SPNS Border Grantees Conference Call

July 15, 2002 @ 10:30 am Central

Participants: Rosana Scolari, Mari Zuniga, Alisa Olshefsky, Steve Trujillo, Ken Burton, Tony Estrada, Veronica Harding, Yvonne Roache, Jennifer Felderman, America Jones, John Wiebe, Elias Cantu, Michael Tarter, David Barney, Betty Duran, Herman Curiel, Tim Brittingham, Saleem Ahmad, Gregg Fryday

Project Reports:

Arizona:

Trainings: Dr. Carmichael, Dr. Martinez (El Rio Medical Director), and Ken Burton are discussing and developing a mechanism to contract HIV specialty care with Dr. Thompson (ID) in Yuma.

Out Reach Activities: Yuma County –Outreach continues to occur by Puentes de Amistad, Yuma County Health Department and Campesinos Sin Frontera. The YCHD tested 53 individuals during National Testing Day in the towns of Yuma, Somerton, and San Luis. Puentes de Amistad presented HIV education to 3 PEP-Tech adult classes and outreach to the migrant workers in the fields.

Santa Cruz County – Platicamos Salud continues to outreach activities to the clients of Southeastern Arizona Behavioral Health (SEABH), truck stops and motels. The summer youth training program going well youth are being trained in the American Red Cross HIV/AIDS Starter Facts. National Testing Day activities went off well (outreach) and radio broadcast well received.

Cochise County – Case manager (Eunice Parks) and Patricia Perry of Cochise County Health Department (CCHD) the staff responsible for HIV programming in Cochise County currently are continuing the outreach efforts. Cochise County currently CCHD is in the process of hiring a HIV Program Coordinator.

The Southern Arizona HIV Consortium met 7/16 and Eunice P. gave an up date on the ABHAC Project. The consortium recruited 8 individuals to their speaker bureau and will be trained following the Red Cross guidelines.

Chiricahua Community Health Center under the Medical supervision of Dr. Avina is more active in the project. Dr. Carmichael has scheduled patients to see at the clinic with Dr. Avina.

The Border Health Foundation’s Compañeros promotoras program has been reactivated and a meeting with Charlie Anderson Director of border field offices scheduled meeting for 7/12 to discuss participation in the project.

Dissemination Activities: Working on the presentations for the grantee meeting and all Titles meeting in Washington.

Project Enrollment: no change (69 patients)

Local Evaluation: The next scheduled meeting of the ABHAC Project collaborators is scheduled for July 12, 2002.

Announcement: US-Mexico HIV/AIDS Border Conference September 9-11, 2002 information is available at www.elrio.org. Steve advised that the conference registration will be limited to 325 participants.

Camino de Vida:

q PROGRAMMATIC: (Veronica)

• In preparation for the outreach expansion, an HIV 101 training is scheduled for July 15^th at Ben Archer Health Center for the CHC’s Promotores
• Co-infection (HIV/AIDS Hepatitis) training has been scheduled for the CdV clinical staff for August 29^th Dr. Karla Thornton from the Truman Clinic in Alb. NM will be presenting
• Dr. Carmichael from Tucson, AZ will be presenting at a Providers Dinner scheduled for October 3^rd
• Working on finalizing the Sub-contracts for the CHCs
• Planning an additional testing site at a local homeless shelter

q LOCAL EVALUATION: (Michelle)

• Finalized the power point presentation for All-Grantee meeting (except for a few minor things)
• Due to making changes to the questionnaires we had to complete an IRB Progress Report; we may have to resubmit the entire application depending on the decision of the Chair
• We are going to get NCR forms created for the consent forms that are used in the field (outreach and providers); this will enable us to give the participants a copy without the inconvenience of carbon papers and/or following up at a later date
• The cover letter (2 versions) that will go out with the OU consent has been finalized; we decided to call the clients first and then follow-up with a very brief letter; we developed a script (2 versions) to facilitate the phone calls; we have 64 possible clients
• Sending out local module 15 is on hold until after we get the OU consents and have approval from the IRB

Centro de Salud Familiar La Fe:

Testing

Month Year	Pre Test Counseling	Post Test Counseling	Result Negative	Result Positive	Enrolled @ LFCC
July 2002	11	13	12	1	1

Trainings/Conferences:

June 26, 2002: Dr. Armando Meza provided class for Nadine Thomson FNP, America Jones RN, Rosa Vasquez RN, and Cristina Ramirez RN in preparation for the ANAC ACRN exam.

July 2, 2002: La Fe CARE Center hosted a one-day tour for 5 promotores students from EPCC. The students were from El Salvador, Nicaragua, and the Dominican Republican. A lecture was provided on HIV/AIDS, testing, prevention, treatment, nutrition, social, and other services provided to clients with HIV/AIDS in El Paso.

