Kharfen: DC HIV Public-Private Partnerships

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Michael Kharfen
Bureau Chief, Partnerships, Capacity Building, Community Outreach
DC Department of Health
HIV/AIDS, Hepatitis, STD and TB Administration

Published in: Health & Medicine
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Kharfen: DC HIV Public-Private Partnerships

  1. 1. Michael KharfenCommunications & Community Outreach Bureau ChiefDistrict of Columbia Department of Health
  2. 2. SYNChronicityDC HIV Public-Private Partnerships“Offer the Test”Michael KharfenBureau Chief, Partnerships, CapacityBuilding, Community OutreachDC Department of HealthHIV/AIDS, Hepatitis, STD and TB Administration
  3. 3. Partnership Portfolio• Corporate ▫ HIV Testing and Gilead  Department of Motor Vehicles  Social Service Center• Foundation ▫ DC Female Condom Project and MAC AIDS Fund  Education/Distribution• Government/Academic ▫ DC Partnership for HIV/AIDS Progress and NIH  Research  Clinical Services
  4. 4. HIV/AIDS in DCPrevalence of HIV/AIDS in the 1.9%District of Columbia, 2009 • 16,721 reported living with HIV/AIDS in the 0.4% District at the end of 2009 2.7% 3.0% • 5,505 new HIV cases reported between 2005 and 2009 • 3.2% of the District’s population diagnosed with HIV/AIDS 2.3% • One-third to one-half of people (locally) may be 3.0% 2.7% unaware of their HIV status. (Source: DC NHBS data)DC Resident Living with HIV/AIDS as of 2009, by Gender andRace/Ethnicity Black Hispanic White Other TotalMale 8,325 756 2,620 350 12,051 3.1% PercentageFemale 4,256 156 141 117 4,670 0-1.4% 1.5%-2.4%Total 12,581 912 2,761 467 16,721 2.5%-3.4%DC% 75.2% 5.5% 16.5% 2.8% 100.0%US% (2008) 49.3% 20.0% 27.8% 2.9% 100.0%
  5. 5. HIV/AIDS in DC 8.0% 7.1% 7.0% 6.0% Overall DC 5.0% 4.7% HIV/AIDS prevalence Among Adults and 4.0% Adolescents 3.4% 3.2% 2.9% 2.8% 3.0% 2.1% 2.0% 1.8% 1.0% 1.0% 0.0% Black Males All Blacks Hispanic White Black All All Whites Males Males Females Hispanics HIV Prevalence by Race/Ethnicity (diagnosed cases)
  6. 6. HIV/AIDS in DC
  7. 7. Public Health Imperative• Generalized Epidemic ▫ Missed Opportunities• DC Policy Recommendation ▫ Routine annual testing for all adults and adolescents (ages 13 to 84)• DC Routine HIV Testing Program ▫ Hospitals (EDs) ▫ Primary care clinics ▫ Outreach testing• Success ▫ More than 40 partners ▫ 43,000 in 2007 to 122,000 in 2011
  8. 8. Private Sector Approach• Pharma inspired components ▫ Consumer Driven “Ask for the Test” ▫ Provider Driven “Offer the Test”• Gap ▫ Private Practitioners• New Partnership ▫ GBC Health ▫ Pfizer• Private Sector Core Competency ▫ Detailing
  9. 9. “Offer the Test”• Department of Health Materials ▫ Handbook ▫ Poster ▫ Patient Information Cards ▫ Button• Sales representative training• ~200 primary care practices
  10. 10. Provider Survey• Details ▫ Period: 12/1/10 – 2/11/11 (3 months) ▫ Method: Internet / Phone ▫ Respondents: 106• Focus ▫ Provider & Patient Demographics ▫ Provider Understanding of HIV/AIDS in DC ▫ Provider Testing Practices ▫ Provider Knowledge of Testing Guidelines
  11. 11. Provider Survey Which DC quadrant(s) meet the UN Which age groups would you say have an threshold for a “generalized and severe” HIV/AIDS prevalence of above 1% in HIV epidemic? (Select all that apply). Washington, D.C.? (Select all that apply).80% 80%70% 70%60% 60%50% 50%40% 40%30% 30% 20%20% 10%10% 0% 0% 30 – 20 – 40 – 50 – 60+ 13 – Dont None SE NE SW NW I dont None 39 29 49 59 19 know know What percent of heterosexual HIV+ DC What percent of HIV+ DC residents test residents do not know their HIV status? “late” for HIV/AIDS?45% 45%40% 40%35% 35%30% 30%25% 25%20% 20%15% 15%10% 10% 5% 5% 0% 0% 51 – 75% 26 – 0 – 25% I don’t 76 – 51 – 75% 26 – I don’t 0 – 25% 76 – 50% know 100% 50% know 100%
  12. 12. Provider SurveyIt is important to incorporate routine What % of your patient population would HIV screening in the medical care of you estimate you offered an HIV test? all my adult patients/clients: 25 20 Neither Agree 6% 15 22% 10 Disagree 2% 5 Strongly Strongly 0 agree disagree 69% 1%
  13. 13. Provider Survey• DC Testing Recommendation ▫ Aware: 69% ▫ Implementing: 49%• Barriers ▫ Limited time to perform HIV counseling ▫ None ▫ Cost or reimbursement concerns ▫ Limited time to perform HIV testing ▫ HIV is not an issue for my patient population
  14. 14. Lessons Learned• Partnerships work ▫ Shared health missions ▫ Shared health goals• Data/Evaluation ▫ National model significance ▫ Challenges• Sustainability ▫ Communication ▫ Refresh design, training, materials
  15. 15. Questions

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