All Projects Conference Call

May 13, 2002 10:30 am

Participants: Toni Estrada, Ken Burton, Steve Trujillo, Veronica, Michelle, Yvone, Mari, Rosana, Alisa, Sandi, Elias, Henry Mendoza, America, John Wiebe, Mike Tarter, Adon, Betty, David Barney, Herman Curiel, Saleem, Gregg.

Project Reports:

Arizona Border HIV/AIDS Care Project:

Trainings: Dr. Carmichael continues to visit the clinics in Cochise, Santa Cruz and Yuma counties. Patients are seen by Dr. Carmichael or are co-managed by Dr. Carmichael with the attending physician.

AZ AIDS ETC: Dr. Duffy and Dr. Goldsmith continue to finalize the 8 training modules that will be provided to the CHCs. Each training module has a pre/post questionnaire. The topics for the modules are: 1) HIV: The Virus, and How it Works, 2) Course of HIV Infection, 3) HIV Counseling and Testing & Confidentiality, 4) Family & Reproductive Health, 5) Risk Assessment, 6) Teaching HIV Prevention, 7) Common Challenges for Health Care Workers and 8) Working with People Different from Us. Dr. Duffy will present the training model at the July grantee meeting in Washington.

The AETC continues to train the nursing and office staff at Sunset Clinics every other month. Next scheduled training is the week of May 20^th promotoras of Puentes de Amistad are invited to the training.

Out Reach Activities: Yuma County –Puentes de Amistad and Yuma County Health Department (YCHD) continue outreach activities have been extended to Ajo. YCHD is outreaching to Hispanic youth with the slogan “El SIDA Termina Contigo Hazle la Prueba” on pencils which are distributed to the youth.

Santa Cruz County – Platicamos Salud is in the process of moving into a new building the move should be completed by the middle of May. Outreach and education to the clients of Southeastern Arizona Behavioral Health (SEABH) continue to take place by the promotoras. The training with Enrique Gomez has been rescheduled. Sonia G. will schedule the CDC counseling and testing training (Spanish) for their promotoras.

Cochise County – The case manager (Eunice Parks) for CCHD continues to enroll patients for the project and assists in the transfer of patients care to Chiricahua Community Health Center or to physicians in the community. Outreach activities took place at the Sierra Vista mall and at the Detention Center and continue from the CCHD sites.

Four of the five patients scheduled for the key informant interviews on April 22^th and 23^th showed for the interview. Interviewed were 1 MSM, 2 females and 1 heterosexual male. The interviews were conducted in Cochise (Sierra Vista) and Santa Cruz (Nogales) counties.

Dissemination Activities: Two poster presentations accepted for International AIDS Conference on US/Mexico Border SPNS Projects. Will ask the University of Oklahoma for data to be included in posters. Also is seeking to find out who will be attending conference in Madrid, Spain that would be able to hang the posters. Adan will check with Barbara Aranda-Naranjo who will be attending in behalf of HRSA.

Project Enrollment: Local evaluation data shows 71 patients enrolled in the project multi-site evaluation center shows 64 Barbara will contact Tim at OU.

Local Evaluation: The project collaborators received the most current multi-site data collection modules at the collaborator’s meeting on 5/3/02. Collaborators were informed of documentation issues related to outreach contact cards. Documentation on the contact cards should contain numbers or percentages.

Announcement: US-Mexico HIV/AIDS Border Conference information is available at www.elrio.org. Projects are invited to submit abstracts for presentation at the conference.

San Ysidro Health Center:

Programmatic/Dissemination

· Organizing Key Informant Interviews

· Social Marketing Campaign – update

· Binational Resource Guide – update

· Latino Health Issues along the Border – HIV/AIDS segment aired May 7, 2002on Univision

Evaluation

· Sexual orientation documented change as of 4/22/02- follow-up

· Protocol for re-testing. A handful of people in our project are re-testing and we needed to address duplication of information. It was resolved that the initial testing information and demo data is retained in the database. Additional non-positive retest information is filed.

Multi-site Data as of 7/1/01- 5/1/02

1) Number of HIV + persons enrolled : 82

2) Number of persons enrolled through HIV testing: 803

3) Number of results through HIV testing-

HIV positive- 11

HIV negative- 560

Inconclusive- 1

Total 572

4) Number of outreach contacts (estimate):

1446 in database + 1200 yet to enter

Approximate total = 2646

Camino de Vida Center for HIV Services:

q PROGRAMMATIC: (Veronica)

