Jessica Frasure-Williams, MPH Chief, STD/HIV Service Integration Unit

1. Funding and Evaluating DIS: California’s Evaluation of Utilization of DIS for Linkage to HIV Care Jessica Frasure-Williams, MPH Chief, STD/HIV Service Integration Unit STD Control Branch, California Department of Public Health National Coalition of STD Directors’ Annual Meeting Savannah, GA ∙ October 26-30, 2015

2. Overview Background Evaluation Measures and Methods Data Collection Local Health Jurisdiction Case Studies Next Steps

3. Background

4. HIV Prevention in STD Programs • HIV Case Finding • Linkage to HIV Care • Re-Engagement with HIV Care • PrEP

5. What are we measuring?

6. Data Collection STD Surveillance Data (CalREDIE) HIV Surveillance Data (Local)

7. Local Case Study #1: Identifying Co-Infected GC/HIV Cases for Follow-Up GC Case HIV Surveillance Data STD Surveillance Data SSuN Sample (2.5%) DIS does interview, PS, LTC, and enters outcome data GC=Gonorrhea, PS=Partner Services, LTC=Linkage to Care, SSuN=STD Surveillance Network

8. Local Case Study #2: Identifying Co-Infected GC/HIV Cases for Follow-Up GC Case STD Surveillance Data STD Surveillance Data HIV Surveillance Data DIS does interview, PS, links to LTC, and enters outcome data GC=Gonorrhea, PS=Partner Services, LTC=Linkage to Care

10. 32% Missing *Early Syphilis Cases, January-Present

11. 46% Missing *Early Syphilis Cases, January-Present

12. 6% Missing 80% Missing Confirmation *HIV+ Early Syphilis Cases, Jan -Present

13. Next steps Data quality assurance activities Linkage to Care Training for DIS (CA PTC) Joint STD/Office of AIDS Policy Letter Statewide LTC capacity assessment Time-motion study of DIS in 5 LHJs Outcome and cost analyses

14. Thank You! Heidi Bauer Nyisha Underwood Brett AugsJoost Rilene Ng Edwin Lopez Holly Howard Dennese Neal Brandy Maddox Marion Carter Contact Information Jessica.Frasure@cdph.ca.gov 510-231-7823