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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
2
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
3
HIV in Philadelphia
Source: AIDSVu
4
HIV in Philadelphia, by Race
Source: AIDSVu
5
HIV in Southwest Philadelphia
6
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
7
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
9
Source: Cnn.com
Feb 19, 2013
10
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
11
Youth and HIV Testing
Source: Generocity.org
12
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
13
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
14
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.”
15
Youth and Volunteers
Source: Generocity.org
Media and Youth
17
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.
18
19
Billboards
20
Health Annex and Business Signs
21
Signs in the Community
22
Website
www.1nething.com
23
Facebook and Twitter
24
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.
25
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!
26
Outreach Card
27
Door Knockers
Source: Generocity.org
28
Outreach
Sources: Generocity.org and the
Philadelphia Inquirer
29
Church Outreach and Mobilization
Conclusions
31
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
32
Learn More!
• 1nething.com
• www.facebook.com/do1nething
• twitter.com/1nething
• www.phillyfaithinaction.org
• www.facebook.com/PhillyFaithInAction
33
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

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Do One Thing Youth Engagement in an HIV Media, Testing and Treatment Health Campaign

  • 1. 1 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
  • 2. 2 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
  • 4. 4 HIV in Philadelphia, by Race Source: AIDSVu
  • 5. 5 HIV in Southwest Philadelphia
  • 6. 6 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
  • 7. 7 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
  • 10. 10 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
  • 11. 11 Youth and HIV Testing Source: Generocity.org
  • 12. 12 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
  • 13. 13 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
  • 14. 14 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.”
  • 17. 17 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.
  • 18. 18
  • 20. 20 Health Annex and Business Signs
  • 21. 21 Signs in the Community
  • 24. 24 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.
  • 25. 25 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!
  • 28. 28 Outreach Sources: Generocity.org and the Philadelphia Inquirer
  • 29. 29 Church Outreach and Mobilization
  • 31. 31 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
  • 32. 32 Learn More! • 1nething.com • www.facebook.com/do1nething • twitter.com/1nething • www.phillyfaithinaction.org • www.facebook.com/PhillyFaithInAction
  • 33. 33 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