Presented at the 2010 National Chlamydia Coalition meeting

1. National Chlamydia
Coalition
Mini-Grants Overview:
Reports From The Field
Washington, DC October 28, 2010

2. Mini-Grants Across the Country
 Projects in New York, Pennsylvania, Michigan,
Minnesota, Washington state, Virginia,
Maryland, and Illinois
 Indian Health Service, tribal and urban
American Indian and Alaska Native health
programs in Alaska, Arizona, and Oregon
2

3. Background on the Grants
 With funding from CDC, Partnership for
Prevention provided up to $10,000 to regional,
state or local organizations
 Grants up to one year in duration that must be
completed by July 2011
 Sixty-three organizations submitted proposals,
with ten selected for funding
3

4. Purpose of the Grants
 To fund innovative strategies to increase
chlamydia screening and follow-up care
 To encourage collaboration among NCC
partners at the local level
 To disseminate lessons learned
 To encourage replication of successful models
4

5. Variety of strategies, settings
and audiences
 Use strategies including public awareness,
provider outreach and coalition-building
 Settings include primary care offices/clinics,
high schools and colleges, juvenile justice
system, community-based organizations, and
the media
 Reach populations with high prevalence and
low rates of screening
5

6. Projects Currently Underway
 Most projects are at the mid-point; final results
not yet available
 Today you’ll get a quick snapshot of their
project designs
 Some might share sample materials and initial
findings
 Performance measures are built into every
project. When completed, results and lessons
learned will be disseminated
6

7. Minnesota Department of Health
Candy Hadsall, RN, MA
March 1, 2010 – March 1, 2011
State of Minnesota
Minnesota Department of Health, based on an effective model for
coalition-building, has organized the first statewide Minnesota
Chlamydia Partnership to encourage a wide range of organizations to
offer chlamydia screening and treatment.
Minnesota Chlamydia
Partnership and Summit

8. 8
Minnesota Chlamydia Partnership
•MCP: created in March 2010, 34 meetings held Jan-Sept, Steering
Committee planned & led Summit, leading workgroups Sept - March.
•Minnesota Chlamydia Strategy: workgroups drafting actions for
statewide strategy, MDH staff creating outline and format
•Summit: Overall attendance was 275, exceeding original objective
of 100. 144 in St. Paul, and 131 in nine satellite (rural) locations.
16% were youth. Represented wide range of organizations, with
most from non-profits, local or city public health department, public
health clinic, or private clinics.
• Participant evaluation of Summit: 88% said their primary
objective for attending the meeting was fulfilled. 33% said
they volunteered to be part of workgroups. 100% want to stay
informed

9. 9
Minnesota Chlamydia Partnership

10. 10
 #1: Healthy sexuality information needed
 Consistent, positive messages everywhere
 Messages that cover lifespan, deal with sexuality
issues as adolescent AND as adult
 Mandatory Comprehensive Sexuality Education
in all types of schools; health ed in colleges
 #2: Testing for CT, GC should be routine
 #3: Need funding – testing, treatment,
prevention, EPT, partner notification
Summit Feedback

11. 11
5 Strategy Workgroups
 Educate teens, parents, teachers; primary
focus: get CSE in schools
 Educate providers
 Build awareness in all other areas of
communities
 Affordable testing
 Access to testing

12. ODU Chlamydia Project
Old Dominion University
Jenny Foss & Kim Cholewinski
June 1, 2010 – May 31, 2011
Norfolk, Virginia
Old Dominion University Research Foundation, through Old Dominion
University’s Student Health Service, is implementing a multi-faceted
project to increase chlamydia awareness, screening and treatment at
ODU and in the surrounding Tidewater region of Virginia.

13. Enhanced Chlamydia
Screening in the Medical
Home
American Academy of Pediatrics New York State Chapter 1
Gale R Burstein, MD, MPH, FAAP
March 2010 – February 2011
Western New York State
University at Buffalo, State University of NY: Three pediatric offices,
located in western New York State, are pilot-testing an intervention
designed to enhance the delivery of comprehensive and confidential
adolescent preventive care, including sexual health services.

