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Learning Objective:
By the end of the presentation, participants will be able to:
• Describe how involved partners achieve effectiveness
• Identify the unique contributions of Fort Peck VHIP partners
Background:
The CDC Division of Viral Hepatitis funds the Fort Peck Viral Hepatitis Integration Project (VHIP) through the Indian Health Service (IHS). This VHIP developed a cross-cutting screening, immunization and referral program for high-risk clients in non-traditional settings. It represents an effective Indian healthcare approach to disease prevention.
Setting:
Integrated services provided by IHS clinic and tribal health department staff occur at a tribal correctional facility and youth detention center in Poplar, Montana.
Population e.g. API Youth, MSM, IDU:
Volunteer AI/AN adults and juveniles resident at either facility.
Project Description:
On-site screening and testing for hepatitis and HIV began in February 2004. Patients are offered a risk factor assessment accompanied by a hepatitis prevention education session. Based on testing, patients are referred for hepatitis A (HAV) and hepatitis B (HBV) vaccination. Collaboration with the state STD prevention office has resulted in addition of chlamydia testing.
The project overcame jurisdictional and procedural hurdles common in tribal communities via agreements made between the IHS, tribal organizations and the state health department.
Results/Lessons Learned:
- The complexity of the project is derived from a sovereign Tribal government working with multiple US State and Federal governmental entities that have their own jurisdictional and regulatory requirements.
-Including multiple clinic departments in planning processes led to project buy-in despite its impact on personnel workload.
-The project obtained tribal government support. Input from local leaders was crucial to addressing complex behavioral, legal and public health issues. The managing staff of the partner organizations were brought in to determine direction and create ownership of the project.
- Partner participation can leverage scarce resources into comprehensive programs that meet local needs.
See more of Poster Session #2
See more of The 2005 National Viral Hepatitis Prevention Conference