“Integrating County Departments with Community-Based Providers to Reach HIV Positive Women in the Jails.”
Armida Ayala, MHA, Ph.D. & Marcela Sanchez, BACounty of Los AngelesDepartment of Health Services
CityMatCH Annual Urban Maternal & Child Health Leadership Conference
August 23-26, 2003Pittsburgh, PA
Background 4,082 Square Miles 9.8 Million Residents Proportion of State
Population: 28%
Proportion of State AIDS Cases: 35%
Living with HIV/AIDS: 53,000 (Estimated)
Population:Latino/a 44.6% White 31.1%Asian12.3%African-American 9.7%Native American 0.5%Pacific Islander 0.3%
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Background
Limited data on the number of HIV positive female inmates who are pregnant or of childbearing age
Lack of access to perinatal prevention of HIV transmission in jails.
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Objectives
Identify HIV positive female inmates in the jailsDevelop effective collaborations Integrate existing prevention of perinatal HIV
transmission efforts.
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Methods
Perinatal HIV Learning Cluster Team meetings Integrated surveillance, prevention and training Consolidation of data from PSD surveillance and
IMACS (Information Management for AIDS Cases & Services).
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Results
More than 60% of the female inmates were African American and Latino
Eighty five percent (85%) received a pre-release plan in the past 3-5 months
Only 6% received their HIV medications at this discharge from the jail.
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Conclusions
Successful identification of the target population Increased integration of surveillance, prevention,
case management and correctional systems Improved linkage to perinatal prevention of HIV
transmission education and related services Increased training of jail providers to include
prenatal prevention of HIV transmission education.
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Next Steps
Increase training among providers about perinatal prevention of HIV transmission
Enhance health outcomes to avoid recidivism in the jails
Improve case finding and follow-up Increase integration of surveillance and evaluation with
service planning and project monitoring Expand early detection and testing efforts with other
departments.
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