Evaluation Report of the Community Development Block Grant (CDBG)-Funded HIV/AIDS Prevention Initiative 2007-2008 Sonia Alemagno, Ph. D. Peggy Shaffer-King, MA Institute for the Study and Prevention of Violence Kent State University 330.672.6501 salemagn@kent.edu eshaffe6@kent.edu January, 2009
Evaluation of CDBG HIV Prevention Programs Annual Report July 2007 June 2008 Table of Contents Introduction.3 General Report Site.4 Race.5 Sexual Orientation.6 Gender.7 Education.8 Age..9 Zip Codes.0 Knowledge Scale 2 HIV Risk Scale 3 HIV Risk by Knowledge 4 Results Summary and Recommendations 15 Individual Site Reports AGAPE Client 7 AGAPE Training.24 AIDS Taskforce.27 Free Clinic.32 LGBT Center..39 May Dugan..46 NEON.54 Proyecto Luz.62 Transitional Housing.69 Attachment I Client Survey.75 Attachment II Training Survey.78 2
INTRODUCTION In 2007, the Cleveland Department of Public Health (CDPH) and the AIDS Funding Collaborative (AFC) partnered to initiate an intensive evaluation of the HIV prevention programs funded through Community Development Block Grant (CDBG) dollars that CDPH administers. In order to maximize the impact and value of the evaluation, it was designed to span two years and to incorporate extensive technical assistance for the community agencies providing the HIV prevention programming and collecting the evaluation data. The Institute for Health and Social Policy (IHSP) at the University of Akron was contracted with to design and conduct the evaluation, in partnership with CDPH and AFC, and provide technical assistance. The first year of the evaluation, July 2007-June 2008, focused heavily on 1) establishing measurable objectives for each goal of the prevention programs, and 2) designing and implementing a standard data collection instrument to be used across all funded programs focused on documenting the HIV knowledge, HIV risk factors, and demographic information for all clients served by the CDBG-funded HIV prevention programs. It should be noted that several of the funded programs engaged in a variety of prevention activities so the evaluators worked to help specify prevention goals for each of these activities. Several additional activities were included in the first year of the evaluation. A webbased reporting system was developed by the IHSP. The web-based reporting system was implemented so that each agency could identify their individual goals and then report the number of clients served by each goal. In addition, a process was begun to develop a single instrument that would collect knowledge, risk and demographic data and would be used by all agencies. One goal of the new instrument was that it could be scanned, thus reducing data entry time and errors. During the course of the first year CDBG funded agencies and management team (CDPH, AFC, IHSP) worked through several version of the instrument to achieve the final version of the instrument. In addition IHSP staff provided numerous site visits to each agency as they worked at implementing the new instrument and achieving their unique goals. Data was collected by each agency and picked up monthly by IHSP staff for scanning into a data base. Data analysis was provided quarterly to the management team during the first year. This report presents data on the first year of this two-year evaluation of the CDBG HIV prevention programs at eight sites. Program descriptions and program objectives for each of the sites are described in the individual site reports in the second half of the report. Data for clients reflects seven sites. Client data from the AIDS Taskforce s CDBGfunded program is not reflected in this analysis as it is focused on professional capacity building training rather than client-level prevention programming. This report is intended as an overall summary of program achievements targeted at clients. It presents aggregate data and also site-specific client data. Analysis is focused on the risk factors and knowledge of clients served specifically related to HIV. 3