Evaluation:

1.  Baseline data collection is winding down.  Research assistants will begin helping with extraction of data from patient charts when they are not doing interviews.

2.  Chris Johnson and Oscar Esparza are finishing a final, comprehensive data cleaning operation, and plan to have all corrections made by 07/15.

3.  An assessment battery is finalized for Year II assessment.  Data collection for Year II (including the Barriers Module) will commence directly after the meeting in Washington, so that we will have a chance to integrate any feedback from David and Adan.

San Ysidro Health Center:

Programmatic/Dissemination

· Social Marketing Campaign – update. Working with Better World Advertising in San Francisco to develop their campaign.

· National HIV Testing Day (June 27, 2002) - report on activities. Conducted 98 HIV tests during a four hour period at a location set-up at the Trolley Stop. 16 staff members participated in conducting the outreach and pre-test counseling.

· Dissemination activities:

Presentation to the HIV Planning Council – June 26, 2002

Presentation to the Binational HIV/STD Committee – July 10, 2002

Presentation at the Association of Community Health Outreach Workers meeting (Alisa) – July 3,2002

Evaluation

· Clinic data collection staff training on 7/10/02. Staff was trained on the use of new instruments (Treatment Education and Client Survey) and we discussed the need to obtain consent forms for chart review. Staff expressed hesitance toward obtaining signatures since our project has been described as completely anonymous. However, all are committed to obtaining as many consent forms as possible as soon as possible.

· UCSD IRB submission. Every two years projects must re-submit a new application to UCSD Human Subjects. Consent forms will be revised to include a statement regarding the OU consent form which requires a signature. New instruments will also be submitted with the application renewal.

Multi-site Data as of 7/1/01- 7/10/02

1) Number of HIV + persons enrolled : 104

2) Number of persons enrolled through HIV testing: 1175

3) Number of results through HIV testing-

HIV positive- 17

HIV negative- 716

Inconclusive- 1

Total- 779

4) Number of outreach contacts (estimate):

1446 in database + 1600 yet to enter

Approximate total = 3046

Mari advised that UC San Diego has reduced data staff time by 50%. Despite this cut-back, she and Alisa plan to continue data quality to remain constant, although this places an additional burden on them.

Valley AIDS Council:

• Data Collection Tool revised prior to implementation for the Social Marketing campaign.
• Reviewed by VAC staff: Charles Smith, Alex Westbrook, Libby Benavides, Andy Villa, and Elias Cantu, Jr.
• Reviewed by UTHSCSA staff: Yolanda Cantu
• Elias Cantu, Jr. (SPNS Coordinator) schedules a meeting with Andy Villa (Director of Education / Outreach) in McAllen for June 28, 2002 at 10:00 am.
• Andy Villa provides assistance to SPNS Coordinator in the Dissemination Plan for the Social Marketing campaign.
• Education / Outreach Staff will assist SPNS in the dissemination of the Proyecto Juntos posters and brochures that will be strategically disseminated in Cameron, Hidalgo and Willacy counties to effectively reach the target population, which are Hispanic women between the ages of 13 and 45 who are Limited English Proficient (LEP).
• Andy Villa assisted Proyecto Juntos with providing maps and locations of the “colonias” that will be reached by his Education Staff as a result of the dissemination plan.
• Scheduled meeting at VAC in Harlingen for July 1^st at 10:00 am for those involved in the Data Collection for the Social Marketing campaign.
• PCPE Staff: Klein Trevino, Ruben Garza, Norma Armendariz, Sandra Hinojosa, and Raymond Torres.
• Receptionists and Back-up Staff: Adelaida Renteria, Lisa Fonseca, Monica Balboa, Janie Delgado and Carol Ybarra.
• Social Marketing campaign kicks off on July 8, 2002.
• Campaign consists of Radio, Television, Brochures, and Posters.
• Charles Smith, Alex Westbrook and Libby Benavides approve English version of posters and brochures submitted by Entravision representative, Oscar Moreno and Sales Manager, Joel Olivarez.
• Dr. Fernando Garcia and Nidia Gonzalez (Case Manager) assist SPNS Staff in the translation for the Spanish version of the posters and brochures for the Social Marketing campaign.
• Univision Sales Manager, Joel Olivarez tests Spanish television commercial for Proyecto Juntos on July 3, 2002. (It was approved by: Elias Cantu, Jr.)
• “Test-version” of the Spanish television commercial which aired on July 3^rd via Univision’s Channel 48 resulted in an instantaneous response from the viewers, which resulted in a female who came in for testing with the Education Staff on July 5^th.
• Entravision Radio Representative, Fabi Villanueva submits demo of the radio commercial scheduled to air effective on July 8^th. (It was approved by: Charles Smith).
• The 1^st radio commercial that aired on July 8th also resulted in a phone call from a 38-year-old mother of a 15-year-old female. The mother requested information in the form of brochures to be mailed to her PO Box so that she could present the HIV information to her daughter.
• Quarterly Report Forms sent on June 28^th to Nuestra Clinica Del Valle in Pharr and to United Medical Center in Eagle Pass.
• The forms were requested by Vicky Bourdon, Director of Nurses at NCDV.
• The Quarterly Report forms must be received by July 15, 2002.
• Medical Chart Review Consents were sent on July 1, 2002 to United Medical Center, Nuestra Clinica Del Valle, and Brownsville Community Center.
• The consents need to be signed by SPNS patient prior to the review of the Medical Charts scheduled for September 2002.
• The Medical Chart reviews will be conducted by University of Oklahoma and in part by: Annie Mendoza, Nurse.
• E-mail message received from Jim Odom at BCHC informing VAC that he will obtain the signatures from the SPNS patients for the chart reviews.
• UTHSCSA Yolanda Cantu travels to VAC in Harlingen, Texas on July 11, 2002. (Originally scheduled for Wednesday, July 3, 2002)
• Yolanda Cantu from UTHSCSA meets with VAC Staff for Project Evaluation.
• Staff: Charles Smith, Elias Cantu, Jr., Libby Benavides, Randy Alligood, and Enery Mendoza.
• Presented the Proyecto Juntos radio and television commercials in audio and video to Yolanda Cantu from UTHSCSA.
• Prepared the Power Point Presentation for the SPNS Grantee Conference in Rockville, Maryland in July 2002.
• Updated the Proyecto Juntos Contact List for the VAC Staff and submitted them to UTHSCSA Evaluation Coordinator, George Losoya.
• SPNS Partnership Meeting scheduled for July 19, 2002 in McAllen, Texas.
• Reminders for the meeting were sent out last month on June 19^th by Elias Cantu, Jr. (SPNS Coordinator).
• Partnership Meeting Agenda was sent out on July 11^th by Monica Ruiz (SPNS Meeting Coordinator).

