The URL can be used to link to this page

Browse Search

Home My WebLink About992710.tiff RESOLUTION RE: APPROVE GRANT APPLICATION FOR HIV PREVENTION SERVICES IN RURAL COMMUNITIES AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Grant Application for HIV Prevention in Rural Communities from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, to the Colorado Department of Public Health and Environment, with terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Grant Application for HIV Prevention in Rural Communities from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, to the Colorado Department of Public Health and Environment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 10th day of November, A.D., 1999. BOARD OF COUNTY COMMISSIONERS WELD COUNTY L ADO ATTE� � Jet% K. Hall, Chair 0 Clerk to the Board !. IP 7 /Barber J. Kirkmeyer, P/o-Tem �- i, rk to the Board , fiCf1 Georg xter v AS TOOPyM: rci (�i M. J eil — C ty A or ey G % Gen 992710 n 'I It e 1 HL0025 1� DEPARTMENT OF PUBLIC HEALTH & ENVIRONMEVF r 5:>5N17lHAVkN[ 1 GREE.LEY, COLORADO ?tile ADMINISTRATION (9 70) 304-n-. b PUBLIC HEALTH EDUCATION & NURSING (9 70) 304-ii�_'(i 1 FAX (9 70) 304-b 6 QI ENVIRONMENTAL HEALTH SERVICES (9 70) 304 li FAX (970) 304 COLORADO MEMORANDUM TO: Dale K. Hall, Chairman, Board of County Commissioners From: John S. Pickle, Director, Department of Public Health & Environment;'i'r'�t Date: November 9, 1999 Subject: Proposal for Funding HIV Prevention Services in Rural Communities Enclosed for Boar-d review and approval is a grant application to Colorado Department of Public Health & Environment. This grant will continue 1IlV/AIDS prevention work in collaboration with the Weld County AIDS Coalition. Northern Colorado AIDS Project, Trademark Learning Center and American Red Cross. This grant will provide funding for the HIV educator to coordinate the activities of the Weld County AIDS Coalition, provide risk reduction education to schools and community groups and organizations throughout Weld County. Interventions include public/community presentations, group level presentations by the peer educators, and individual outreach by staff and volunteers. Training on 131V prevention will be provided to leaders and key people in the Hispanic/Latino population and those that work with high risk youth in Weld County. The terms of the grant, assuming it is received, are from January 24, 2000 for a 1 year period. This is renewable for 2 additional years with revised objectives and budget. I recommend your approval. 9927'1( 1l. x . STATE OF COLORADO Bill Owens,Governor Jane E.Norton,Executive Director 0`-Co409 Dedicated to protecting and imp•oving the health and environment of the people of Colorado •H`f;-% 4300 Chem/Creek Dr.S. Laboratory and Radiation Sevices Division **� 'q Denver,Colorado 80246-1530 8100 Lowry Blvd. �., Phone 1303)692-2000 Denver CO 80230-6928 tole Located in Glendale,Colorado (303)692-3090 (oiorado Deparunent of Public Health http://www.cdphestate.co.w and Environment INVITATION TO BID DATE: October 4, 1999 RFP NO: RO-SET0001 DIRECT INQUIRIES TO: ROBERT M. O'NEILL PHONE NO: (303) 692-2074 DATE RFP DUE:,Friday, 11/12/99 P2:00 PIA MST �. Bids properly marked as to RFP NO., DATE and HOUR of opening, subject to the conditions herein stipulated and in accordance with the specifications set forth and/or attached hereto, will be accepted at the address listed below, prior to the date and time listed for the bid opening. Ali bids shall be quoted F.O.B. destination. unless otherwise specified, to the delivery location or jobsite listed herein. SEALED COMPETITIVE PROPOSAL FOR: HIV INTERVENTION SERVICES IN RURAL COMMUNITIES RETURN PROPOSAL TO: COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ASD-PURCH-A2 4300 CHERRY CREEK DRIVE SOUTH DENVER, CO 80246-1530 Prices shall be quoted F.O.B. destination and include delivery to the CDPHE. SEE ATTACHED PAGES FOR TERMS AND CONDITIONS AND RFP REQUIREMENTS. IMPORTANT: Bidders should read the entire bid document before submitting bid. RFP'S MUST BE SIGNED IN INK VENDOR Weld County Department of Public Health & Environment ADDRESS 1555 d 17th evPnr,P Grf.P1 ey, CO 80631 Dale K. Hall, Chair, Weld County Board of Commissioners - OR PRINTJ.D--&-GI U R / +te en ignature by Authorized Officer or Agent of Vendor TERMS Terms of less than 30 calendar days will not be considered. TITLE Chaff.r DATE 11/ 10/99 PHONE # 970-356-4000 FAX# 970-352-0242 The above bid is subject to Terms and Conditions on attached sheets. RETURN THIS COPY 990?7/ Request for Funding for HIV Prevention Services in Rural Communities for 2000 - 2002 by Weld County Department of Public Health & Environment 1555 N. 17th Ave Greeley, CO 80631 Contact Person: Tara Wafal 970-304-6420- EXT. 2387 Experience and Ability of the Applicant The Weld County Department of Public Health and Environment(WCDPHE) was established in 1938; the second health department in the state of Colorado. The health department serves 157,232 residents of Weld County including 32 incorporated municipalities and encompasses 4000 square miles. The health department employs 78 individuals who work in Public Health Education and Nursing, Environmental Health and Administration. The mission of WCDPHE is to preserve, promote and protect a healthy life and safe environment for all people in Weld County. Financial support of WCDPHE consists of county funding, 37.4%, service for fee, 31.6%, contracts and grants, 28.7% and miscellaneous. 