21. Question N = 84 Male Female
I have provided info on Sexual Health 26.3% 8.7%
Counseled about contraception 40% 30.4%
Ordered HIV test 0% 0%
Ordered Chlamydia test 0% 0%
Mid-sized suburban/rural peds practice
Question N = 58 Male Female
I have provided info on Sexual Health 66.7% 94.3%
Counseled about contraception 100% 97.2%
Ordered HIV test 0% 0%
Ordered Chlamydia test 0% 41.7%
Large suburban peds practice
Question N=54 Male Female
I have provided info on Sexual Health 100% 89.9%
Counseled about contraception 100% 77.8
Ordered HIV test 33.3% 0%
Ordered Chlamydia test 83.3% 55.6%
Small urban peds practice

22. Illinois SBHC Screening
during Sports Physicals
Uplift School Health Center
Children’s Memorial Hospital
Cynthia Mears DO FAAP
May 2010 to May 2011
Chicago, IL
Children’s Memorial Hospital, Uplift School Based Health Center. is
adding free chlamydia and gonorrhea screening to student athletes’ pre-
participation sports physicals provided at five school-based health
centers in the Chicago and rural Illinois areas.

23. Illinois SBHC Screening during Sports
Physicals
• Population(s) reached: 4 SBHC populations 1
suburban, 2 rural, 2 different parts of the city
• Setting(s) for implementation: All SBHC or
school linked Health Centers
• Partners: IL Dept of Human services and IL
Dept of Public health

24. Illinois SBHC Screening during Sports
Physicals
• Key project components:
• Students are given a “did you know” handout
of adolescent health issues which includes
information on Chlamydia and getting tested.
• Students are asked once in the exam room if
they would like to be tested for the Sexually
transmitted Infections, Gonorrhea and
Chlamydia.
• Forms were developed by the IDPH and IL
DHS to track yes and no responses.
• If yes then urine screening is done and sent
to the state lab and is recorded in Clinical

25. Chlamydia Practice
Improvement Project
(CPIP)
Michigan Department of Community Health
(MDCH)
Project Director: Amy Peterson
Project Coordinator: Nancy Deising
Grant Cycle: 4-1-10 to 3-31-11
You’re an
Essential Piece
Michigan Department of Community Health (State of Michigan)
has partnered with Molina Healthcare, the largest Medicaid
managed care provider in Michigan, to adapt an award-winning,
culturally-specific awareness model to increase chlamydia
screening among female plan members age 16-24 in
southeastern Michigan, including the city of Detroit.

26. CPIPProgramComponents
 Provider Identification and Enrollment
 On-Site Provider Meetings
 Provider Follow-up and Incentives
 Patient Education
 Targeted Client Incentives
You’re an
Essential Piece

27. Data
 2009 Baseline Data:
 Females16-24 year old
 Continuously enrolled in Molina
 Sexually active
 2009 CPIP Baseline: 38.26% (N=20 sites)
 Only 14 out the 20 sites are
participating
 Molina Statewide 2009: 63.2%
 Michigan Medicaid Statewide 2009: 61.5%

28. Adolescent Rights
 Understanding Your Childs Rights to
Confidential Health Services:
 Handout
 Laminated Flyer
 Plastic Placard
 Placard-Frame
 Minor Consent for Care and
Confidential Health Information Handout
 Michigan Minor Consent Law
 Brochure
 Minor’s Rights to Confidential Health
Services
 Order Form

29. Items
 Provider Toolkit
 Focus on HEDIS
 Member Mailing
 “It’s Tim e fo r Yo ur Ye arly Me dical
Exam ”
 Includes member incentive for
project
 GYT Brochure created by
MDCH

30. Planned Parenthood of Greater Washington and North
Idaho
Amy Claussen – VP of Education and Professional Training
Maria Razo
March 2010 - January 2011
Yakima, Washington
Planned Parenthood of Greater Washington and North Idaho is
expanding its current Pro m o to ras de Salud or “promoters of health”
sexual health education program to focus on chlamydia-specific
grassroots outreach within the Latino/a community in Yakima County.
Promotoras de Salud

