Hammack Amanda Y, Bickham Jacquelyn N, Gilliard Isaac, Robinson William T
STD/HIV/Hepatitis Program, Office of Public Health, Louisiana Department of Health, Baton Rouge, Louisiana; Department of Behavioral & Community Health Sciences (BCHS), School of Public Health, LSU Health New Orleans, New Orleans, Louisiana.
STD/HIV/Hepatitis Program, Office of Public Health, Louisiana Department of Health, Baton Rouge, Louisiana; Department of Behavioral & Community Health Sciences (BCHS), School of Public Health, LSU Health New Orleans, New Orleans, Louisiana.
Am J Prev Med. 2021 Nov;61(5 Suppl 1):S26-S31. doi: 10.1016/j.amepre.2021.06.008.
In the second half of 2019, East Baton Rouge Parish, Louisiana was selected as 1 of the 3 jump-start pilot jurisdictions for the Centers for Disease Control and Prevention-funded Ending the HIV Epidemic in the U.S. Initiative. An innovative community health worker program was among the strategies developed to reduce the number of new HIV infections. In addition to testing for HIV/sexually transmitted infections in nontraditional settings, community health workers provided integrated services, including linkage for people with HIV, pre-exposure prophylaxis navigation, sterile injection supplies and referrals to syringe services programs, and other social services.
The 5-member community health worker team was representative of the populations they intended to reach. They conducted outreach, from October 2019 to December 2020, within areas known to have a high incidence of new HIV infections.
The community health worker team documented 977 encounters with individuals in their communities. The vast majority of encounters were among Black clients; 9% were among White clients. In total, 48% were among cisgender women, 50% were among cisgender men, and 2% were among transgender women. People who inject drugs represented 7% of the sample. Community health workers conducted rapid testing for HIV (n=320), hepatitis C (n=274), and syphilis (n=280). In addition, they successfully linked 10 people with HIV to HIV medical care and 20 people who inject drugs to a syringe services program and assisted 19 people at risk of HIV infection with pre-exposure prophylaxis initiation.
The community health worker team successfully facilitated access to HIV prevention and treatment for priority populations in East Baton Rouge Parish.
2019年下半年，路易斯安那州东巴吞鲁日教区被选为美国疾病控制与预防中心资助的“在美国终结艾滋病流行倡议”的三个启动试点辖区之一。一项创新的社区卫生工作者项目是为减少新的艾滋病毒感染数量而制定的策略之一。除了在非传统环境中进行艾滋病毒/性传播感染检测外，社区卫生工作者还提供综合服务，包括为艾滋病毒感染者提供联系服务、暴露前预防指导、无菌注射用品以及转介至注射器服务项目和其他社会服务。
由5名成员组成的社区卫生工作者团队代表了他们想要服务的人群。在2019年10月至2020年12月期间，他们在已知新艾滋病毒感染高发地区开展外展工作。
社区卫生工作者团队记录了与社区内个人的977次接触。绝大多数接触对象是黑人客户；9%是白人客户。总体而言，48%是顺性别女性，50%是顺性别男性，2%是跨性别女性。注射毒品者占样本的7%。社区卫生工作者对艾滋病毒（n = 320）、丙型肝炎（n = 274）和梅毒（n = 280）进行了快速检测。此外，他们成功地为10名艾滋病毒感染者联系了艾滋病毒医疗护理，为20名注射毒品者联系了注射器服务项目，并协助19名有艾滋病毒感染风险的人开始进行暴露前预防。
社区卫生工作者团队成功地为东巴吞鲁日教区的重点人群提供了艾滋病毒预防和治疗服务。