DEMOGRAPHICS OF CLIENTS REACHED In the 2007-2008 grant year, over 6,000 clients were reached with CDBG-funded HIV programming, and 2,689 of these completed the data collection instrument. The discrepancy between the number of clients served and the number of surveys collected is due to a number of factors. First, there was a delay in the start of data collection while the survey instrument was developed. Second, it took some time for sites to establish a reliable system for data collection. Third, the evaluation plan did not require data collection for some funded activities. The table below presents detailed information about those who completed the survey. May Dugan 19% Proyecto Luz 5% Site AGAPE 0% LGBT 3% NEON 13% Transitional Housing 52% Free Clinic 8% SITE Frequency Percent AGAPE 12.4 LGBT 76 2.8 Transitional Housing 1401 52 Free Clinic 208 7.7 NEON 356 13.2 May Dugan 513 19 Proyecto Luz 123 4.6 Total 2689 100.0 Given the variability in the type and reach of prevention programming conducted by the various sites, we did expect as the data reflect that some sites would reach many more clients than others. Since the contribution in terms of client numbers across sites is highly variable, any program-wide results should be interpreted with caution. However, aggregate data represents the collective efforts of the CDBG HIV prevention program to serve a target population and can be used for general planning purposes. 4
Also, it should be noted that due to several pilot versions of the survey questionnaire, full data on all variables is not available. For some variables in the database, responding clients left answers blank. In these cases, blank responses were eliminated from the analyses. The annual demographic profile is presented below, including race 1, sexual orientation, gender, educational level, and age (again, adjusted for the various versions of the survey questionnaire). As reported below, we also collected zip code data from clients to assess the geographic reach of the programs. RACE Frequency Percent Black-African American 1444 59.0 White 527 21.5 Other Multi Racial 205 8.4 Black-African American & White 94 3.8 Asian 58 2.4 American Indian-Alaskan Native 48 2.0 Asian & White 33 1.3 American Indian-Native American & Black 23.9 Native Hawaiian-Other Pacific Islander 16.7 Total 2449 100.0 1 Definitions of racial categories was dictated by federal government H.U.D. race reporting requirements. 5
Sexual Orientation Frequency Percent Heterosexual 1620 72.9 Bisexual 245 11.0 Gay 194 8.7 Lesbian 162 7.3 Total 2221 100.0 6
Gender Frequency Percent Female 1453 56.8 Male 1067 41.7 Transgender 34 1.3 Transgender M2F 2 Transgender F2M 2 Total 2558 100.0 7
Education Frequency Percent Less than a high school diploma 776 30.6 High school diploma or GED 911 35.9 Some college 677 26.7 College degree 121 4.8 More than a college degree 51 2.0 Total 2536 100.0 8
Age Frequency Percent 18 and under 515 19.9 19-24 489 18.9 25-29 582 22.5 30-39 504 19.5 40-49 351 13.6 50-59 130 5.0 60 and above 14.5 Total 2585 100.0 9
Zip Codes ZIP Freq. % ZIP Freq. % ZIP Freq. % 43420 43449 43452 43506 43512 43567 43602 43605 43607 43609 43611 43623 44001 44022 44023 44024 44035 44050 44052 44055 44056 44067 44070 44077 44081 44084 44092 44094 44100 44101 44102 44103 44104 3 1 1 2 1 1 1 3 1 2 1 1 1 1 1 1 5 1 3 2 2 1 4 6 2 1 2 1 1 13 104 141 94 1.2.2.3.2.2.3.8 6.0 8.2 5.4 44105 44106 44107 44108 44109 44110 44111 44112 44113 44114 44115 44116 44117 44118 44119 44120 44121 44122 44123 44124 44125 44126 44127 44128 44129 44130 44132 44134 44135 44136 44137 44138 44139 44141 96 88 27 118 33 53 27 52 185 183 40 2 15 21 5 60 21 23 5 10 13 6 11 80 10 8 8 8 5 2 8 4 3 2 5.6 5 1.6 6.8 1.9 3 1.6 3.0 10.7 10.6 2.3.9 1.2.3 3.5 1.2 1.3.3.6.8.3.6 4.6.6.5.5.5.3.5.2.2 44143 44144 44146 44147 44182 44195 44212 44253 44256 44264 44267 44281 44287 44303 44305 44306 44310 44485 44685 44705 44730 44805 44811 44830 44840 44857 44870 44903 44905 45065 45118 45496 45701 Other 3 12 13 3 1 1 1 2 2 1 1 3 1 1 1 1 1 1 1 1 1 1 1 1 1 2 4 3 1 1 1 1 2 19.2.7.8.2.2.2.2 1 Several things should be noted concerning zip codes for clients served by CDBG-funded agencies. First eight hundred and thirty-two respondents (30.9%) reported no permanent address and consequently no zip code. Second, out of the 100 plus zip codes reported by clients served by CDBG projects, 16 account for 80% of the clients served. These 16 zip codes represent Cleveland proper and adjacent communities. 10
