high school-based std/hiv screening efforts puerto rico, 2006-2007 std/hiv/aids prevention division...
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High School-Based STD/HIV High School-Based STD/HIV Screening Efforts Screening Efforts
Puerto Rico, 2006-2007Puerto Rico, 2006-2007
STD/HIV/AIDS Prevention STD/HIV/AIDS Prevention DivisionDivision
Infertility Prevention ProjectInfertility Prevention Project
ObjectivesObjectives
Describe the STD/HIV screening Describe the STD/HIV screening protocol developed by STD/HIV/AIDS protocol developed by STD/HIV/AIDS Prevention Division Prevention Division
Present strategies used and Present strategies used and screening processscreening process
Summarize findingsSummarize findings
BackgroundBackground
8% of the total population of Puerto 8% of the total population of Puerto Rico (304,688) is between the ages Rico (304,688) is between the ages of 14 to 18 years old*,of 14 to 18 years old*,
49% are females*49% are females* Total enrollment for public high Total enrollment for public high
schools in 2006 was 118,459 schools in 2006 was 118,459 studentsstudents
* Census 2000* Census 2000
Comparison between students from 9th to 12th Grade of Publics Schools of Puerto Rico
who are sexually active during 2005Department of Education
SAN JUAN, PUERTO RICO, 2006SAN JUAN, PUERTO RICO, 2006
33.2 36.831.0
28.337.6
0
10
20
30
40
50
60
70
80
90
100
1991 1995 1997 2001 2005
1991
1995
1997
2001
2005
Year
Perc
ent
San Juan
BackgroundBackground
Departmentof
Education
PRDOHSTD/HIV Prevention
Aguadilla
May
agüe
z
Arecibo
Ponce
Bayamón
Cagua
s
Fajardo
News CoverageNews 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 ProcessCoordination Process
PRDOH Prevention Personnel
School District
School Director
Teachers
Students
Parents
STD/HIV Screening Flow STD/HIV Screening Flow ChartChart
Student
Syphilis and HIV blood samples
Registry and filling of lab slip
Chlamydia and G/C sample
STD/HIV Pre-test Counseling by DIS and signing of consent
STD/ HIV Health Education
Tests results distribution and
Referral for Treatment
Teachers’ PresentationTeachers’ Presentation
Health Health EducationEducation RegistrationRegistration
STD/HIV Pre-test Counseling STD/HIV Pre-test Counseling by DIS and Signing of Consent by DIS and Signing of Consent
Chlamydia and Gonorrhea Chlamydia and Gonorrhea testing testing
Syphilis and HIV blood sample Syphilis and HIV blood sample collectioncollection
RESULTSRESULTS
STD/HIV ScreeningSTD/HIV Screening
Source: Puerto Rico IPP 2006-2007
Ct/GC 1162
HIV/ VDRL 1167
1100
1105
1110
1115
1120
1125
1130
1135
1140
1145
1150
1155
1160
1165
1170
Nu
mb
rer
of
tes
ts Ct/GC
HIV/VDRL
Type of test
Distribution by Gender in CT/GC Distribution by Gender in CT/GC teststests
(n=1162)(n=1162)
Source: Puerto Rico IPP 2006-2007
59%
41%
M F
Chlamydia Test Results Chlamydia Test Results Distribution by SiteDistribution by Site
Site
Total tests of CT/GCPositive test results of
Chlamydia
% PositivityM F Total M F Total
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 11621162 9 46 5656 5%5%
* We are still receiving results from this site
STD Clinic CoverageSTD Clinic CoverageMetro (CLETS)
Fajardo
Bayamón
Toa Baja
Arecibo
Isabela
Mayagüez
Caguas
Juncos
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
AchievementsAchievements
Development of a unique public health Development of a unique public health initiativeinitiative
Positive response of the studentsPositive response of the students All CT cases have been treated All CT cases have been treated
promptlypromptly Reaching priority target group for IPPReaching priority target group for IPP Higher awareness about CT and GC Higher awareness about CT and GC
among high school studentsamong high school students
ChallengesChallenges
Fiscal and Human ResourcesFiscal and Human Resources
Time ConsumingTime Consuming
School DynamicsSchool Dynamics
Thank you for your Thank you for your attention!attention!