1

Do One Thing: A neighborhood-based approach for HIV/HCV

outreach, testing, and treatment

Annajane Yolken Do One Thing Manager

April 7,8 & 9, 2013 San Francisco, CA

Sixth Annual Conference on Youth + Tech + Health

April 7,8 & 9, 2013 San Francisco, CA

2

HIV in Philadelphia • 1.1 million people in the US are infected with HIV • Rates in Philadelphia are five times the national average • African Americans represent 70% of new infections in Philly

– Yet, only 44% of the population • Majority of HIV transmitted via heterosexual sex • Stark geographic and racial disparities in HIV infection • Zipcode 19143 has the greatest number of people living with HIV

– And some of the fewest testing resources

3

HIV in Philadelphia

Source: AIDSVu

4

HIV in Philadelphia, by Race

Source: AIDSVu

5

HIV in Southwest Philadelphia

6

Do One Thing Overview • Southwest Philadelphia, PA is a medically

underserved area with high rates of HIV infection & few testing and treatment services.

• Do One Thing is a test and treat campaign that stimulates demand for and provides HIV outreach, testing, and treatment across an entire zipcode (19143) and beyond

7

Do One Thing Overview, cont. • A large-scale social marketing and media campaign • Community outreach and mobilization • Partnerships with business, community organizations, and

faith institutions • A partnership with a federally qualified health center in

Southwest Philadelphia to provide routine testing to all patients over age 13 (“Health Annex”)

• Rapid HIV and HCV testing in a mobile unit and door-to-door testing

• Community service and volunteer trainings • Robust monitoring and evaluation • Linkage to care for all who test positive

Youth and HIV/HCV testing

9

Source: Cnn.com Feb 19, 2013

10

Youth and HIV Testing • Great uptake on HIV testing by youth (13-

21) – Over 100 tests people <18 – Over 150 tested 18-24 – Total of 30%!

• About .8% seropositivity in youth • Lack of stigma • Will bring their friends

11

Youth and HIV Testing

Source: Generocity.org

12

Youth and HCV Testing • Over 70 HCV tests to people <24 • 0% seropositivity • HCV much more common in older people

– CDC recommends baby boomers all get tested • High prevalence of tattoos and tattoo parties

in youth– HCV risk factor • Importance of bundling HIV and HCV test

13

Youth and Volunteers • Cadre of over 70 volunteers

– Undergraduates, graduate, and medical students

– Intensive training on HIV/HCV testing and counseling, as well as health disparities

– Goal to train next leaders in HIV/HCV and health disparities

14

Youth and Volunteers – 85% say “very satisfied” or “satisfied” with how Do

One Thing has enhanced their exposure to community work and health disparities.

– One volunteer noted: “In love with this program, and can't wait til my 4th year of school so I can help out again! My only wish would be to have more time out of clinics so I could come more, but I think the ground you are gaining speaks volumes to the importance and community acceptance of D1T.”

15

Youth and Volunteers

Source: Generocity.org

Media and Youth

17

Media • Media is a great way to reach out to youth • Uniworld designed creative • Media portfolio includes:

– Facebook, website, promo materials, yard signs, outreach cards, door hangers, HIV and HCV educational cards, billboards, text messaging service, quarterly electronic newsletter, etc.

18

19

Billboards

20

Health Annex and Business Signs

21

Signs in the Community

22

Website

www.1nething.com

23

Facebook and Twitter

24

Media takes Work! • Part-time Communications Coordinator • Daily Facebook posts and Tweets • Google results • Media begets Media

– CNN, WHYY, Philadelphia Inquirer, Philadelphia Tribune, Associated Press, etc.

25

Street Outreach • Important way we get youth is through

street outreach – Especially in summer

• Approach with information about testing in mobile unit

• Also at health fairs, youth rallies, etc. • Youth hang out on the street!

26

Outreach Card

27

Door Knockers

Source: Generocity.org

28

Outreach

Sources: Generocity.org and the Philadelphia Inquirer

29

Church Outreach and Mobilization

Conclusions

31

Conclusions • Comprehensive, innovative strategies are

needed to address health disparities in HIV infection

• Youth are willing to get tested for HIV and HCV

• Need to reach youth via media and street outreach

32

Learn More! • 1nething.com • www.facebook.com/do1nething • twitter.com/1nething • www.phillyfaithinaction.org • www.facebook.com/PhillyFaithInAction

33

Acknowledgements • Dr. Amy Nunn and Dr. Stacey Trooskin • Julia Harvey– Media Coordinator • Gladys Thomas and the rest of the Do One

Thing Team • The Miriam Hospital and the

Brown/Tufts/Lifespan CFAR • Gilead Sciences Inc. and the HIV FOCUS program • Ibis and YTH Live

Thank You