HRSA SPNS US/Mexico Border Grantees Meeting

 

Parklawn Building – Potomac Conference Room

Rockville, Maryland

 

 

Thursday - July 25, 2002

 

Welcome to meeting by Dr. David Barney, University of Oklahoma Centro de Evaluaciσn.  Shared with attendees that this meeting is a great opportunity to share with HRSA the achievements of the US/Mexico Border Initiative because each project has done a great job with implementing their projects and collecting data. 

 

Adan Cajina, HRSA welcomed participants to Washington, DC an the Parklawn Building.  Advised that security should be easier on Friday and apologized for this mornings problems at the security desk.  He informed participants on the  location of restroom facilities, smoking area, telephone access is available in HRSA project officers offices, and cafeteria is located on 5th floor (take-out).  Exit is on 5th floor off Fishers Lane. 

 

Dr. Barbara Aranda-Naranjo, SPNS Branch Chief, welcomed the participants in behalf of Dr. Deborah Parham, Acting Associate Administrator of the HRSA HIV/AIDS Bureau (HAB).  She thanked the HRSA SPNS project officers for their work with individual sites.  Introduced Richard Moore, Robyn Schulhof, Adan Cajina, Katie Hanley who is the Project Officer for the American Indian/Alaska Native Initiative, Jeremy who is a scholar at HRSA, and interns working at HRSA during the summer.

 

Dr. Aranda-Naranjo spoke about the International AIDS Conference held in Barcelona, Spain.  She presented poster in behalf of Border Initiative at the International Conference.  Additionally, she helped staff the HRSA booth in which resources on HIV/AIDS services developed and provided in US were made available to representatives from other countries.  While sharing this information with other countries, she reached a realization that US services far exceed what is available in other parts of the world.  Learned that other countries are also dealing with migrant issues and wanted to know if resources existed that could be shared with them to aide them in working on these issues.  Other interests expressed were Thailand who spoke about prostitution and migrant issues and was seeking information on models that may have been developed to address this issues.  Another young man who was an AIDS education trainer in India, shared with her that he had taken a chapter that Barbara had written, translated it into his language, and used the chapter as a guide to develop local case studies to identify special issues that affect their population.  In general, Barbara realized that many countries do not have the resources to provide the level of services provided in the US, as well as the infrastructure to assess what they are doing locally. 

 

Barbara advised that learning more about international issues has created an appreciation of the support that is available through HRSA for HIV/AIDS providers.  Has encouraged project officers to continue their excellent support and recognized the importance of the contribution of demonstration projects with enhancing the knowledge base of HIV/AIDS services within their population base.  Recommended a book, The Next 50 Years, which talks about how the future will handle questions about health.  Data gathered by projects will aide to contributing to future ability to address health issues for border populations. 

 

SPNS Update – Handout distributed to all grantees (Exhibit A).  Dr. Aranda-Naranjo thanked David Barney and Betty Duran for their flexibility in developing a research agenda that has supported the Border evaluation agenda. 

 

Review of goals and objectives by Dr. Herman Curiel.  Reviewed the agenda with participants.

 

Qualitative Study preliminary findings were presented by Maria Ivonne Rivera (consultant) and Betty Duran.  Betty advised that information is not complete and was taken from summary reports developed by Ms. Rivera.  A total of 34 interviews were completed, of which one tape audio was lost, resulting in only 33 interviews.  Findings identified in the spread sheet were reviewed with meeting participants.  Betty advised that Ms. Rivera anticipated completing transcription and translation of all the interviews by mid-August.  The University of Oklahoma at that time will begin data coding of all interviews which will take several months.  Currently, OU anticipates that the final report will be available in the Spring of 2003.  Quality of the interviews is very good and should provide some new and beneficial information. 

 

Change Model – David Barney advised that he sent out an e-mail to projects requesting feedback for change module.  Only response was from New Mexico.  One variable that David would like to collect data on is length of time lapsed between when clients’ learned HIV positive and time when client entered into care.  Mari said San Ysidro is attempting to collect this as a local variable.  Chart reviews will be able to collect information as to when cases are closed.  Yolanda asked how information on who died or left services could be identified.  It was suggested client changes be included as part of  local data collection.  Barbara said follow-up  on client status is important.  David advised we anticipate that this information will be captured through client chart reviews.  Barbara recommended that local projects have defined terms for client statuses.  Issue of client continuous change in address and contact information was discussed.  Important for grantees to be able to track their clients and establish procedures on how to keep client information updated.  Barbara advised that grantees need to identify in the semi-annual reports any client or systemic issues that have become evident while providing services that affects service delivery, access, or client unmet needs. 

 

Recognition of Ruth Knee by Tim Brittingham (attach his presentation). 

 

Recognition of Dr. Antonio Estrada for his appointment to Chair of the Mexican/American Studies Program at the University of Arizona.

