Inputs

Activities

Outputs

Initial Outcomes

Intermediate Outcomes

Longer Term Outcomes

Outreach staff at:

Yuma Health Dept.

Mariposa Comm. Hlth. Ctr.

Border Health Foundation

(Promotora Programs)

* Outreach to at risk and HIV+ persons living and/or working along the Arizona/Mexico Border.

*13,000 persons will receive information on HIV counseling and testing.

* Increased number of persons accessing HIV related counseling and testing at county health departments or CHCs.

(4,000 individuals)

Increase in the number of individuals testing positive for HIV.

(Bubble Form)

* Increased referrals of HIV infected persons to primary care services.

(280 individuals)

* Increased system capacity to deliver HIV outreach services through increased number of trained staff and/or staff attending trainings.

* Enrollment into primary care services.

*Increased awareness of HIV counseling and testing services available in border communities.

(contact cards)

Community activity groups (ABHAC Project Coord. will conduct group to assess community referral process)

*Conduct 1 community meeting in each of the 3 counties.

(administer pre test)

* Increased number of community provider referrals in border communities.

* Increased knowledge of community social services and counseling and testing sites.

(post test 6 months)

* Increased number of referrals to social and ancillary services.

* Sustained community referrals.

(annual survey of providers)

AzAETC Training

*Assess border collaborators, physicians, providers and consumers on training needs.

* Train outreach staff, paraprofessionals and community providers and provide them with appropriate materials.

* Conduct 3 (one per county) trainings and train (TBA) individuals in the areas of psychosocial issues, substance abuse, mental health, and cultural competencies. (training evaluation instrument)

* Develop training manual for community providers and clinics, establish CEU credits.

* Develop and specify co-management model.

Develop co-management training module.

* Improved knowledge and skills in the treatment of persons with HIV/AIDS.

* Improved health outcomes for HIV+ persons in Arizona/Mexico border communities.

El Rio SIA physicians

Telemedicine conferencing

* Assessment of HIV/AIDS medical care of border clinic physicians.

* Provide medical care training through co-management model.

* Support of local primary care providers.

* Provide Telemedicine training.

* Provide community clinics with HIV/AIDS resource materials for medical library.

* Establish telemedicine training/consultation system with border health clinics.

*6-8 border clinic physicians will be trained annually.

* 9-12 physician trainings will occur annually.

* Increase in the knowledge and care of HIV/AIDS by physicians at border CHCs.

* Increased proficiencies in the treatment of HIV + patients.

*Sustained accessibility to quality HIV/AIDS care and treatment at border community health clinics.

* Increase accessibility of consultation services of SIA physicians to border community health clinics.

Physicians

Support staff

*Provide patient primary care for HIV/AIDS:

* Number of primary care visits (4-12)  per  year by patient.

*Number of patients (8-12) per year.

(2-4 clients per clinic)

*Completion of initial patient medical data base.

(labs, tests, etc.)

* Development of treatment protocol and continuity of care.

* Stabilized/improved quality of life reported by patients.

(multi-site module)

*Improved quality of primary care reported by patients.

(patient survey conducted bi-annually)

* Improve health outcomes for HIV+ persons in Arizona/Mexico border communities:

health maintenance

reduce OI’s

reduce progression to AIDS diagnosis

(Karnofsky Performance Scale)