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CLIENTS HIV KNOWLEDGE AND RISK In order to examine the key concepts of HIV knowledge and HIV risk, we calculated two new scale variables. The knowledge and risk scales were not calculated for The AIDS Taskforce of Great Cleveland because this agency is exclusively involved in a training program for professionals. The knowledge scale variable was based on 10 knowledge questions that appeared consistently in all version of the instrument. Therefore, a client s knowledge score could range from 0-10, with 0 being the lowest knowledge and 10 being the highest. Aggregate results showed that the majority of clients served this year across programs had high or relatively high knowledge. In fact, 62% of those reached in the program scored a 7 or higher on the HIV knowledge scale. Over one-third scored 9 or 10 out of 10. This suggests that spending a significant portion of time during these HIV prevention programs on key HIV knowledge may not be an efficient effort, and time could be better used to address other knowledge issues or behavioral risk. Knowledge Frequency Percent Cumulative Percent Score 0 12.5.5 1 16.7 1.2 2 93 3.8 5.0 3 210 8.6 13.6 4 186 7.6 21.2 5 209 8.6 29.8 6 209 8.6 38.4 7 241 9.9 48.3 8 325 13.3 61.6 9 649 26.6 88.2 10 290 11.8 100 Total 2440 12
HIV risk was calculated based on three concepts- self-report of multiple sex partners, self-report of not using a condom all of the time, and self-report of having ever injected illicit drugs. While other risk factors will be included in year 2 data analyses, these three variables were consistent across year one data collection. Therefore, for this risk scale, scores range from zero to three. Examining the valid data percents (adjusted for missing data), we find that overall, almost one-third (32%) of clients served during the first year self-reported 0 or no risk on the HIV risk scale and an additional one-third (37%) indicated one risk factor. Therefore, one could conclude that over two-thirds of the clients served during this year (based on the criteria we have available) self-report 1 or less risk factors for HIV. Risk Frequency Percent Score 0 712 31.9 1 820 36.7 2 552 24.7 3 148 6.6 Total 2232 100.0 All Sites Scale N Mean Std. Deviation Std. Error Knowledge 2440 6.93 2.487.050 Risk 2232 1.0609.91005.01926 13
If we conceptualize these variables into lower and high based on the cut-offs conceptualized below, we can examine four distinct target groups (low knowledge was determined by answering 0 to 6 of the questions correctly; lower risk was determined by having zero and 1 risk factor): Low Knowledge, High Risk (highest risk population) High Knowledge, High Risk Low Knowledge, Lower Risk High Knowledge, Lower Risk (lowest risk population) Based on this conceptualization, we can conclude from the annual data that the overall program clients reached included only 327 clients at low knowledge and high risk (that is, 15.5% of the population reached by the program were in the highest risk category). While this categorization allows for some general assessment of clients overall risk levels, it does have limitations. For instance, our understanding of the concept of community viral load (i.e. both the prevalence of HIV in a community and the degree to which those who are HIV+ have access to medical care which can lower their level of virus) tells us that a client with lower risk according to this scale may in fact be at high risk for acquiring HIV if the community viral load in her/his social network is high. Number Percent Lower Risk-Low Knowledge 422 20.0 High Risk-Low Knowledge 327 15.5 Lower Risk-High Knowledge 1021 48.5 High Risk-High Knowledge 336 16.0 Total 2106 100.0% 14