• Working on Continuation Proposal
• Training of Providers: Dinner on April 23 was well attended
• Ben Archer Training April 24 was successful CHC is changing their meeting from monthly to quarterly
• Dental Training April 26^th
• NM Public Health Association presentation went well

q LOCAL EVALUATION: (Michelle)

o Have entered 57 provider training assessments from 3 separate training sessions;

o 2 trainings were specifically for Ben Archer Health Center staff; preliminary results look very positive; further analyses needed

o Data from 50 Module 13s have been entered (Module 13 is the local module that assesses if contact with the Promotor(a) increases the high risk individual's understanding of the importance of knowing his/her HIV status); Michelle is currently analyzing these data

o In assisting CdV with the annual client survey, a data file has been created in SPSS and data from 21 surveys have been entered; Michelle will run basic analyses and help with the interpretation and presentation of the results

o Completed the first part of the Promotor(a) assessment (a self-administered knowledge and attitude assessment); the second half of the assessment will be conducted on May 16 and will include a scenario to assess outreach skills

o We are still working on getting Module 15 out to the clients (client understanding of disease management) but we need to get input from the case managers first

o Yvonne and Michelle completed an SPSS webinar on May 9; learned about some of their latest software

q DATA COLLECTION: (Michelle)

OUTREACH:

o Total # of HIV Tests Completed: FY2 = 145

o Individual Outreach: (Includes data from both Outreach Contact Modules 3 & 6)

Numbers for FY2: = 276

o Group Outreach:

Numbers for FY2: = 119

Total Number of Contacts: = 395

IN-HOUSE:

o CdV Clients: 63 interviews completed; 3 interviews pending

Valley AIDS Council:

• Held regularly scheduled Manager’s Meeting at Valley AIDS Council on April 22, 2002.
• Accepted Brownsville Community Health Center’s resignation from the SPNS Project today.
• Attended VAC Board Meeting this evening, April 22, 2002 at 6:30 to present update on SPNS Project.
• Attended Adolescent Training presented by Dr. Doran on April 29, 2002 at Valley AIDS Council in McAllen, Texas.
• Randy Alligood (SPNS Case Manager) was also present for this training.
• Attended Cameron County Continuum of Care Coalition meeting on April 25, 2002 with Libby Benavides (SPNS Consultant).
• Next meeting will be held in May 2002 in Harlingen, Texas.
• SPNS Data Entry position filled on April 30, 2002 by Janie Delgado replacing Gina Holt.
• Gina Holt’s will be available until May 31, 2002.
• Dale Schweers will meet with both Gina Holt and Janie Delgado on May 16, 2002 for technical assistance.
• Confirmed “All Titles Meeting Presentation” topic with Betty Duran for July’s meeting in Rockville, Maryland.
• Presentation will be on “Lessons Learned”.
• Sent the schedule for the SPNS Partners Meeting to all partners via E-mail or fax on Monday, May 6, 2002.
• Called Eagle Pass (UMC) and Pharr (NCDV) partners to confirm the date (May 17, 2002).
• Agenda for the SPNS Partners Meeting will follow on May 13, 2002.
• Traveled to San Antonio, Texas on May 6, 2002 to meet with Sandi Duggan at UTHSCSA, local evaluation for technical assistance.
• Sandi Duggan will be traveling to Harlingen on May 16, 2002 to continue the technical assistance with Elias Cantu, Jr. (SPNS Coordinator).
• Attended AETC Conference held in San Antonio, Texas at the Hyatt Hotel on May 9 and 10, 2002.
• Accompanied by: Mr. Robert Smith (Project Director); Monica Balboa (AETC Coordinator); Dr. Fernando Garcia (Project Physician) and nursing staff: Dean Garza, Linda Ortiz, and Noemi Borjas.
• Dr. D’Lima from Nuestra Clinica Del Valle in Pharr, Texas also attended this conference.
• Met Barbara Blake (AETC Director) and also Dr. Jennifer Gray (AETC Trainer).
• Attended the Border Summit held in San Antonio on May 10, 2002 following the AETC Conference.
• Presenting for Valley AIDS Council were: Mr. Smith (Project Director); Dr. Garcia (SPNS Physician); and Elias Cantu, Jr. (SPNS Coordinator).
• Activities scheduled for the month of May 2002:
• SPNS Partners Meeting in Harlingen, Texas on May 17, 2002 at the Boggus Education Building.
• AETC Training and Physician Precepting in Pharr, Texas on May 17, 2002 at the Nuestra Clinica Del Valle.
• Site Visit scheduled with National Evaluators from University of Oklahoma on May 20 and 21, 2002.
• AETC Physician Precepting scheduled in Eagle Pass on May 30 and 31, 2002 at United Medical Center with Dr. Barbosa and Dr. Sinclair.

Anticipated kick-off date for the Social Marketing campaign will be May 2002

PROJECT DATA COLLECTION ACTIVITIES

· Project data collection activities continue at a steady pace. As of June 17, 2002, there are 2135 unduplicated records in the Local Database.

· As of June 20, 2002 a total of 449 forms have been entered in the multi site database:

122 Demographic A Project Implementation Date: 030101

113 Lifestyle B Project Implementation Date: 030101

119 Risk Factor D Project Implementation Date: 070101

19 Quality of Life E Project Implementation Date: 070101

53 Barriers to Care F Project Implementation Date: 110101

23 Client Satisfaction G Project Implementation Date: 070101

· Evaluator and project staff plans to assess processes for collection of both local and national data at the next evaluator site visit.

