The findings and conclusions in these presentations have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or policy.

Tuesday, May 9, 2006 - 10:45 AM
16

Building on What Works: A statewide local capacity-building approach for the primary prevention of STDs

Amy Smith1, Paul Gibson2, Jasmin Delgado3, Sandra Rose1, Jennifer Rudy1, Sharla Smith4, Alice Gandelman1, and Gail Bolan5. (1) Disease Prevention Section, California Department of Health Services, STD Control Branch, 300 Frank H. Ogawa Plaza, Suite 520, Oakland, CA, USA, (2) STD Control Branch, California Department of Public Health, 645 S. Bascom Avenue, Room 163, San Jose, CA, USA, (3) STD Control Branch, California Department of Public Health, STD Control Branch, 3374 E. Shields Ave., Rm C14, Fresno, CA, USA, (4) School Health Connections/Healthy, California Department of Education, 1430 N Street, Suite 6408, Sacramento, CA, USA, (5) STD Control Branch, California Department of Health Services, 850 Marina Bay Parkway, Building P, 2nd floor, Richmond, CA, USA


Background:
Among the core components of a comprehensive STD program, primary prevention is traditionally not well funded at the State or local health jurisdiction (LHJ) levels. In 2000, the STD Community Interventions Program (SCIP) was established by the California (CA) Chlamydia Action Coalition and the CA STD Control Branch to increase STD primary prevention services in 45 LHJs statewide.

Objective:
To enhance collaboration between health departments and community agencies serving STD prevention priority populations.
To increase local capacity to integrate STD prevention into current programs targeting adolescents and young adults.


Method:
SCIP conducted youth services assessments in LHJs. State staff provided training and technical assistance (TA) to local SCIP Coordinators and agencies to address gaps via individual meetings and trainings that increased skills and collaboration in STD prevention interventions. An impact evaluation was completed in 11/05 evaluating programmatic changes for 9 school-based measures (e.g. STD screening), 12 community agency measures (e.g. staff STD knowledge), and 17 Coordinator skills (e.g. program planning).

Result:
At least 44% of LHJs (n=44) reported increases in STD education/data in school lesson plans and STD knowledge of teachers/peer educators. At least 49% (n=44) reported changes in community program topics for efficiency/comprehensiveness and integration of STD education/data. Over half of respondents (n=40) reported being somewhat more or much more confident in finding STD/youth data (57%), explaining assessment results to community staff (58%), and identifying appropriate community agencies/resources (50%).

Conclusion:
SCIP substantially increased the capacity of LHJs to facilitate STD primary prevention by enhancing skills, expanding collaborations, and integrating STD prevention into a variety of school and community-based programs.

Implications:
Primary prevention of STDs is an essential function of comprehensive STD control programs. The SCIP capacity-building and inter-program integration approach increases the ability of LHJs to facilitate sustainable STD primary prevention activities at a reasonable cost through collaborations with existing programs serving priority populations.

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