CAI has worked closely with the DHHS Office of Population Affairs (OPA) and Office of Family Planning (OFP) on several national projects, including 1) providing data management and evaluation support to OPA HIV prevention grantees since 2001, and 2) serving as the National Training Center for Coordination and Strategic Initiatives (NTC-CSI) since 2012.
The attached Data Reporting Instruction Manual describes the data reporting requirements, timeline, and submission procedures for the evaluation of Integrating Routine HIV Testing and Linkage to HIV Care and Treatment in Family Planning Services grants to Title X grantees to provide high impact HIV prevention (HIP) services that include opt-out HIV testing, linkage to care, behavioral interventions through counseling sessions, condom distribution, and sexually transmitted infection (STI) screening and treatment.
Description of Funding
Fiscal Year 2013 was the first year of a grant project period of up to three years. This represented the fifth funding cycle (Cycle 5) for this initiative, first funded in October 2001.
Cycle 5 funding included two related components: Part A – "Integrating Routine HIV Testing and Linkage to HIV Care and Treatment in Title X Family Planning Service Sites," and Part B – "Enhanced, Bi-directional Linkage Services between Title X Family Planning Service Sites and Ryan White-funded HIV medical service sites."
The goals of the OPA-supported HIV prevention projects were to:
(1) Provide high impact HIV prevention (HIP) services, which include opt-out HIV testing, linkage of HIV positive clients to care and treatment, and for at-risk clients, behavioral interventions through counseling sessions, condom distribution, and STI screening and treatment;
(2) Increase effective linkage partnerships between Title X family planning sites and other community-based organizations that provide care and treatment services; and
(3) Provide training focused on the provision of high impact HIV prevention services in order to build staff capacity. Priority for funding was given to sites in areas with high HIV prevalence and high numbers of at-risk clients.
How Data Were Used
Data reported by grantees for this project were used to evaluate program performance, support grantees in conducting continuous quality improvement, and to report to federal funders on program outcomes, including:
• Number of family planning clients tested for HIV through this grant;
• Percentage of HIV tests performed using rapid versus standard test technology;
• Percent HIV positivity by age, gender, race and ethnicity;
• Percentage of positive clients referred for follow-up services; and
• Percentage of HIV positive clients linked to care within 3 months.
Cicatelli Associates Inc. (CAI) was funded under a cooperative agreement to provide data management and evaluation support for the OPA HIV Integration project, including the design of data collection forms and instructions, data analysis, and the development of summary reports.
CAI used these data to help inform OPA's annual report to the Secretary's Minority AIDS Initiative Fund (SMAIF). Grantees were provided with a detailed summary of HIV testing outcomes for their own projects to help them monitor their progress in achieving objectives. All reports were presented and distributed at an Annual Technical Support Conference. Data were also used to inform reports and presentations by OPA on HIV prevention activities conducted in support of the SMAIF and National HIV/AIDS Strategy.