2.3%. WCDPI-IE is the lead agency for the Weld County AIDS Coalition(WCAC) with the HIV educator serving as the coordinator. WCDPHE provides an STD clinic and an anonymous and confidential HIV testing site through the Public Health Education and Nursing Division, where the HIV educator is housed. There is an up-to-date audio-visual and other media library on a variety of health topics including HIV/AIDS and STDs. In addition, media equipment is available including overhead projectors, slide projectors, VCR/TV player, audio tape player, flip charts, and an HIV virus model. The HIV educator is part of the Health Promotion Team in the Public Health Education and Nursing Division. The HIV educator hold a BS degree in Community Health and has taught high risk students and the Latino population in Weld County. She is a First Aid and CPR instructor, including HIV/AIDS prevention and education. She is also involved with WCAC, ACE. The following is a review of the prevention intervention provided by WCDPHE during 1999. Public Information: PI All objectives were met or exceeded for 1999. WCDPHE collaborated with teachers and organizations in order to provide HIV prevention education to community schools and agencies. University (UNC), Aims Community College, area schools, Planned Parenthood, CDPHE, the homeless shelter. Independence Stampede committee members, and the Weld County AIDS Coalition (WCAC) were included in these collaborative efforts. WCDPHE and WCAC collaborated with members of the faith community for the annual Candlelight Memorial Service and with many area businesses and merchants for the annual HIV awareness walk (A Walk in the Park). The only barrier encountered was the restrictions placed on what types of materials could be available at certain community education booths (i.e. condoms, family planning information). The HIV Public Information program at WCDPHE is very established and a welcomed asset to the county and community. Group Risk Reduction: GLG All objectives were met or exceeded for 1999. The majority of collaborative efforts were with Trademark Alternative High School. Trademark provided members and a meeting location for the Teen Advisory Board (TAB), as well as ongoing support of the peer education program targeting high risk youth. The successes of PeerVention during 1999 included the completion of the 6-session curriculum and the completion of the brochure in order to market the program. A number of these presentations were piloted with the TAB and other area agencies serving high risk youth. A 1 barrier that was encountered is the length of time that was needed to plan and develop the curriculum which delayed the expected implementation date. This barrier was reframed as an important part of the process. Other peer education ideas from other agencies in the state were explored and integrated into our curriculum as well. Street and Community Outreach: ILI For this intervention WCDPHE collaborated with UNC and Gerald Ernst, independent contractor and activist. Due to decreased funding and available hours, scope of work continued to be revised and only 20% of projected objectives were met. Successes included completion of the Adapt Outreach training by the program coordinator and observation of outreach training. Materials were also provided for a campus outreach event plarned by the UNC Gay, Lesbian, Bisexual, Transgendered Alliance. Barriers for WCDPHE outreach included the decrease in funding and difficulty accessing the Latino/a population in Weld County. This resistance is being overcome by meeting with key members of the Latino community in order to gain a better understanding of the community, wa}s to access and build relationships, and their involvement in providing outreach and education. Cultural Competence This is an ongoing and evolving process for WCDPHE and included the following: 1) Attendance of Latino STD Conference and African American Capacity Building at the end of 1998. 2) Cultural Competency components were included in various traninings attended by the HD/ educator throughout 1999 (Adapt and Rural Conference, among others). 