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Do One Thing: A neighborhood-based approach for HIV/HCV
outreach, testing, and treatment
Annajane Yolken Do One Thing Manager
April 7,8 & 9, 2013 San Francisco, CA
Sixth Annual Conference on Youth + Tech + Health
April 7,8 & 9, 2013 San Francisco, CA
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HIV in Philadelphia • 1.1 million people in the US are infected with HIV • Rates in Philadelphia are five times the national average • African Americans represent 70% of new infections in Philly
– Yet, only 44% of the population • Majority of HIV transmitted via heterosexual sex • Stark geographic and racial disparities in HIV infection • Zipcode 19143 has the greatest number of people living with HIV
– And some of the fewest testing resources
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HIV in Philadelphia
Source: AIDSVu
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HIV in Philadelphia, by Race
Source: AIDSVu
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HIV in Southwest Philadelphia
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Do One Thing Overview • Southwest Philadelphia, PA is a medically
underserved area with high rates of HIV infection & few testing and treatment services.
• Do One Thing is a test and treat campaign that stimulates demand for and provides HIV outreach, testing, and treatment across an entire zipcode (19143) and beyond
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Do One Thing Overview, cont. • A large-scale social marketing and media campaign • Community outreach and mobilization • Partnerships with business, community organizations, and
faith institutions • A partnership with a federally qualified health center in
Southwest Philadelphia to provide routine testing to all patients over age 13 (“Health Annex”)
• Rapid HIV and HCV testing in a mobile unit and door-to-door testing
• Community service and volunteer trainings • Robust monitoring and evaluation • Linkage to care for all who test positive
Youth and HIV/HCV testing
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Source: Cnn.com Feb 19, 2013
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Youth and HIV Testing • Great uptake on HIV testing by youth (13-
21) – Over 100 tests people <18 – Over 150 tested 18-24 – Total of 30%!
• About .8% seropositivity in youth • Lack of stigma • Will bring their friends
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Youth and HIV Testing
Source: Generocity.org
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Youth and HCV Testing • Over 70 HCV tests to people <24 • 0% seropositivity • HCV much more common in older people
– CDC recommends baby boomers all get tested • High prevalence of tattoos and tattoo parties
in youth– HCV risk factor • Importance of bundling HIV and HCV test
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Youth and Volunteers • Cadre of over 70 volunteers
– Undergraduates, graduate, and medical students
– Intensive training on HIV/HCV testing and counseling, as well as health disparities
– Goal to train next leaders in HIV/HCV and health disparities
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Youth and Volunteers – 85% say “very satisfied” or “satisfied” with how Do
One Thing has enhanced their exposure to community work and health disparities.
– One volunteer noted: “In love with this program, and can't wait til my 4th year of school so I can help out again! My only wish would be to have more time out of clinics so I could come more, but I think the ground you are gaining speaks volumes to the importance and community acceptance of D1T.”
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Youth and Volunteers
Source: Generocity.org
Media and Youth
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Media • Media is a great way to reach out to youth • Uniworld designed creative • Media portfolio includes:
– Facebook, website, promo materials, yard signs, outreach cards, door hangers, HIV and HCV educational cards, billboards, text messaging service, quarterly electronic newsletter, etc.
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Billboards
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Health Annex and Business Signs
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Signs in the Community
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Website
www.1nething.com
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Facebook and Twitter
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Media takes Work! • Part-time Communications Coordinator • Daily Facebook posts and Tweets • Google results • Media begets Media
– CNN, WHYY, Philadelphia Inquirer, Philadelphia Tribune, Associated Press, etc.
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Street Outreach • Important way we get youth is through
street outreach – Especially in summer
• Approach with information about testing in mobile unit
• Also at health fairs, youth rallies, etc. • Youth hang out on the street!
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Outreach Card
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Door Knockers
Source: Generocity.org
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Outreach
Sources: Generocity.org and the Philadelphia Inquirer
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Church Outreach and Mobilization
Conclusions
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Conclusions • Comprehensive, innovative strategies are
needed to address health disparities in HIV infection
• Youth are willing to get tested for HIV and HCV
• Need to reach youth via media and street outreach
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Learn More! • 1nething.com • www.facebook.com/do1nething • twitter.com/1nething • www.phillyfaithinaction.org • www.facebook.com/PhillyFaithInAction
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Acknowledgements • Dr. Amy Nunn and Dr. Stacey Trooskin • Julia Harvey– Media Coordinator • Gladys Thomas and the rest of the Do One
Thing Team • The Miriam Hospital and the
Brown/Tufts/Lifespan CFAR • Gilead Sciences Inc. and the HIV FOCUS program • Ibis and YTH Live
Thank You