Disseminating Evidence-Based Approaches in a High-Risk US-MX … · 2018-06-23 · Disseminating...
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Disseminating Evidence-Based Approaches in a High-Risk US-MX Border Community for Pragmatic HIV Prevention for Minority Women
Max C. E. Orezzoli, PhD., Thenral Mangadu, MD, MPH, PhD., Rebecca Gallegos, MPH., Joao
Ferreira-Pinto, PhD., Rebecca Robles, B.A., Denise Delgado, BA, BS., Tamanna Ferdous, BS.,
Vicente Cobos, BS.
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- Program Background
- Description of Evidence Based Interventions
(EBIs)
- No. of Individuals Reached Through EBIs
- Testing Indicators Data
- Implementation Issues Encountered
- Recommendations for disseminating EBIs
Presentation Outline
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Mujer Saludable, Familia Feliz: (Healthy Woman, Happy Family)
▪ Focused on Minority women in El Paso, TX region
▪ Holistic Evidence-based interventions
▪ Multiple contexts of care/risk in HIV prevention addressed- including, Substance Use Disorder (SUD), Malnutrition and Violence
▪ Funded by the U.S. Department of Health and Human Services (HHS) and Substance Abuse and Mental Health Services Organization (SAMHSA) –Grant no: TI080065; 2016-2019
▪ Program partners: Aliviane Inc., Center Against Sexual and Family violence, City of El Paso, Department of Public Health
Program Background
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Evidence-Based Interventions (EBIs):▪ Screening
▪ HIV & HCV Testing and Care
▪ Sexual Assault Support Groups
▪ Engaged Bystander Intervention
▪ Safer-Sex “Promotora” Delivered Interventions
▪ Health Nutrition
Description of EBIs
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11,604 community members reached through social marketing -Facebook, Instagram, flyers, etc.
Evidence Based InterventionsIntervention Individuals reached as of date
Safer Sex Awareness 559
Violence Prevention 637
Bystander Intervention 734
Nutrition Education 548
Total 2478
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Priority Communities in El Paso County, Texas
San Elizario, Clint, Fabens, Socorro
Clint, Texas
Clint, Texas Colonia in El Paso County, TX
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▪ 1043 women were offered HIV/HCV testing
▪ 83.8% of the women (874) received an HIV test
▪ 66% of the women (688) received a Hep C test
▪ 91.8% were Hispanic (53.8% between ages 18-34)
▪ 44% have previously received an HIV test
▪ 8.8% have previously received a Hep C test
▪ 66% engaged in unprotected sex within a significant
other in a monogamous relationship in the past 30 days
Testing Indicators as of Date
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▪ Existing stigma to HIV and discussion of sexual
health
▪ Barriers to client follow-up due to the US-MX
border milieu
▪ Training personnel for multi-site interventions
Implementation Issues Encountered
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To enhance dissemination of EBIs, retention and follow-up:▪ Engaging network members (males in particular) in bystander
interventions
▪ Selecting EBIs to address various contexts of HIV and SUD risk
▪ Engage students in dissemination and outreach
▪ Training promotoras in intervention delivery and recruitment of clients
▪ Providing testing and screening with EBI classes
▪ Working with community partners like, the Department of Public Health and violence prevention centers
Recommendations
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Health Promotion Student Engagement
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Thank you
Questions or Comments?
Contact Information:Thenral Mangadu, Project Director,
The University of Texas at El Paso: [email protected]