250096 Integration of community and government resources to implement a brief HIV testing intervention using community health workers (CHWs)

Monday, October 31, 2011

Luis Garcia, PhD , Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI
Gary Hollander, PhD , Diverse and Resilient, Inc., Milwaukee, WI
Brenda Coley , Diverse and Resilient, Inc., Milwaukee, WI
PrideFest, an annual gay pride event held in Milwaukee, WI, includes an area where community organizations promote healthy behaviors. Most HIV testing outreaching MSM have had moderate success. City and State Health Departments contracted Diverse and Resilient to develop, implement, and deploy an HIV testing intervention to increase testing among young Black MSM (YBMSM).

The intervention included the development of a curriculum, recruitment, training, and deployment of CHWs the festival. The curriculum combined the transtheoretical model and motivational interviewing skills and it was supplemented with basic safer-sex education skills. The CHWs were recruited from within the community, focusing on YBMSM. They received 4.5 hours of training that included theory and practice. In all, 64 CHWs were recruited and 41 completed the full training and were approved to work.

Training was considered part of the intervention because most of the CHWs were part of the target population themselves. CHWs made a total of 879 contacts; the intervention resulted in a 42.5% increase in the number of HIV tests conducted from the previous year. This increase represents a 52.6% increase in testing of people under 25 year-old and an 85.1% increase in the testing of African Americans. The presentation will focus on the content of the curriculum and training, and the lessons learned from implementing our intervention. We will also showcase the materials developed for the program. Our aim is to highlight the basic elements of the intervention so other organizations may customize the intervention and apply it to their own setting.

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Protection of the public in relation to communicable diseases including prevention or control
Public health or related education

Learning Objectives:
The learner will be able: 1)To name the basic elements of the curriculum developed for the intervention; 2) To describe the training developed to train the Community Health Workers, including the theory and practice used to build their skills; 3)To identify the lessons learned implementing the intervention; 4) And to evaluate the results of the intervention.

Keywords: HIV Interventions, Community Health Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I developed and implemented the intervention this abstract is about.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.