Results Although the results indicate that many clients served under this program indeed do not report the risk factors examined, this may be due to true lower risk or a reluctance to report risk behaviors. In terms of knowledge, the results do indicate that the majority of clients served have high HIV knowledge of the items in the knowledge scale. This may demonstrate the historic focus of the overall program on health education and the relative success within these programs to address knowledge gaps. These overall program results indicate that the program could benefit from examining the target populations being reached and tailoring programming accordingly. For instance, those clients with high risk and high knowledge might be best served by interventions focused on behavior change. While risk-knowledge results for individual sites vary, overall, the CDBG agencies are reaching a substantial group of clients who report one or no risk factors for HIV. Each agency was asked to develop objectives based on the various population served and programs funded by CDBG dollars. For year one, we cannot separate out data by objectives due to changes made to the instrument and the coding of objectives during the year. However, data are being collected by objectives in year-two of the evaluation so more detailed analysis will be possible for year-two quarterly and annual reports. The ability to analyze data by the specific goals of each agency will help identify riskknowledge profiles of the clients being serviced by objective. In year-two we are also focused heavily on technical assistance for all agencies to address issues related to program modification, target populations, follow-up of clients, etc. Results by Site Examining the mean knowledge scale scores and mean risk scale scores by site, there is substantial variation in the risk levels of clients being served. Below is a breakdown of site by mean scores and then using the high/low cut-offs. These results could be used to provide technical assistance to sites on their client recruitment efforts. It should be noted that numbers of clients for whom we have data reported for year one may vary widely from the number of clients served. There are several reasons for this. First, not all objectives required completion of data forms. Second, at the start of year one (July 2007) new forms were not yet ready for use. The first version of the new forms was not implemented until October and many were served but did not complete the data forms. Each agency has had one-on-one technical assistance on working with clients and getting their cooperation in completing the forms. Finally, agencies had coding concerns so it is not possible to identify data forms that apply to a particular objective. Beginning with year two, agencies are reporting numbers that reflect both specific objectives and actual data forms completed. 15
Recommendations Based on the results presented this report, we recommend technical assistance to each site to 1) recruit clients with risk profiles appropriate for the intervention being offered, and 2) better tailoring of prevention programming activities to match the knowledge and risks of clients. 16
AGAPE (Under Antioch Development Corporation) 17
Agency Name: AGAPE Program (Antioch Development Corporation) Agency Address: 8869 Cedar Avenue, Cleveland, Ohio 44106 Program Name: The Faith-Based Circle of Care Project Target Population: African American Females, Aged 25-44 years Program Staff: Gena Austin, Program Manager Program Year: July 1, 2007 June 30, 2008 Grant Amount: $30,000 Program Description: The Faith-Based Circle of Care Project is focused on creating active partnerships with six community-involved pastors and their congregations. AGAPE expects to raise awareness among African Americans who may not otherwise be reached. These faith-based congregations typically include large cohorts of heterosexual females aged 25-44, one of the largest populations at-risk for contracting HIV. The recruited congregations will become members of AGAPEs Faith Community Network, a consortium of urban churches in six City of Cleveland wards. Through their membership congregants will be dedicated to the prevention and containment of HIV/AIDS via education, lifestyle change and HIV testing within the African American community. PLEASE NOTE: Objectives for AGAPE include training of site coordinators and working with church congregations as client. However, as part of this new undertaking, AGAPE used both client and training forms with the congregations they served during year one. As such, you will see two reports below that appear to represent the training of 45 individuals and 12 clients. In fact, only 5 of training surveys were for site coordinators and the remaining 40 were congregation members. Because the information collection on the training and client forms are different, we did not combine the reports so that the most information available could be reported for this agency. 18
