Minnesota’s Chlamydia Partnership and Health Plans        Work TogetherNational Chlamydia Coalition Annual Meeting        ...
Chlamydia in Minnesota           Rate per 100,000 by Year of Diagnosis, 2001-2011                                         ...
STDs in Minnesota:   Number of Cases Reported in 2011• Total of 19,547 STD cases reported to MDH:  – 16,898 Chlamydia case...
Traditional Strategies forControlling Chlamydia: Disease      Intervention Model  √ Screen young women; treat positives   ...
Why Was Change Needed?• CT rates continue to rise = epidemic; “highest  numbers ever” released every year• MDH has dwindli...
Rate of Funding 1999-2009                                  300                                  275                       ...
What Was Needed?• Disease intervention model very important but  unable to substantially impact rates• Needed additional a...
Responses to CT Epidemic in MN• Identified 10 arenas needing actions, later  collapsed to 5• Formed MN Chlamydia Partnersh...
Minnesota Chlamydia        Partnership                Purpose:• Raise public and professional awareness • Support communit...
Partners•   City, county, state public health•   U of M Prevention Resource Center•   Clinics funded by MIPP (PP, teen cli...
The Minnesota Chlamydia        Strategy:Action Plan to Reduce and         Prevent Chlamydia in Minnesota
What is the Chlamydia Strategy?• Comprehensive document includes MCP’s  recommendations and overview of CT trends• Is livi...
2012 Chlamydia: Special Report• “User friendly” version of the Minnesota Chlamydia Strategy• Outlines community roles and ...
MCP Unique Approaches• Chlamydia = more than a medical issue• Top down approach often not successful - Need to  energize s...
Chlamydia:   More than a Medical IssueReasons why people have unprotected sex, evenwhen aware of consequences = multiple, ...
Determinants of Sexual Health                                         Socioeconomic, political, and cultural context      ...
What is Community Empowerment? Basic tenets:    People identify their own problems    People determine their own soluti...
Efforts Needed to Curb Chlamydia               Epidemic• Changes in policies at all levels – national, state, local  and o...
Community Efforts• Increase awareness outside medical community• Support from all levels of communities• Educate teens, yo...
Demonstration ProjectKandiyohi County Public HealthCoalition for Healthy Adolescent            Sexuality
Purpose of Project• Replicate model used to create MCP and CT  Strategy• Demonstrate how to implement project to  address ...
Health Plans• Health plan consortium approached MCP in  November 2012  – Medica, Health Partners, Blue Cross/Blue Shield, ...
Health Plans (cont.)• Program Improvement Plan components  – Provider training – online; periodic  – Provider toolkit (MCP...
Health Plans (cont.)• Sustainability Plan  – Continue with provider/clinic QA monitoring and    interventions  – Collabora...
Current &                Future MCP Projects• MDH continues to participate and lead MCP   – Identify community organizatio...
Candy Hadsall Minnesota Department      of Health    651-201-4015candy.hadsall@state.mn.us
Minnesota’s Chlamydia Partnership and Health Plans Work Togethert
Minnesota’s Chlamydia Partnership and Health Plans Work Togethert
Minnesota’s Chlamydia Partnership and Health Plans Work Togethert
Minnesota’s Chlamydia Partnership and Health Plans Work Togethert
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Minnesota’s Chlamydia Partnership and Health Plans Work Togethert

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Presented by Candy Hadsall, RN, MA, STD Nurse Specialist, Minnesota Department of Health, at the 2013 National Chlamydia Coalition meeting.

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Transcript of "Minnesota’s Chlamydia Partnership and Health Plans Work Togethert"