Evaluation Center:

Ÿ Grantees Meeting: Reminder to projects that all must meet at Parklawn Building promptly at 8:00 am each morning due to security reasons. Need all projects power point presentation ASAP, deadline was July 12^th. Copies of handout should be at least 40 copies – we have no copy facilities at Parklawn Building. The Doubletree does have a business center but the fees are quite expensive.

Ÿ Data Submission: OU Evaluation Center modem is down and needs to be replaced, therefore we are asking projects not to fax in data until advised otherwise by Tim. Any projects needing data edits or revisions must submit them by Wednesday, July 17, 2002 and Tim will get them back to the project within 12 hours or before Friday.

Ÿ Medical Chart Reviews: We have completed recruitment of consultants and have finalized scheduling with each of the projects. Am encountering some problems with the dates selected for San Ysidro, but hope to have them resolved by today.

HRSA Update: Robyn and Adan were unable to participate due to other commitments at HRSA.

Ryan White All Titles Meeting: Adan Cajina at HRSA sent the following message regarding the need to obtain the names of presenters for the panel presentations at this meeting sooner than August l, 2002.

That is, on your e-mail below you stated to grantees to confirm who

will be presenting in the All-Titles by August 1st. Actually, the sooner

we can receive that information the better since the program needs to

go to printing sooner. Speakers should submit their names, degree(s),

position, and organizational affiliation to be listed in the conference

program book. You can go ahead and send this information to

me and I will be passing it along to our logistics consultants. The

consultants may also be calling you for this purpose, but it hasn't always

been the case.  

Persons to present at the Ryan White all Title Meeting on the following topics are:

Lessons Learned/Cultural Sensitivity:

Arizona Border HIV/AIDS Care Project – Steve Trujillo

Camino de Vida Center for HIV Services – Kari Maier & Michelle Valverde

Centro de Salud Familiar La Fe – Tony Chavez & Joaquin Roda

Valley AIDS – Elias Cantu & Bob Smith

San Ysidro Health Center – Rosana Scolari

Outreach with Rural Populations:

Arizona Border HIV/AIDS Care Project – Steve Trujillo & Ken Burton

Camino de Vida Center for HIV Services – Veronica Salcido-Harding & Michelle Valverde

Other:

Announcement: The University of Oklahoma Evaluation Research Center (Dr. David Barney, PI) has been awarded the SPNS American Indian/Alaska Native HIV/AIDS Technical Assistance Center grant beginning July 1, 2002. This is a five year grant to work with American Indian/Alaska Native programs in assessing HIV services.