Scope of Services (Objectives): Church congregations will complete a 2 session HIV awareness risk reduction curriculum o Proposed Served: 300 individuals o Actual Served: 52 individuals Site Coordinators will complete a 4 week HIV 101 training o Proposed Served: 6 individuals o Actual Served: 5 individuals Recruit churches to become participants in the Circle of Care Project o Proposed Served: 6 churches o Actual Served: 5 churches 25 individuals will receive referrals for HIV Counseling & Testing o Proposed Served: 25 individuals o Actual Served: 0 individuals 25 Individuals will receive HIV Counseling & Testing services o Proposed Served: 25 individuals o Actual Served: 0 individuals 19
20 AGAPE
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AGAPE Scale N Mean Std. Deviation Std. Error Knowledge 12 9.67.651 88 Risk 11.4545.52223 5746 Number Percent Lower Risk-Low Knowledge 0 0.0 High Risk-Low Knowledge 0 0.0 Lower Risk-High Knowledge 11 100.0 High Risk-High Knowledge 0 0.0 Total 11 100.0% 23
24 AGAPE-Training
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27 AIDS Taskforce of Greater Cleveland
Agency Name: AIDS Taskforce of Greater Cleveland Agency Address: 3210 Euclid Avenue, Cleveland, Ohio 44115 Program Name: HIV/AIDS Capacity Building Initiative Target Population: Health & Human Service Professionals Program Staff: Julie Patterson Program Year: July 1, 2007 June 30, 2008 Grant Amount: $40,000 Program Description: The Capacity Building Initiative will enhance the HIV skills of Health and Human Service Providers in the Greater Cleveland area. They are inclusive of social workers, maternal & child health and chemical dependency professionals, teachers, health educators, health care professionals, faithbased personnel, etc. These will be professionals who interact with high-risk populations in the City of Cleveland targeted systems work with High Risk Heterosexual Women of Color, Youth, Men who have sex with Men (MSM), and Intravenous Drug Users (IDU). Generally, the target population has been majority female and ranging in age from 24-65 and over. Many do not acknowledge personal risk factors, but instead focus on client risks. Additionally, a matrix of agency-specific training and consulting services are provided upon request. Scope of Services (Objectives): Train HIV educators in 3-day workshops 35 total o Proposed Served: 35 individuals o Actual Served: 26 individuals Train Health & Human Service Professionals in 1-day workshops o Proposed Served: 60 individuals o Actual Served: 35 individuals Train Professionals in Agency or Target Group Specific Workshop o Proposed Served: 50 individuals o Actual Served: 70 individuals 28
29 AIDS Taskforce
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32 The Free Medical Clinic of Greater Cleveland
Agency Name: The Free Medical Clinic of Greater Cleveland Agency Address: 12201 Euclid Avenue, Cleveland, Ohio 44106 Program Name: High Risk HIV Education and Testing Project Target Population: Teens and Adults ages 13 years and up Program Staff: Kristen Tobias & Johnnena Wagner Program Year: July 1, 2007 June 30, 2008 Grant Amount: $30,000 Program Description: The High Risk HIV Education and Testing Project targets teens and adults (ages 13 and up) in high risk populations who are known to benefit from focused outreach and education. Services to be provided include one-on-one HIV risk reduction counseling, HIV testing and community-based outreach education to adults practicing high risk behaviors; injection drug users via the Syringe Exchange Program (SEP); African American men and women; and high-risk clients in community programs (shelters and residential programs) throughout the city. (High-risk clients include minorities, the homeless, substance abusers, and adults engaging in behaviors which increase their risk of HIV infection). One-on-one HIV risk reduction counseling is specific to the individual client based on their existing knowledge, lifestyle and target population. Specific HIV prevention skills are taught, including identification of personal barriers to safe sex practices, interpersonal communication skills with sexual partners about safer sex practices, refusal skills, male and female condom use and identification of HIV risk. Education for injection drug users includes their specific risks, such as needle sharing. Rapid HIV testing, offering same-day results, is provided on-site at The Free Clinic and in the community by our staff and volunteers. The Free Clinic also provides oral and blood tests for HIV. Injection drug users may choose to take their tests at the syringe exchange program (SEP) van. In this case, the results are available in one week. SEP clients are encouraged to bring their partners for testing as well. 33
