Online Program

Hepatitis b screening & prevention services in seattle, Washington: A community-based public health model for chronic disease management and care

Wednesday, November 6, 2013 : 1:10 p.m. - 1:30 p.m.

Kim Nguyen, MSW, WithinReach, Seattle, WA
Poonum Dhokia, MPH, Hepatitis Education Project, Seattle, WA
Hepatitis B (HBV), the leading cause of infectious disease related morbidity & mortality, chronically infects 350 million people worldwide. With the rise of immigrant populations in the United States, the CDC now recommends HBV screenings for all individuals born in high endemic countries. However, data suggests that, due to cultural, linguistic, and socio-economic reasons, these prevention services are not widely utilized. This presentation will describe the yearlong hepatitis B preventative care program and its outcomes implemented in the adult African and Asian communities of Seattle Washington, where 89% of the population with HBV is foreign-born. HBV health services were provided on four levels: outreach (education), diagnosis (community-based screenings), prevention (community and clinic-based vaccinations), and managed care (referral). The project entailed collaborating with several key community leaders, who were involved with all elements of the program, including recruitment, event planning, and cultural support. In using a community-based public health approach for the African and Asian communities, we were able to successfully: 1) Provide education, screening & prevention services to a significant number of foreign-born adults with limited access to preventative health care. 2) Define a model for linkage-to-care hepatitis B services in Seattle, Washington. 3) Identify incentives and successful recruitment and retention strategies for clients. 4) Develop effective and sustainable partnerships with key medical and cultural community facilities to offer and expand managed health care for global populations.Community-based public health efforts where partnerships reflecting the focused populations and providers, and the true incorporation of their feedback have a greater chance for long term success.

Learning Areas:

Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Program planning
Public health or related nursing

Learning Objectives:
Describe a model for hepatitis B preventative and linkage-to-care services in cultural, community settings. Identify key steps to effectively collaborate with stakeholders to increase preventative health services in cultural communities.

Keyword(s): Community-Based Health Care, Hepatitis B

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I manage the Hepatitis B Coalition of Washington where I collaborate with community partners on health promotion and prevention efforts. I serve on the Steering Committee of the National Viral Hepatitis Roundtable and am the Vice Chair of the National Task Force on Hepatitis B: Focus on Asian Americans and Pacific Islanders. My interests and experiences focus on social justice and health disparities, primarily with the Asian Pacific Islander and East African communities.
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.