3) Peer Educators are trained in cultural competency/diversity using "A Youth Leader's Guide to Building Cultural Competence" as a resource. 4) Ongoing involvement with the Latino/a community. 5) Speakers at the Candlelight Memorial included Latino and Asian perspectives. 6) Educational brochures in both English and Spanish are available at community booths and presentations. Access Plan for Serving People who are Deaf, Hard of Hearing or Disabled Presentations, workshops, and other HIV prevention events were held at locations which ensured access to people with disabilities. Special attention was given to ensuring accessible parking, entrance, hallways, doors, meeting room, and restrooms of the facility. Interpreters for the deaf or hard of hearing could be requested for meetings, presentations, and events through the Northern Colorado Center on Deafness. Collaboration The WCDPHE HIV educator is collaborating with agencies and individuals in Weld and Larimer counties to provide a comprehensive approach to HIV prevention in District 2. Our goal is to establish and sustain a durable partnership within this district to increase the accessibility and availability of a spectrum of HIV prevention services for a those at high risk identified in the 2000 Rural Plan for HIV Prevention. We are requesting the funding for this district be divided equally between the two counties, as reflected in the budget section. Although population in Lorimer county represents 60% and Weld, 40% of the district, there are fewer services in Weld County for HIV prevention and a significantly higher number of Hispanics. The target communities for District 2 are high risk individuals including men who have 2 sex with men, those at risk through heterosexual activity and/or intravenous drug use, youth, people of color, the deaf, hard of hearing, physically, visually, or mentally impaired. In District 2, collaborating agencies in Larimer and Weld County can provide public information, risk reduction education, HIV prevention training, condom and latex distribution, off-site HIV testing, out reach activities and referral.. In Larimer County, collaborating agencies are Northern Colorado AIDS Project( NCAP), Ft. Collins Women's Center, Lorimer County Mental Health Center, Centennial Chapter of the Red Cross and Gerald Ernst, private contractor for outreach. Larimer County agencies are focusing primarily on target populations in Lorimer County due to geographic logistics and to avoid duplication of service. WCDPHE 's primary proposed interventions are HIV prevention training, risk reduction education and continuation of the individual outreach begun in 1999. NCAP partners will provide additional resources for HIV prevention training and LIIV education as well as expertise for WCDPHE outreach. NCAP, WCDPHE and their partners will communicate regularly regarding requests for speakers and presentations to assure these services are not duplicative and meet the needs of the community. Referrals for individuals in District 2 wanting counseling and testing outside of their respective county will be made to the other agency or another appropriate site. In Weld County, the WCDPHE HIV educator coordinates the Weld County AIDS Coalition (WCAC) and works collaboratively with the members to plan and implement the WCAC sponsored events and HIV educational presentations. The members of the coalition reflect the high risk groups in Weld County but efforts have already begun to make this a primary platform for building relationships with the Latino and gay/lesbian communities. The American Red Cross Weld County Chapter will provide HIV prevention training, both English and Hispanic curriculum, for other agencies and community groups. By recruiting and training members of the target populations we can increase the capacity for 111V prevention in Weld County. Trademark Learning Center in Greeley, an alternative highschool for high risk youth, will provide students for the Teen Advisory Board and Peervention Program. Gerald Ernst. an independent contractor for outreach, will provide ongoing technical assistance for bar outreach in Weld County and coordinate volunteer training. WCDPHE will continue to work with UNC on HIV/AIDS educational events and with the local Weld County junior high and high schools to provide group risk reduction intervention targeting youth with the Peervention program. Planned Parenthood and other Weld County organizations provide printed HIV/AIDS materials and referrals to individuals. The local businesses and faith community, including Latino members of both, are part of the planning process for public, group and individual level interventions. The WCDPHE will support the project through other funding sources, providing nursing/tech staff to participate in educational presentations, bar outreach, condom