Scope of Services (Objectives): Individuals from the general population will receive HIV Counseling & Testing via the walk-in testing program o Proposed Served: 550 individuals o Actual Served: 650 individuals Individuals who identify as Injection Drug Users (IDUs) will receive HIV Counseling & Testing o Proposed Served: 100 individuals o Actual Served: 59 individuals High-Risk individuals will receive HIV Counseling & Testing (high risk individuals include those in shelters, residential programs, homeless, minorities, substance abusers) o Proposed Served: 100 individuals o Actual Served: 171 individuals Individuals will receive HIV Educational Sessions (individual male and females in shelters, treatment centers and area community based organizations will participate in HIV education group sessions) o Proposed Served: 100 individuals o Actual Served: 226 individuals 34
35 The Free Clinic
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The Free Clinic Scale N Mean Std. Deviation Std. Error Knowledge 198 8.38 1.509 07 Risk 194.9381.70254.05044 Number Percent Lower Risk-Low Knowledge 16 8.5 High Risk-Low Knowledge 5 2.6 Lower Risk-High Knowledge 136 72.0 High Risk-High Knowledge 32 16.9 Total 189 100.0% 38
LGBT Community Service Center Of Greater Cleveland 39
Agency Name: LGBT Community Service Center of Greater Cleveland (The Center) Agency Address: 6600 Detroit Avenue, Cleveland, Ohio 44102 Program Name: MYO Life Skills Program Target Population: LGBT Youth ages 14-24 Program Staff: Christen DuVernay Program Year: July 1, 2007 June 30, 2008 Grant Amount: $28,000 Program Description: The MYO Life Skills Project of The Center is designed to serve lesbian, gay, bisexual, and transgender (LGBT) youth ages 14 24 years of age. This project specifically focuses on Young Men who have Sex with Men (YMSM), which is the highest risk group for HIV infection in the city of Cleveland. Often these youth are never given the real facts about sex, homosexuality, drugs and HIV as it affects them and they are put at continued risk by the silence of society. The Center has provided programs addressing these issues throughout its 30-year history, and the funded project will expand these services by meeting the demand for services to an expanded number of YMSM. The life skills programming includes brief educational sessions on HIV risk reduction, relationship negotiation skills, safer sex, drug awareness/prevention classes and cyber dating. 40
Scope of Services (Objectives): Youth will access HIV Programming at the Center o Proposed Served 280 individuals o Actual Served: 418 individuals Youth will receive follow-up HIV Prevention services o Proposed Served: 28 youth o Actual Served: 13 youth Youth will access cyber dating educational sessions at the Center o Proposed Served: 100 youth o Actual Served: 142 youth Youth will receive monthly Safer Sex & Drug Awareness Services o Proposed Served: 120 youth o Actual Served: 120 youth 41
42 LGBT Center
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LGBT Center Scale N Mean Std. Deviation Std. Error Knowledge 66 7.71 1.887.232 Risk 53.5472.63748.08757 Number Percent Lower Risk-Low Knowledge 7 14.3 High Risk-Low Knowledge 1 2.0 Lower Risk-High Knowledge 39 79.6 High Risk-High Knowledge 2 4 Total 49 100.0% 45
The Near West Side Multi-Service Center dba The May Dugan Center 46