31. Adagio Health
Tony Felice
June 1, 2010 – May 31, 2011
Pittsburgh, PA
Second Quarterly Call September 22, 2010
Adagio Health, Inc., using GIS mapping to identify communities at high
risk for chlamydia, is targeting residents of a low-income housing project
with focus-group tested materials and chlamydia testing and treatment in
alternative community settings.
Community Approach to
Increasing Chlamydia
Screening

32. An outline of the
Northview Heights Program
 Using GIS mapping of chlamydia cases, the area of focus
was selected in Allegheny County
 A health center was already doing some
chlamydia/gonorrhea screening—positivity has been above
12%
 Focus groups were utilized to develop messages and
determine the best places to screen and when
 Since the project began there have been several stumbling
blocks
 The Allegheny County Health Department and the PA
32

33. Allegheny County Map of Reported
Chlamydia 2009

34. Weaving Systems of Care
Center for Health Training
Wendy Nakatsukasa-Ono
May 1, 2010 – April 30, 2011
Regions VIII, IX and X/National
The Center for Health Training and its partners are developing, testing
and disseminating a toolkit to guide the standard delivery of STD care to
American Indian and Alaska Native people.

35. Jackson County Health Department
Kathy O’Laughlin, RN, MS
5/1/2010-4/30/2011
Murphysboro, IL
Jackson County Health Department is implementing a provider
outreach program to encourage routine chlamydia screening in
private pediatric, internal medicine, and family practices, along with a
peer mentor program to increase public awareness about chlamydia.
Promoting Chlamydia
Screening in a Rural Area

36. CATCh: Community-based
Adolescent Testing forChlamydia
Maryland Department of Juvenile Services
Jennifer Maehr, MD
Jessica Burns, RN
Abigail Donaldson, MD
July 1, 2010 - June 31, 2011
Baltimore, Maryland
Second Quarterly Call September 22, 2010
Maryland Department of Juvenile Services is providing chlamydia and
gonorrhea screening, treatment, and education through case
management and somatic health staff for at least 500 Baltimore juvenile
justice youth who are under community supervision.

37. 37
CATCh: Community-based Adolescent
Testing for Chlamydia
Objectives Performance Measures
Screen at least 500 youth in 12 months
for CT and GC with “free” urine NAA
testing during participation in
community supervision.
Track # tests done and report
prevalence of CT and GC in male and
female youth at DERC and FIT
programs, compare to detained youth.
Provide individual STI counseling,
family planning information, condoms,
on-site treatment, and referrals for
additional care and partner treatment.
Track services provided. Develop
resources to provide to youth and to
refer.
Provide 4 group education sessions for
the youth: Survive Outside/Making
Proud Choices Curriculum.
Staff training on Survive Outside.
Track # of sessions given to youth.
Train case managers and program staff
on adolescent reproductive health,
STIs, and risk reduction.
Development of training, # Staff
trained, # sessions given.
Survey youth and staff for satisfaction
with the program and resources
offered.
Develop and give satisfaction surveys.

38. 38
CATCh: Preliminary Results July 1-October
15
Site &
Client
Sex
Potentia
l Clients
Total
Tests
Done
+CT
# (%)
+GC
# (%)
#
Treated
on-site
FIT unit
Female
250
girls w/ visit to
case manager
41
by case
managers
9
(22%)
2
(5%)
9
by RN or MD
DERC
Male
149
youth enrolled
110
by nurses
8
(7%)
1
(1%)
4
by RN
Total 399 151 17
(11%)
3
(2%)
13

39. 39
CATCh: Preliminary Results FIT Unit
July 1-October 15, 2010
# Clients
with
Post-Test
MD/RN
On-Site
Visit at
FIT
#
Pregnancy
Tests
Done
On-Site
# Youth
Administered
EC
On-Site
# Youth
Given EC
as
Advance
Provision
# Youth
Referred
for
Additional
Services
24
(remaining
clients receive
results by
phone)
11
(all negative)
5 14 12

40. For further information on
the NCC Mini-Grants, please
see www.prevent.org/ncc
Washington, DC October 28, 2010