  1. 1. Minnesota’s Chlamydia Partnership and Health Plans Work TogetherNational Chlamydia Coalition Annual Meeting February 20, 2013 Candy Hadsall, STD Nurse Specialist Minnesota Department of Health
  2. 2. Chlamydia in Minnesota Rate per 100,000 by Year of Diagnosis, 2001-2011 319 per 100,000 168 per 100,000Data Source: MinnesotaSTD Surveillance SystemSTDs in Minnesota: AnnualReview
  3. 3. STDs in Minnesota: Number of Cases Reported in 2011• Total of 19,547 STD cases reported to MDH: – 16,898 Chlamydia cases • 11,888 ages 15-24 yrs – 2,283 Gonorrhea cases • 1,392 ages 15-24 yrs – 366 Syphilis cases (all stages) – 0 Chancroid cases• HIV = 292 new infections
  4. 4. Traditional Strategies forControlling Chlamydia: Disease Intervention Model √ Screen young women; treat positives √ Identify and treat partners √ Retest patients
  5. 5. Why Was Change Needed?• CT rates continue to rise = epidemic; “highest numbers ever” released every year• MDH has dwindling federal resources, no state funding• Problem so large and resources limited = MDH unable to do alone; needs help from interested stakeholders and communities to impact epidemic
  6. 6. Rate of Funding 1999-2009 300 275 250Rate of Chlamydia and Gonorrhea 225 200 175 150 125 100 75 50 25 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year
  7. 7. What Was Needed?• Disease intervention model very important but unable to substantially impact rates• Needed additional approaches, new strategies• Investigated strategic planning and community coalitions funded by CDC in other PH areas – could work in STDs?
  8. 8. Responses to CT Epidemic in MN• Identified 10 arenas needing actions, later collapsed to 5• Formed MN Chlamydia Partnership• Summit on Chlamydia – August 2010 (NCC grant)• Volunteer workgroups met through early 2011: – formulated actions in each of 5 strategic arenas – submitted ideas, goals, objectives for strategy to MDH
  9. 9. Minnesota Chlamydia Partnership Purpose:• Raise public and professional awareness • Support communities in taking action
  10. 10. Partners• City, county, state public health• U of M Prevention Resource Center• Clinics funded by MIPP (PP, teen clinic)• YWCA youth program director• School-based clinics in St. Paul• Health Plan Consortium• Need to recruit: faith communities, youth, business
  11. 11. The Minnesota Chlamydia Strategy:Action Plan to Reduce and Prevent Chlamydia in Minnesota
  12. 12. What is the Chlamydia Strategy?• Comprehensive document includes MCP’s recommendations and overview of CT trends• Is living document/process: http://www.health.state.mn.us/mcp• Intended to be used as a tool for communities to develop and implement their own plans for tackling the CT epidemic
  13. 13. 2012 Chlamydia: Special Report• “User friendly” version of the Minnesota Chlamydia Strategy• Outlines community roles and what each can to do prevent spread of CT – Communities of faith not included- too varied – MDH willing to assist any interested faith community• Provides information and suggestions for communities wishing to implement their own strategies for tackling the CT epidemic
  14. 14. MCP Unique Approaches• Chlamydia = more than a medical issue• Top down approach often not successful - Need to energize stakeholders and empower communities to design and implement plan, raise/contribute resources• Broader focus = sexual health and sexual rights (in line with CDC, WHO) http://www2.ohchr.org/english/issues/development/do cs/rights_reproductive_health.pdf
  15. 15. Chlamydia: More than a Medical IssueReasons why people have unprotected sex, evenwhen aware of consequences = multiple, varied, complex
  16. 16. Determinants of Sexual Health Socioeconomic, political, and cultural context e.g. Policy, gender norms, faith, culture, ethnicity, norms and values Distal social environment e.g. Neighborhood, community, school, work, faith group Health Care Proximal social and sexual networks e.g. Sexual partner(s), family, peers, teachers Individual characteristics e.g. Biology, social skills, cognitive ability, knowledge, attitudes, confidence, competence Sexual Health and Wellbeing Characteristics Outcomes Physical Emotional Cognitive Reproduction Behavioral Disease (avoidance) Emotional Violence (avoidance) Social Conception AdulthoodSource: Amended from Zubrick et al (2008), Solar & Irwin (2007), Scottish Executive (2003)
  17. 17. What is Community Empowerment? Basic tenets:  People identify their own problems  People determine their own solutions to the problems  People undertake the implementation of their solutions Aim is to empower people = we cannot do something for another person; that person must do it for themselves.  Leaders support them in this process.
  18. 18. Efforts Needed to Curb Chlamydia Epidemic• Changes in policies at all levels – national, state, local and organizational• Increased adequate and sustained funding• Improved screening and treatment by providers• Improved access to clinical services for STDs• Must address issues of sexism, racism, ageism inherent in epidemic
  19. 19. Community Efforts• Increase awareness outside medical community• Support from all levels of communities• Educate teens, young adults, parents/caregivers, teachers, providers• Support for individual behavior change; starts with changes in community norms• Local, national advocacy for adolescent females (similar to HIV model)
  20. 20. Demonstration ProjectKandiyohi County Public HealthCoalition for Healthy Adolescent Sexuality
  21. 21. Purpose of Project• Replicate model used to create MCP and CT Strategy• Demonstrate how to implement project to address CT in conservative rural community in MN• Make materials available to other interested communities
  22. 22. Health Plans• Health plan consortium approached MCP in November 2012 – Medica, Health Partners, Blue Cross/Blue Shield, Ucare, Stratis Health – Attended MCP meeting, presented ideas• Program Improvement Plan – 3 year project – Purpose: improve CT screening rates by providers in govt. funded programs – Barriers discovered: providers lack of knowledge about CT, belief systems, confidence in skills re: talking to youth/parents
  23. 23. Health Plans (cont.)• Program Improvement Plan components – Provider training – online; periodic – Provider toolkit (MCP mbrs provide fdbk, out in March) – Targeted outreach to low performing clinics using MN Community Measurements data• Support implementation of MN CT Strategy – Work with LPH, schools – Attend health fairs – Attend conferences jointly – table; co-present – Help MCP develop communication materials to be used in communities
  24. 24. Health Plans (cont.)• Sustainability Plan – Continue with provider/clinic QA monitoring and interventions – Collaborate with MCP on statewide efforts to implement Strategy – Other new ideas……
  25. 25. Current & Future MCP Projects• MDH continues to participate and lead MCP – Identify community organization that will eventually assume MCP• Continue to support Kandiyohi PH project• Community coalition in Minneapolis – to implement Strategy in African American community• Look for ways to advocate for health of young women• Collaboration with health plans – Quality improvement w providers; support Strategy implementation with new ideas• Support other communities wanting to implement Strategy• Communicate with national organizations about Strategy
  26. 26. Candy Hadsall Minnesota Department of Health 651-201-4015candy.hadsall@state.mn.us

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