Agency Name: The Near West Side Multi-Service Center dba The May Dugan Center Agency Address: 4115 Bridge Avenue, Cleveland, Ohio 44113 Program Name: Living Free Program Target Population: Teens ages 14 and up; Adult Female Criminal Offenders Program Staff: Janice Eaton & Tracey Walker-Askew Program Year: July 1, 2007 June 30, 2008 Grant Amount: $35,000 Program Description: The May Dugan Center will provide HIV Prevention Educational sessions to adult females involved in the penal system that are convicted for substance use, abuse and solicitation, felonies, illicit behaviors, and misdemeanors, etc. This intervention is conducted in the facilities of the Cleveland House of Corrections, Northeast Pre-Release Center, Cuyahoga County Jail and the J Glenn Smith Health Center. In addition these high risk individuals are self-referred or agency referred participants of substance abuse treatment centers, anger management counseling and/or Children and Family Services. Pregnant and Parenting teens ages 14 and up are served by May Dugan Center s MomsFirst and Enhanced Services Programs for pregnant and parenting teens enrolled in charter and alternative schools. Individuals of the general community that participate in various health and social service activities of May Dugan Center may also receive HIV prevention education. 47
Scope of Services (Objectives): Criminal Offenders within the correctional facilities will receive HIV Prevention Education o Proposed Served: 500 women o Actual Served: 356 women Teen participants with the Moms First Program will receive HIV Peer Advisory Education o Proposed Served: 175 individuals o Actual Served: 108 individuals Self-Identified Participants will complete the SISTA Program o Proposed Served: 25 individuals o Actual Served: 27 individuals General Community Population will receive group HIV education & awareness sessions upon accessing additional agency services o Proposed Served: 1000 individuals o Actual Served: 1315 individuals 48
49 May Dugan
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May Dugan Scale N Mean Std. Deviation Std. Error Knowledge 447 6.39 2.802 33 Risk 449.7127.79330.03744 Number Percent Lower Risk-Low Knowledge 174 41 High Risk-Low Knowledge 26 6 Lower Risk-High Knowledge 185 43.7 High Risk-High Knowledge 38 9.0 Total 423 100.0% 53
54 NorthEast Ohio Neighborhood Health Services, Inc. (NEON)
Agency Name: NorthEast Ohio Neighborhood Health Services, Inc. (NEON) Agency Address: 8300 Hough Avenue, Cleveland, Ohio 44103 Program Name: YAAP (Youth/Adolescent Awareness Program) Target Population: Adolescents ages 12-25 Program Staff: Faye Smith Alexander Program Year: July 1, 2007 June 30, 2008 Grant Amount: $45,000 Program Description: NEON will provide HIV/STD Risk Reduction services to adolescents ages 12-25 who live primarily on the eastside of Cleveland. Adolescents will receive risk reduction assessment and counseling and be assisted in developing a risk reduction plan. Counseling will also be provided for participants with environmental factors influencing high risk behaviors and are at greater risk for STDs in general. Group education provided to parents that participate in HIV/STD awareness forums. 55
Scope of Services (Objectives): Educate 100 of NEON's clinic identified STD positive adolescents o Proposed Served: 100 youth o Actual Served: 38 youth Educate 400 high risk youth referred by NEON health care providers o Proposed Served: 400 youth o Actual Served: 603 youth Provide 3/6 month follow-up to 100 adolescents previously reached (Adolescents will be contacted by NEON to participate in follow-up HIV educational sessions) o Proposed Served: 100 youth o Actual Served: 248 youth Provide HIV prevention group sessions to 300 adolescents through agency collaborations o Proposed Served: 300 youth o Actual Served: 300 youth Provide enhanced counseling to 30 adolescents assessed at high risk due to environmental factors o Proposed Served: 30 youth o Actual Served: 25 youth Provide HIV/STD awareness workshops to 25 parents o Proposed Served: 25 youth (should this be parents?) o Actual Served: 17 youth (should this be parents?) 56
57 NEON
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NEON Scale N Mean Std. Deviation Std. Error Knowledge 337 6.82 255 17 Risk 337.3234.58183.03169 Number Percent Lower Risk-Low Knowledge 116 36 High Risk-Low Knowledge 7 2.2 Lower Risk-High Knowledge 191 59.5 High Risk-High Knowledge 7 2.2 Total 321 100.0% 61
Nueva Luz Urban Resource Center/ Proyecto Luz 62