CHANGES IN EVALUATION STAFF

· Sandi Duggan left the Evaluation Coordinator position effective June 14, 2002 to join HRSA as a SPNS Project Officer.

· George Losoya will assume interim coordination responsibilities beginning in late July.

LOCAL EVALUATION SYSTEM LEVEL INTERVENTION ACTIVITIES

· With the loss of the Brownsville Community Health Center, the system level intervention model will be revisited at the evaluator’s next site visit.

· Evaluation of the social marketing intervention will begin on July 8, 2002.

CRITICAL INCIDENTS

Neutral – None to report at this time.

OTHER EVALUATION ACTIVITIES

· Planning for late Summer and Fall activities continues.

Centro de Salud:

Testing

Month Year	Pre Test Counseling	Post Test Counseling	Result Negative	Result Positive	Enrolled @ LFCC
May 2002	16	14	14	2	2

Trainings/Conferences:

May 1, 2002

Dr. Armando Meza provided a lecture for Nadine Thomson FNP, America Jones RN, Rosa Vasquez RN, and Cristina Ramirez RN on epidemiology and HIV/AIDS pathophysiology in preparation for the ANAC ACRN exam.

May 6, 2002

Dr. Jaime Anaya’s UTEP Pharmacy Student (Michelle) provided an educational training session on the immune system and the effects HIV/AIDS has on the immune system for all nurses and the family nurse practitioner.

May 8-10, 2002

Tony Chavez, Nadine Thomson FNP and America Jones RN attended the All Titles Conference in San Antonio sponsored by the AETC and attended the Border Summit following the conference. We attended several relevant sessions including; Symptomatic Care of patients with opportunistic infections, case management, drug interactions, and anti-retroviral therapy.

SPNS Enrollment

The CARE Teams have scheduled 23 clients to complete the SPNS enrollment questionnaire and 14 have completed.

Quality Assurance Chart Review will be completed by the first week of June.

Multi-site Evaluation Issues:

• Qualitative - Betty advised that the last project to have key informant interviews is San Ysidro which will be completed this week. We have a total of 20 interviews that were conducted at the four other project sites. It is anticipated San Ysidro may have 12 interviews. The preliminary data will be presented at the SPNS Border Grantees Meeting in Washington, DC in July. Betty has invited Maria Ivonne Rivera to be present during the presentation.
• Medical Charts – Betty will be contacting individual projects within the next few weeks to discuss planning for the medical chart reviews. Presently, one team of three nurses has be recruited to conduct chart reviews of both projects in Texas and possibly New Mexico as well. The Centro de Evaluación is still seeking a second team. It is planned to implement the reviews in August and September 2002.
• Ryan White All Titles Meeting – Betty has submitted two abstracts in behalf of the Border Grantees. One abstract is on Outreach with Rural Populations with presentations from San Ysidro, Arizona, and New Mexico. The second presentation is Lessons Learned to be presented by all project sites and the University of Oklahoma. The grantees have expressed concern about not having the resources to send a representative to present at the meeting, Betty advised if grantees are unable to attend, the University of Oklahoma staff would be willing to present project information in the project’s behalf only as authorized by a project. OU staff would work with the projects to synthesize the information presented at the Border Grantees Meeting into a 12-15 minute presentation that would be presented by OU.
• Tim Brittingham – Betty advised he will return from vacation on 5/14/02. Projects may contact Tim regarding their data submitted during his absence if they have any questions.

Abstract – Betty asked the grantees if they would agree to allowing the University of Oklahoma submit an abstract in behalf of the Border Grantees for the Bi-National HIV Border Conference to be held in September 2002 in Tucson. The abstract would be on lessons learned, which would be similar to the information provided at the Border Grantees Meeting in July and All Titles Meeting in August. Group agreed to have OU submit an abstract for the Border Grantees. Some grantees again expressed concern about being able to attend as they have not travel funds for dissemination. Steve Trujillo advised grantees that two scholarships for each project would be available through the conference planning committee. He recommended that grantees apply for a scholarship. Adan said that anyone going to Barcelona for the International AIDS Conference to present a poster can give the information to his/her project officer. There could be a gathering for those who are presenting for their projects in Barcelona and the project officers while in Barcelona.

HRSA Update:

Adan Cajina reminded grantees that their continuation proposals are due at HRSA by May 24, 2002. The Evaluation Center application is due May 30, 2002. He also reminded the projects about attending the Ryan White Care Act Grantee Conference. Questions were asked about funding for attending the conference due to high registration fees ($350.00) and other travel related expenses. Adan said that the budget for each project allows for traveling for two conferences for dissemination. The projects pointed out that travel budget to go to two conferences in a year is actually for attending the Grantee Meetings held in January and August each year. Adan said that he will look into the matter.