Data Driven Targeting and Recruitment

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Data Driven Targeting and Recruitment Part One: Virginia Department of Health Jillian Casey NASTAD Joe Caldwell NASTAD April 18, 2016 Ambrose Delpino Walgreens Heather Bronson Virginia Department of Health Eric Mayes Virginia Department of Health

Webinar Participant Considerations Phone lines Lines will be muted until dedicated question time. Please do not put your call on hold. Verbal Questions There will be dedicated time for questions. Please wait until the Q & A section to ask questions on the phone. Please identify yourself when asking a question or providing a comment. Written Questions Participants have the ability to submit written questions during the webinar using the Chat function Evaluation Following the webinar, participants will be taken to a website to complete a brief survey to provide feedback on the webinar. 2

Webinar Outline 1. NASTAD s Data Driven Targeting and Recruitment Toolkit 2. Virginia s Home-based Testing Program Eric Mayes, Virginia Department of Health Heather Bronson, Virginia Department of Health 3. Routine Testing Partnership with Walgreens in Virginia Ambrose Delpino, Walgreens 4. Audience Q&A and Discussion 3

Introducing NASTAD s new HIV Testing Toolkit Data Driven Targeting and Recruitment Previously featured: 1) Selecting a Strategy 2) Productivity & Yield Analysis 4

Data Driven Targeting and Recruitment Maximizing returns Targeting Recruitment Monitoring and Improvement Courtesy of North Carolina Department of Health 5

Targeting and Recruitment: In Action Identify who is most at risk for HIV transmission Assess influencing factors for HIV transmission Define pertinent risk behaviors within identified populations 6

Targeting and Recruitment: In Action Utilize population, outreach service, and other data to identify relevant geographic information Identify where focus populations are meeting and engaging in risk behaviors Where does focus population access health information 7

April 18, 2016 Eric Mayes, PrEP Coordinator Heather Bronson, Community HIV Testing Coordinator

In-Home Testing: Genesis of the Program The Division of Disease Prevention has a no wrong door policy for HIV Testing and the In- Home HIV Testing Program was a natural extension of the Commonwealth s multipronged approach to HIV testing. The Virginia Department of Health Division of Disease Prevention

In-Home Testing: How It Works Respondents click on targeted Facebook ad Take HIPAA-compliant survey Provide name and address Receive a discreetly wrapped free, in-home HIV test kit.

In-Home Testing: What We Found 730 people started the survey 95 were ineligible for a test 199 dropped out along the way 438 people received an HIV test kit

Race/Ethnicity of Respondents In-Home Testing: What We Found 9% 58% 29% 29 10% Average Age of Respondent

In-Home Testing: What We Found Number of Sexual Partners in the last 12 months 20 % had 1 sexual partner 40 % had 2 to 5 sexual partners in the last year 20 % had 5 to 10 sexual partners 20 % had 10 or more sexual partners

In-Home Testing: What We Found Gender of Sexual Partners

In-Home Testing: What We Found Drug Use: 6% used opiates 34% used marijuana 58% used alcohol 6% used cocaine 3% used amphetamines

In-Home Testing: What We Found Hook Ups: 161 met sexual partners at bars or clubs 219 met sexual partners at social gatherings 219 met sexual partners through social media 417 met sexual partners on location based apps

In-Home Testing: What We Found Knowledge of PrEP

In-Home Testing: What We Found Results 1.1 % positivity rate 80 % Linkage to Care

In-Home Testing: Lessons Learned Higher positivity rate indicates that the In-Home testing program is reaching individuals at high-risk for infection Reaching more men, specifically MSM Eliminating transportation barriers Allows individuals to avoid stigma as a barrier Kits include local resources for follow-up testing, care, prevention services and PrEP

Thank You! Eric Mayes, PrEP Coordinator 804.864.7903 Eric.Mayes@vdh.virginia.gov Heather Bronson, Community HIV Testing Coordinator 804.864.8040 Heather.Bronson@vdh.virginia.gov

PHARMACY-BASED HIV TESTING A COST-EFFECTIVE MODEL FOR HIV PREVENTION April 18, 2016 Heather Bronson (VDH) & Ambrose Delpino, PharmD (Walgreens)

Origins of VA s Pharmacy Testing Program Partnership with Walgreens through competitive negotiation process Store-selection based on social and structural determinants of health Increasing access and reducing transportation barriers Normalizing HIV testing alongside other routine health screenings Increasing the number of options available for HIV testing

Overview of Program

Men account for

Tests by Age Group

Positives by Age Group

Tests by Race/Ethnicity

When are people getting tested?

Pandora Online Radio Advertising

Time is Money! One-minute test allows pharmacists to fit in HIV testing with routine pharmacy duties HIV testing requires a minimal amount of pharmacist s time VDH referral resources and support are immediately available for pharmacists and reactive clients Advertising on technology-based platforms can support Walgreens HIV testing

Thank you! Heather Bronson, Community HIV Testing Coordinator, VDH Heather.Bronson@vdh.Virginia.gov (804) 864-8020 Ambrose Delpino, PharmD, Virology Senior Manager, Walgreens Ambrose.Delpino@walgreens.com (847) 687-4957

Questions Verbal Questions Press *7 to unmute Press *6 to re-mute Please identify yourself Written Questions Submit using chat If you have questions regarding this webinar, please contact Joe Caldwell (jcaldwell@nastad.org) 39

Thank you! 40