Agency Name: Nueva Luz Urban Resource Center/ Proyecto Luz Agency Address: 8909 Willard Avenue, Cleveland, Ohio 44102 Program Name: Pasando La Luz (Passing on the Light Project) Target Population: Latina Females ages 13 and up Program Staff: Kim Rodas & Jessica Verbic Grant Amount: $32,000 Program Description: Pasando La Luz promotes whole-being health and wellness, decreased substance abuse and increased academic achievement. We conduct prevention and education programs for Latinas in a culturally and contextually competent manner. Latina women are trained to become peer community advocates in addition to conducting safer sex forums for adolescent females within their families and community. There are 41,373 women in the seven neighborhoods of Cleveland s west side served by Proyecto Luz; 19,461 are Latinas. Latinas are particularly vulnerable for HIV infection because of cultural norms and practices within their community. Latinas are not accustomed to speaking openly about sex. It is particularly risky for them to talk about condom use with their partners as it may be perceived as an indication of promiscuity something not readily tolerated among Latinos. We provide the support, knowledge, and relevant skills to prevent HIV/AIDS infection and to negotiate condom use within their lives. 63
Scope of Services (Objectives): Recruit & train Latina females as community advocates & peer educators 3 total o Proposed Served: 3 Females o Actual Served: 2 Females Latina Women will receive 1:1 HIV Prevention Sessions o Proposed Served: 60 Served o Actual Served: 107 Served Community Educational Sessions will be conducted in public venues o Proposed Served: 350 individuals o Actual Served: 301 individuals Individuals of the community population will be reached via General, Multipurpose services and Health Fairs o Proposed Served: 1,200 individuals o Actual Served: 1,263 individuals 64
65 Proyecto Luz
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Proyecto Luz Scale N Mean Std. Deviation Std. Error Knowledge 115 8.50 1.465 37 Risk 119 1.2437.73607.06748 Number Percent Lower Risk-Low Knowledge 3 2.7 High Risk-Low Knowledge 4 3.5 Lower Risk-High Knowledge 68 60.2 High Risk-High Knowledge 38 33.6 Total 113 100.0% 68
69 Transitional Housing Inc. (THI)
Agency Name: Transitional Housing Inc. (THI) Agency Address: 1545 West 25 th Street, Cleveland, Ohio 44113 Program Name: Positive Living Program Target Population: Homeless Women Program Staff: Carmen Mitchell Program Year: July 1, 2007 June 30, 2008 Grant Amount: $30,000 Program Description: The Positive Living Program target females (both of heterosexual and lesbian sexual orientation) in the Greater Cleveland area age 18 and over who have demonstrated the following risk factors for HIV/AIDS infection and/or exposure: (1) homelessness; (2) history of substance abuse and/or drug usage; (3) history of solicitation/prostitution; (4) history of multiple sexual partners; and (5) poor or no health history. The Positive Living program will provide the following services: outreach and prevention services, prevention education classes; follow-up support counseling for THI participants and recruitment of Peer Facilitators who will be trained to conduct group and individual educational sessions. Scope of Services (Objectives): Residential women of THI to receive HIV education group sessions o Proposed Served: 140 women o Actual Served: 91 women At-Risk Community Members will receive HIV education group sessions 2500 total o Proposed Served: 2,500 individuals o Actual Served: 2,485 individuals Members of the general population will receive general HIV education resources (written materials, condoms) through community outreach efforts o Proposed Served: 3,000 individuals o Actual Served: 2,368 individuals 70
71 Transitional Housing
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Transitional Housing Scale N Mean Std. Deviation Std. Error Knowledge 1265 6.71 2.526.071 Risk 1069 1.4733.87863.02687 Number Percent Lower Risk-Low Knowledge 106 10.6 High Risk-Low Knowledge 284 28.4 Lower Risk-High Knowledge 391 39 High Risk-High Knowledge 219 21.9 Total 1000 100.0% 74
Attachment 1: Client Survey (Final Version of Client Survey) 75
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Attachment 2: Trainee Survey (Final Version of Trainee Survey) 78
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