Transcript School Screening for STD/HIV

High School-Based STD/HIV
Screening Efforts
Puerto Rico, 2006-2007
STD/HIV/AIDS Prevention Division
Infertility Prevention Project
Objectives



Describe the STD/HIV screening protocol
developed by STD/HIV/AIDS Prevention
Division
Present strategies used and screening
process
Summarize findings
Background



8% of the total population of Puerto Rico
(304,688) is between the ages of 14 to 18
years old*,
49% are females*
Total enrollment for public high schools in
2006 was 118,459 students
* Census 2000
Percent
Comparison between students from 9th to 12th Grade of Publics Schools of
Puerto Rico
who are sexually active during 2005
Department of Education
SAN JUAN, PUERTO RICO, 2006
100
90
80
70
60
50
40
30
20
10
0
33.2
1991
36.8
31.0
1995
1997
Year
37.6
28.3
2001
2005
1991
1995
1997
2001
2005
Background
Department
of
Education
PRDOH
STD/HIV Prevention
Bayamón
Mayagüez
Arecibo
Ponce
News Coverage
News coverage of collaborative
agreement between Secretary of the
Department of Health Dr. Rosa Perez
Perdomo and Secretary of the
Department of Education Dr. Rafael
Aragunde. September 2006.
Coordination Process
PRDOH
Prevention
Personnel
Teachers
School
Director
Parents
School
District
Students
STD/HIV Screening Flow Chart
STD/ HIV Health
Education
Registry and
filling of lab slip
STD/HIV Pre-test Counseling
by DIS and signing of consent
Student
Tests results distribution
and
Referral for Treatment
Chlamydia
and G/C sample
Syphilis and HIV
blood samples
Teachers’ Presentation
Health
Education
Registration
STD/HIV Pre-test Counseling
by DIS and Signing of Consent
Chlamydia and Gonorrhea testing
Syphilis and HIV blood sample
collection
RESULTS
Numbrer of tests
STD/HIV Screening
1170
1165
1160
1155
1150
1145
1140
1135
1130
1125
1120
Ct/GC
1162
HIV/ VDRL
1167
1115
1110
1105
1100
Type of test
Source: Puerto Rico IPP 2006-2007
Ct/GC
HIV/VDRL
Distribution by Gender in CT/GC tests
(n=1162)
41%
59%
M
Source: Puerto Rico IPP 2006-2007
F
Chlamydia Test Results Distribution
by Site
Positive test results of
Chlamydia
Total tests of CT/GC
Site
M
F
Total
M
F
Total
% Positivity
1
30
65
95
1
7
8
8%
2
39
39
78
1
9
10
13%
3
41
75
116
0
7
8
7%
4
31
52
83
0
2
2
2%
5
57
72
129
0
0
0
0%
5
81
124
205
0
7
7
3%
7
106
169
275
7
14
21
8%
8*
90
91
181
1
8
9
5%
Total
475
687
1162
9
46
56
5%
* We are still receiving results from this site
STD Clinic Coverage
Arecibo
Bayamón
Isabela
Toa Baja
Metro
(CLETS)
Caguas
Juncos
Fajardo
Mayagüez
Humacao
Ponce
Guayama
HIV/STD Clinics: Fajardo, CLETS, Caguas, Bayamón, Mayagüez
STD only: Juncos, Ponce, Arecibo, Humacao, Guayama, Isabela and Toa Baja
Labs: Metro (San Juan), Ponce and Mayagüez
Achievements
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Development of a unique public health
initiative
Positive response of the students
All CT cases have been treated promptly
Reaching priority target group for IPP
Higher awareness about CT and GC
among high school students
Challenges

Fiscal and Human Resources

Time Consuming
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School Dynamics
Thank you for your attention!