Online Program

Enhancing HIV Partner Services (PS) through Integration of HIV Surveillance Reporting

Tuesday, November 3, 2015

Maxwell Hellmann, BA, Surveillance, Epidemiology & Research Section, Centers for Disease Control and Prevention, Chicago Department of Public Health, Chicago, IL
Claudia Burgess, Surveillance, Epidemiology & Research Section, Chicago Deparment of Public Health, Chicago, IL
Stephanie Townsell, MPH, Surveillance, Epidemiology & Research Section, Chicago Department of Public Health, Chicago, IL
Issue: Partner Services (PS) covers a range of interventions for newly identified people living with HIV including counseling, linkage to care, and eliciting/testing partners. In order to decrease HIV transmission, rapid turnaround is required between testing and PS delivery. Resources to conduct PS are often scarce and health departments find it necessary to do more with less. This study demonstrates how collaboration between programs can enhance service delivery.

Description: Initiation of PS using HIV Surveillance data expands PS to include individuals reported by non-municipal sources. 2014 PS outcomes were examined according to established PS performance measures: 1) patients contacted within 30d of testing, 2) cases closed within 90d, 3) # partners identified/interview, and 4) # HIV tests as a result of PS.

Lessons Learned: In 2014, PS was offered within 30d to 88% of patients from Surveillance, versus 75% of all patients. For Surveillance-initiated cases, 71% were closed within 90d, versus 75% of all cases. PS resulted in 0.22 partners identified per Surveillance-initiated interview, versus 0.64 overall. Respectively, 25% and 28% of these led to HIV tests. Surveillance-initiated PS and other clinic-initiated PS activities achieve similar outcomes, with the exception of partners identified/interview. Collaboration between HIV Surveillance and Prevention programs expanded PS to new populations.

Recommendations:  Program collaboration resulted in expanded testing of undiagnosed individuals, without additional funding. This serves as a model for successful integration of programmatic activities as a mechanism to improve outcomes in an environment of diminishing resources.

Learning Areas:

Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Define HIV Partner Services, Explain effective Partner Service interventions, Describe collaboration across programs that can expand and enhance Partner Services, Compare effectiveness of HIV Surveillance-initiated Partner Services and municipal clinic-initiated Partner Services, Discuss potential for integrating activities to improve outcomes in an environment of diminishing resources

Keyword(s): HIV Interventions, Partner Involvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My position as a public health associate in the HIV Surveillance division of the Chicago Department of Public Health, and familiarity with the programs evaluated, makes me a qualified presenter for the subject matter discussed in this project. This presentation has emerged through collaboration with many of the subject matter experts within the health department, including Stephanie Townsell (Program Director of HIV Surveillance) and Nanette Benbow (Deputy Commissioner of the Division of HIV/AIDs).
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Chicago Department of Public Health HIV Surveillance, Epidemiology & Research Employment (includes retainer)

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.