distribution, STD clinic, HIV counseling and anonymous and confidential testing. Gerald Ernst, a private consultant who has worked with Larimer County agencies to implement successful outreach programs, is contracting with WCDPHE to assist with local efforts. We intend to market the counseling and testing services and offer these off site as well. A quarterly meeting will be held with Larimer and Weld County partners to share information, resources and strategies and collectively evaluate our progress and adjust strategies. The WCAC will meet monthly to advise the HIV educator and assist with coalition and project 3 objectives. Communication between all agencies is a strong component of this collaborative project. Please see TABLE 4 - see attachment 1. Target Audience The Hispanic population in Weld County according to the 2000 Rural Plan for I-IIV Prevention is 24% of the 151, 108 residents. Estimates from agencies serving this population suggest it is 33% and RE 6 School District reports 43% of their students are of Latino/Hispanic origin. In 1997-98, 86.5 % of the HIV cases diagnosed were males, the majority were White and 18% were Hispanic., 15% Black.. This is significant because these populations are still in the minority in Colorado and Weld County. During the planning process for this project, several members of the Latino connnunity met with us to discuss the barriers and interest for increasing HIV prevention efforts in that community. The director of the Latino recreational center in Greeley and a representative of the Weld County Head Start program (who is also Red Cross certified in HIV Prevention) are interested in establishing a foundation for providing better access to health services in Weld County for the Latino/Hispanic population. They can help us become "a part" of their communities by recruiting others to become part of the WCAC.. Recruiting efforts for partners include local Latino business leaders, both men and women, members of the faith community. service agencies, the Guadelupe Center for the homeless, Chamber of Commerce, schools with a high number of Hispanics, Probation, Lu Lac chapter and Cesar Chevez Cultural Center at (INC. North Front Range Behavioral Health Center and several local citizens. GLI provides the Red Cross HIV prevention training to key individuals in this community, many others will benefit from education and outreach activities. It is estimated that 2.7 % of the male population between 18-59 years are men having sex with men (MSM). Of these 1321, 281 are at high risk. There are an estimated 548 people between 18 - 59 are at potential risk for HIV infection through intravenous drug users (IDU) drug use. 363 are at highest risk by sharing needles. MSM and IDU are targeted more indirectly in Weld County through public information, risk reduction education to groups and organizations because of the conservative nature of its citizenry. We have established a relationship with the UNC Gay, Lesbian, Bisexual, Transgendered Alliance over the past year. We believe this is a key group to help identify barriers to providing more education and outreach in Weld County. This population is addressed through GLI by providing culturally appropriate HIV Prevention training, risk reduction education with speakers and panel presentations. Materials will be provided for campus outreach and health fairs. We are pilot testing new venues for public information campaigns and individual interventions through collaboration with Crerald Ernst. Approximately 10% of the population of Weld County has one or more disabilities, physical, mental, hearing, developmental, visual or other. This means 15,108 citizens are effected by some type of disability in Weld County, and 3624 arc of Hispanic origin. All groups and individuals are assessed on a cultural spectrum prior to or at the beginning of each presentation, event or activity and their needs taken into consideration during implementation. Again, these community members are a part of the WCAC. Accessability and appropriate materials are considered high priority and every accommodation will be made to meet these needs. Ongoing assessment of the organizations performance is measured by instruments developed in 4 conjunction with the CWT Cultural Competence Committee. Teen advisors from the Trademark Learning Center can provide insight and assistance in addressing the high risk youth in Weld County. Adolescents represent 11.8 % of the population of Weld County and approximately 15,000 are in the Weld District 6 (Greeley-Evans) school district. This is the 7`11 leading cause of death in this age group in the 15 - 24 year olds. Given the long latency period of 10 - 12 years, most of the reported AIDS cases in 20 - 24 years olds were most likely a result of exposure during teen years. GLI