 

Presentation by Howard Lerner, Director – Office of International Health Affairs – HRSA  (audio recorded)

  

Arizona Border HIV/AIDS Care Project – Lessons learned (power point presentation) audio recorded -  Barbara Estrada and Steve Trujillo – posted on web page: http://www.ou.edu/border located under Dissemination - El Rio Health Center – Grantees Meeting July 25-26, 2002

 

 

 

Camino de Vida – Lessons Learned (power point presentation) audio recorded – Veronica Salcido-Harding, Michelle Valverde, Yvonne Roacho – posted on web page: http://www.ou.edu/border  - located under Dissemination – Camino de Vida – Grantees Meeting July 25-26, 2002

 

Centro de Salud Familiar La Fe – Lessons Learned (power point presentation) – America Jones and Dr. John Wiebe – audio recorded – posted on web page: http://www.ou.edu/border - located under Dissemination – Centro de Salud Familiar La Fe – Grantees Meeting July 25-26, 2002

 

Standardized Scales – David Barney and Timothy Brittingham  Shared with participants on the collection of HIV Standardized instruments that are posted on the www.ou.edu/socialwork/hiv web site.  The instruments are available to projects who may be interested in expanding the local evaluation or for future evaluation.  

 

AETC Standardized clinic provider curriculum was presented by Dr. Pam Ried Duffy  -  Audio Recorded.

 

 

Friday – July 26, 2002

 

Dissemination – Dr. Tony Estrada  (power point).  The outline presented has previously been discussed at the San Diego Grantees Meeting.  He stated that under multi-site, we should have sufficient descriptive data to develop a Journal article.  Encouraged grantees to participate in this dissemination efforts, as what grantees have achieved is important in expanding the knowledge base of service issues for border populations living with HIV.   Added that grantees also have documented presentations at local and national conferences which can also support more formal dissemination activities.  Encouraged grantees to think of types of ideas they would want to disseminate on, complete the forms for access to multi-site data, and present their ideas to the dissemination committee.  In observing many of the local projects lessons learned, believes the projects have findings which could be disseminated at this time.  Solicited feedback from grantees as to what they would like to see achieved in dissemination.  Barbara suggested that at next grantees meeting, projects may want to consider speaking on a specific issue of local interest which may lead to development of an article for publication.  This could be followed up in grantee conference calls that would lead to completion of articles.  Mari informed grantees that the local focus groups initially lead to an abstract presentation at NMAC and now if being developed into a journal article.  David advised publications committee is only for multi-site data, therefore local projects can independently publish on local data findings.  David asked if grantees would be willing to spend an extra day at the next grantees meeting to draft out some potential publications, participants responded in affirmative.  Only persons participating in writing the articles would need to be here for the dissemination effort on the extra day.  Yolanda said that she brings her local data with her to grantee meetings and it would be beneficial to compare data with other sites that share a similar interest/data evaluation agenda, as well as look at multi-site data.  David shared with grantees that previously with an American Indian multi-site study, the grantees were given a deadline to draft out a paper for publication which was presented in a seminar where they received feedback from the group, then provided a timeframe in which to complete their article.  Then all the articles were published in a monograph by HRSA.  Tony Estrada will check with Kurt Organista to determine if he would still be willing to conduct a literature review and work with Tony Estrada on outlining the article.  Robyn said she recommends that the grantees develop a plan with goals, timelines, and expectations that will help keep the group on task.  Robyn thanked grantees for working with Richard Seaton and Helen Schillinger with HRSA publications. 

 

Dr. Bob Munk of the New Mexico AETC presented on New Mexico AIDS InfoNet.  (audio recorded).  Distributed two handouts – brochure on The New Mexico AIDS InfoNet and listing of Fact Sheets available thru InfoNet.  Web page address:  http://www.aidsinfonet.org

 

Dr. Rafael Mazin, MD, MPH – PAHO/WHO – Sexual Transmission of HIV and STIs in Latin American and the Caribbean -  Audio and power point

 

Valley AIDS Council – Lessons Learned – Charles Smith, Elias Cantu, Yolanda Cantu, George Lasoya – Power Point and audio recorded  -  posted on web page: http://www.ou.edu/border - located under Dissemination – Valley AIDS Council – Grantees Meeting July 25-26, 2002

 

San Ysidro Lesson Learned – Dr. Mari Zuniga and Rosana Scolari – Audio and power point - posted on web page: http://www.ou.edu/border - located under Dissemination – San Ysidro Health Center – Grantees Meeting July 25-26, 2002

 

Medical Chart Reviews – Gregg Fryday provided an update on the schedule for medical chart reviews to be conducted in September and October 2002.  The consultants for this effort have been retained.  Letters have been provided to project directors/coordinators as to the dates of the reviews, names of the consultants, and need to ensure that clearance has been obtained from local medical records staff.  Grantees were provided with draft copy of the medical chart protocol and client consent forms (Spanish and English versions).  Grantees were advised that the client consent must be acquired prior to the period of the chart review and the original should be filed in the medical chart and a copy made available to the consultant completing the review.  Clients who do not sign a consent at this time will be allowed to agree to a chart review at a later time.  Those charts will then be reviewed in YR-05 chart reviews and cover all the quarters that the client has obtained medical care. 

 

Multi-site Evaluation Lesson Learned – David Barney  power point and audio - posted on web page: http://www.ou.edu/border - located under Dissemination – Centro de Evaluaciσn – Grantees Meeting July 25-26, 2002

 

Next Meeting – Grantees choose to meet on January 8th, 9th, 10th, 2003 in Washington, DC.  Items to be included in the next grantees meeting agenda include one day for Disseminations, individual project meetings with HRSA SPNS Project Officers, and regular agenda.  As suggested by Dr. Aranda-Naranjo, grantees will be provided an opportunity to present on special interest topic versus lessons learned. 

 

Meeting adjourned at 3:00 p.m.