2009 Show Me the Data: Phase III Committee

Focus:

This committee tasks will include the following:

  • Develop a working definition of drivers for HIV in San Francisco, as well as a set of criteria for their selection.  Draft a list of drivers to be used in next Prevention Plan.
  • Identify the list of subpopulations and cofactors for inclusion in the next Priority Setting model using criteria developed in 2007.
  • Provide feedback to HPPC consultant (Harder & Co.) on draft Community Assessment chapter.
  • Review and potentially modify recommendations for the allocation of funds.
  • Review draft Priority setting chapter and provide feedback to Harder & Co.
  • Define Special Considerations box in the model.

HIP: HIV Intervention for Providers

The purpose of this study was to encourage health care providers to evaluate high risk HIV transmission behaviors and offer prevention messages to their HIV-positive patients. It was hypothesized that patients of providers participating in the HIP intervention would report higher reduction in sexual risk practices than patients of the providers who were randomized into the control condition.

Results after 6 months showed that patients whose providers were in the intervention group reported increased discussion of sexual activity and safer sex with their providers. These patients also reported fewer numbers of sexual partners than patients whose providers were in the control group. Read the publication abstract for HIP.

Multiple/Unspecified Substances

HIV Prevention Planning Council

The HIV Prevention Planning Council (HPPC) sets priorities for HIV prevention in San Francisco. Members of this group are from local communities, agencies and government, and they reflect San Francisco’s diverse population.

The Council uses information about the local epidemic to decide which populations are in greatest need of HIV prevention services and to determine the best ways to meet those needs with the available resources. These decisions guide funding of programs and services by the San Francisco Department of Public Health HIV Prevention Section.

The majority of the HPPC’s work is done in task-oriented work groups that have specific objectives and are time limited. Work groups are created to address specific topic areas relevant to the work of the Council’s scope of work. Members of the work groups include both council and non-council members with interest and/or expertise in the topic areas.

Currently, the HPPC is in the process of merging with the HIV Health Services Planning Council (HHSPC) with the purpose of ensuring a continuum of HIV services for community members at risk for and living with HIV. May 23rd is the estimated date for merging.

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CIAO

Through CIAO (California Intervention for Academic Detailing on Opioids), SFDPH is training and supporting rural California counties in developing and implementing academic detailing of primary care providers on safe opioid prescribing, co-prescription of naloxone, and buprenorphine treatment.

2011 Special Meeting Jurisdictional Prevention Planning Work Group

The Special Jurisdictional Prevention Planning Work group is tasked with creating a jurisdictional HIV prevention plan to include:

(1)   A description of existing resources for HIV prevention services, care and treatment and key features on how the prevention services, interventions, and/or strategies are currently being used or delivered in the jurisdiction

(2)   Need (e.g., resources, infrastructure, and service delivery)

(3)   Gaps to be addressed and rationale for selection

(4)   Prevention activities and strategies to be implemented within the jurisdiction

(5)   Scalability of activities

(6)   Responsible agency/group to carry out the activity (i.e., Prevention Unit, Ryan White-funded agencies, and Housing Opportunities for People Living with AIDS (HOPWA))

(7)   Relevant timelines

Network of Meth Users

In this street-based survey, 89 meth using MSM were asked details about their most recent meth use episode, including who they used with, their relationship with others they used with, where they used, and their sexual activity while on meth.

We found that most were high more than 24 hours, and three-fourths received at least some meth free.  Most had tried to quit using meth, yet never received treatment services. MSM are using meth with multiple partners and engaging in high-risk sex with these meth-using partners. Sexual risk behavior was higher among HIV-positive men in the sample.