PLACE Method Priorities for Local AIDS Control Efforts 1 1 MEASURE Evaluation, A Manual for...
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Transcript of PLACE Method Priorities for Local AIDS Control Efforts 1 1 MEASURE Evaluation, A Manual for...
PLACE Method
Priorities for Local AIDS Control Efforts1
1MEASURE Evaluation, A Manual for implementing the PLACE Method
Learning Objectives & Overview
Objectives
Summarize PLACE Method1
Recognize fit of this approach within the context of special survey methods
Overview
Summarize PLACE rationale & objectives
Discuss method within Asian context
1For more detailed information on the method, refer to MEASURE Evaluation, A Manual for implementing the PLACE Method
PLACE Objectives
Provide rapid information used to target and monitor local AIDS prevention efforts
Monitor and improve AIDS prevention program coverage in areas where HIV transmission is most likely to occur
Target programmatic efforts where they are needed
Epidemiological data show geographic clustering of HIV transmission risk
Prevention efforts should focus on these areas
Team can use epidemiologic and contextual data to identify areas where transmission is likely to be high
PLACE Rationale
PLACE Focus: New Partnerships (Sexual or IDU)
LOW
No Sex or 1 Non-new Partner in Past Year
MODERATE
HIGH
Any New/Multiple Partners
Past 12Months
Past 4 WeeksAny New/
Multiple Partners
PLACE Method Overview
1. Prepare a PLACE Strategy
• Select priority prevention area (PPA) based on available data
2-4. Conduct rapid assessment in each area
2. Identify venues where people meet new partners
3. Visit, characterize, & map all venues
4. Confirm high partnership formation rates at venues
5. Use Results to improve programs
Prepare a PLACE Strategy PLACE steering committee uses available data to
identify areas with high incidence
Consider geographic convergence of risk
High unemployment, rapid urbanization, poor housing, crime, congested pop, alcohol/drug use, limited STI care, migrant labor, border stations
Output PPAs identified
Conduct rapid assessment in each area:ID venues where people meet new partners
Ask 250-1,200 community informants Where do people meet new partners?
Probe based on strata of interest for mixing Young women and older men Commercial sex workers and injecting drug users Mobile and resident populations Military and civilian
Ask until no new sites Output
List of sites with number of times reported
Conduct rapid assessment in each area:Visit, characterize and map all venues
Reported venues are visited, mapped and an interview is conducted with a knowledgeable person to obtain characteristics of the venue
Mapping can be done by hand, onto an air photo, or using GPS
Conduct rapid assessment in each area:Example characteristics of sites
Prevention Type of site
Condom availability
Evidence of AIDS prevention
Busy times
Maximum occupancy
Number of staff
Site stability
Patrons Male:Female ratio
Regular patrons
Where patrons reside
Whether patrons include commercial sex workers, gay, IDUs, military, mobile, youth, locals, unemployed
Whether people meet new partners at site
Conduct rapid assessment in each area:Interview site patrons
Opinion:
Do other people come here to meet new partners?
Behavior and socio-demographic characteristics:
- Have you ever met a new partner at this venue?
- Have you ever injected drugs?
- Number of new & total partners in past 4 weeks/year
- Where else do people meet new partners?
- Condom use & exposure to intervention Output
Cross-sectional, self-reported data from non-representative sample that defies risk group labels
Use Results to improve programs & inform interventions
Mapping leads to targeted interventions
Condom distribution when people meet new partners
Needle exchange programs targeted to places IDUs will gather
Now: PLACE cane be used to estimate the size of hard to reach populations (coming)
Limitations of PLACE
Could miss important sites
Could miss very clandestine networks – both sexual and IDU
Transitory sights
Site-based interventions need site stability
No biomedical validation of method (yet)
May not be appropriate for all contexts
MEASURE Evaluation is a MEASURE project funded by the
U.S. Agency for International Development and implemented by
the Carolina Population Center at the University of North Carolina
at Chapel Hill in partnership with Futures Group International,
ICF Macro, John Snow, Inc., Management Sciences for Health,
and Tulane University. Views expressed in this presentation do not
necessarily reflect the views of USAID or the U.S. Government.
MEASURE Evaluation is the USAID Global Health Bureau's
primary vehicle for supporting improvements in monitoring and
evaluation in population, health and nutrition worldwide.