Integrating County Departments with CommunityBased Providers to Reach HIV Positive Women in the Jail

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Integrating County Departments with
Community-Based Providers to Reach HIV Positive
Women in the Jails.

• Armida Ayala, MHA, Ph.D. Marcela Sanchez, BA
• County of Los Angeles
• Department of Health Services
• CityMatCH Annual Urban Maternal Child Health
  Leadership Conference
• August 23-26, 2003
• Pittsburgh, PA

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Background

• 4,082 Square Miles
• 9.8 Million Residents
• Proportion of State Population 28
• Proportion of State AIDS Cases
  35
• Living with HIV/AIDS 53,000 (Estimated)
• PopulationLatino/a 44.6 White
  31.1Asian 12.3African-American 9.7Native
  American 0.5Pacific Islander 0.3

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Background

• Limited data on the number of HIV positive female
  inmates who are pregnant or of childbearing age
• Lack of access to perinatal prevention of HIV
  transmission in jails.

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Objectives

• Identify HIV positive female inmates in the jails
• Develop effective collaborations
• Integrate existing prevention of perinatal HIV
  transmission efforts.

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Methods

• Perinatal HIV Learning Cluster Team meetings
• Integrated surveillance, prevention and training
• Consolidation of data from PSD surveillance and
  IMACS (Information Management for AIDS Cases
  Services).

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Results

• More than 60 of the female inmates were African
  American and Latino
• Eighty five percent (85) received a pre-release
  plan in the past 3-5 months
• Only 6 received their HIV medications at this
  discharge from the jail.

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Conclusions

• Successful identification of the target
  population
• Increased integration of surveillance,
  prevention, case management and correctional
  systems
• Improved linkage to perinatal prevention of HIV
  transmission education and related services
• Increased training of jail providers to include
  prenatal prevention of HIV transmission education.

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Next Steps

• Increase training among providers about perinatal
  prevention of HIV transmission
• Enhance health outcomes to avoid recidivism in
  the jails
• Improve case finding and follow-up
• Increase integration of surveillance and
  evaluation with service planning and project
  monitoring
• Expand early detection and testing efforts with
  other departments.

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