for some early wins </li></ul>
  6. 6. <ul><li>High expectations </li></ul><ul><li>Limited resources—staff and money </li></ul><ul><li>Limited in-person time—CDC and Partnership, committees, coalition as a whole </li></ul><ul><li>Reliance on volunteers </li></ul><ul><li>Funding from other sources limited in this economy </li></ul><ul><li>Lack of consistent public awareness activities </li></ul><ul><li>Changing landscape of service delivery, coverage, and payment </li></ul>
  7. 7. <ul><li>Convened in 2008 to address the continued high chlamydia burden, especially among females < 24 years </li></ul><ul><li>Strives to reduce the rates of chlamydia and its harmful effects among sexually active adolescents and young adults </li></ul>
  8. 8. <ul><li>10-20% of untreated female chlamydia and gonorrhea infections can result in PID </li></ul><ul><li>PID can cause: </li></ul><ul><ul><li>Chronic pelvic pain </li></ul></ul><ul><ul><li>Ectopic pregnancy </li></ul></ul><ul><ul><li>Infertility </li></ul></ul><ul><ul><ul><li>Untreated STDs estimated to cause >24,000 females to become infertile each year </li></ul></ul></ul><ul><li>Chlamydia can increase risk of HIV infection </li></ul>
  9. 9. <ul><li>Improve and protect the health of adolescents and young adults by increasing rates of chlamydia screening . </li></ul><ul><li>Increase awareness of the importance of recommended chlamydia screening through public education . </li></ul><ul><li>Encourage health care providers to increase screening rates. </li></ul><ul><li>Advocate for policy changes to increase access and use of chlamydia screening and treatment services. </li></ul><ul><li>Encourage research to enhance the prevention of chlamydia and its medical and social consequences. </li></ul>
  10. 10. <ul><li>Definition </li></ul><ul><ul><li>The process of becoming different (altered or modified) </li></ul></ul><ul><li>Usually takes a long time </li></ul><ul><li>Usually takes many steps to achieve change </li></ul>
  11. 18. Thank you CDC!!!!
  12. 19. <ul><li>Subcommittees </li></ul><ul><ul><li>Steering Committee </li></ul></ul><ul><ul><li>Policy & Advocacy Committee </li></ul></ul><ul><ul><li>Provider Education Committee </li></ul></ul><ul><ul><li>Public Awareness Committee </li></ul></ul><ul><ul><li>Research Committee?? </li></ul></ul><ul><li>Membership </li></ul><ul><ul><li>40+ membership organizations + Charlotte Gaydos </li></ul></ul>
  13. 20. Think local
  14. 21. <ul><li>SAM: Expedited Partner Therapy position paper </li></ul><ul><li>AAP: Chlamydia and Other Bacterial Sexually Transmitted Infections Screening position paper </li></ul><ul><li>PRCH: support public speaking on chlamydia </li></ul>
  15. 22. Think collaboratively
  16. 23. <ul><li>SAM and AAP collaborative position papers </li></ul><ul><li>AAP NYS District collaborating with PRCH and NYCLU to develop webinar on minors rights to consent for health care </li></ul><ul><li>Sharing information </li></ul><ul><ul><li>ACOG’s new Pap testing guidelines disseminated to SAM and AAP/SOAH through list serves </li></ul></ul><ul><li>NCC experts collaborating on advocacy strategies </li></ul>
  17. 24. Think organizationally
  18. 25. <ul><li>NCC-sponsored chlamydia talks </li></ul><ul><ul><li>PRCH supporting development of “chlamydia” speakers bureau with other NCC members </li></ul></ul><ul><li>NCC members get to know each other </li></ul><ul><ul><li>AAP/ACOG/SAM reached out to IPP at October, 2009 meeting </li></ul></ul>
  19. 26. Think resources
  20. 27. <ul><li>NCC resources </li></ul><ul><li>Other NCC organization members </li></ul><ul><li>Partnership for Prevention </li></ul><ul><li>CDC </li></ul><ul><li>Mini-grant funding opportunity </li></ul>
  21. 28. Think about informational needs
  22. 29. Prevalence Risk factors Testing Treatment Sequelae
  23. 30. <ul><li>We have a big public health challenge </li></ul><ul><li>We are all involved at some level </li></ul><ul><li>We have opportunities to work on this at many levels </li></ul><ul><ul><li>Within our organizations </li></ul></ul><ul><ul><li>Collaborative with other NCC member organizations </li></ul></ul><ul><ul><li>Through NCC </li></ul></ul><ul><li>We have resources so we do not have to tackle this issue by ourselves </li></ul>