Transcript National Evaluation Center Research on Training Transfer

Evaluation of the
AETC HIV Testing
Initiative
Background
• In 2006, revised recommendations for routine
HIV screening were released.
• AETCs have worked to increase awareness of
the new recommendations and improve the
capacity of clinics to conduct routine HIV
screening.
Evaluation of AETC Training and CBA
• Training and Capacity Building Assistance
(CBA) to enhance routine HIV screening was
provided to primary care clinics, labor and
delivery departments and emergency
departments.
• AETCs collaboratively developed a survey to
assess organization-level changes in the ability
to provide routine HIV screening.
Methods
• The survey was administered to clinic staff by
LPS or central office evaluators before and after
training and/or CBA.
• Clinic staff were asked:
• Whether and how they routinely tested patients.
• How many patients were tested in the last
month.
• About policies and procedures on screening
and linkage go care.
Participating Regions
• Midwest AETC
• Mountain-Plains AETC
• New York/New Jersey AETC
• Pacific AETC
• Southeast AETC
• Texas/Oklahoma AETC
Data Collection
• Organizational assessments were
conducted between September 2008 and
August 2009.
• Baseline data was collected from 49 sites.
• Follow-up data was collected from 16 sites.
• 33% response rate.
RESULTS: More testing
• Clinics receiving CBA were significantly more
likely to include a program of routine HIV
screening compared to those that did not
receive CBA.
• After AETC capacity building assistance (CBA)
was delivered, the number of clinics offering
routine testing increased by 30% (p<.05).
RESULTS: Clinic Policies
• Respondents reported developing policies and
procedures to ensure enhanced testing.
• After AETC capacity building assistance (CBA)
was delivered, the number of clinics with
policies on routine testing increased by 29%
(p<.10).
RESULTS: Improved linkage to care
• After AETC CBA was delivered, the number of
clinics with a formal plan for linking HIV+ to care
increased by 34% (p<.01).
• Linkage was most successful when a primary
care clinic was co-located in a site with an HIV
clinic or had existing relationships with HIV
service providers in the community.
Conclusion
• Overall, the AETC Testing Initiative achieved:
• Increasing the frequency with which patients
are routinely offered HIV testing.
• Improving systems for ensuring linkage to
care when patients are newly found to be
infected with HIV.