through peer education and panel presentations are the most effective means of education for this population. In addition. a Red Cross certified instructor at the Platte Valley Correctional Center for youth is interested in providing education and training to this audience. Operational Plan During 2000, WCDPHE is focusing on building a solid relationship with the Latino and Gay/Lesbian/Bisexual/Transgendered (GLBT) populations. Community organizittion is a primary responsibility of the WCDPHE HIV educator and the WCAC. The interventions and activities for 2001, 2002 will be developed by a group representative of the population in Weld County. On going collaboration to meet the needs of District 2 residents is a goal for both Larimer and Weld Counties. Interventions for 2000 include public information activities, group level risk reduction programs and individual outreach activities all coordinated by the HIV educator at WCDPHE. Public Information (PI) Public information is an important prevention intervention. It is imperative to promote HIV/AIDS information in the public arena. Although the number of new cases in Colorado has decreased steadily over the past 6 years, trends towards high risk behavior have increased. For this reason, dissemination of factual information is a necessity, especially in rural areas where myths and discrimination are prevalent. The following interventions, which are a combination of public/population interventions, will provide PI to a minimum of half the number designated for District 2 or 1,720 individuals. The WCAC ,established in 1987, is a diverse group of community volunteers committed to prevention of HIV/AIDS through education. The WCAC plans and implements several events during the year that are an established part of our community's activities. Objective 1. In the spring of 2000, WCAC will sponsor the 6`" Annual Candlelight Memorial Service in observance of the International AIDS Candlelight Memorial and Mobilization. The event is held at a local house of worship and rotated yearly. Interested clergy and community members from across Weld County participate in music, meditation, poetry, memories and lighting candles for those who have died from complications of AIDS and those infected with HIV. Objective 2. In the fall of 2000, another longstanding event , the 9th Annual "A Walk in the Park" is scheduled, hosted by the WCAC. The event is a 5K walk held at Bittersweet Park in Greeley, Local businesses donate prizes for the participants to show their support for HIV/AIDS awareness. Educational materials and refreshments are provided by the WCAC. Both events are publicized through a multi-media campaign. Press releases are sent to all newspapers in Weld County (17), public service announcements are aired on 5 local radio stations, including KGRE, the Latino station in Weld County. The Greeley Tribune covers both 5 events as a way of supporting HIV/AIDS awareness. KFKA radio station is an annual sponsor of the "Walk in the Park" and provides time for radio interviews with the HIV educator and WCAC Coalition members prior to the event. Posters are placed throughout the county for both events. For the Candlelight Service, Houses of Worship publish the information in their weekly news bulletins. Objective 3. In December 2000, WCAC will observes World AIDS Day by promoting the Red Ribbon campaign fcr local businesses. Information is sent to the 11 largest employers in Weld County regarding World AIDS Day with information on how to request these ribbons for their employees. The Greeley Tribune publishes and announcement prior to the event. During the past 3 years, the HIV educator has provided presentations surrounding HIV/AIDS to community groups/agencies/organizations on request. New venues for public information including local Rotary, Kiwanis and other service clubs are to be explored during 2000. Due to decreased funding, members of the WCAC Speakers Bureau will provide the majority of these presentations. Panel members include people who have lost adult children to AIDS complications, persons living with HIV, medical providers, health educators and others who have been affected by AIDS. Panel presentations using members of the bureau have proved to be very interactive using a question/answer format Objective 4. A minimum of 6 panel presentations and 6 HIV/AIDS presentations will he provided by the WCAC and HIV educator.. The WCDPHE maintains a large library of educational materials and video loans to support HIV/AIDS information. These materials are culturally appropriate and alternative formats are available for the disabled. NC AP is funded to provide public information and other interventions in Weld as well as Larimer Counties. We will refer requests to their Speakers Bureau if we are unable to meet the demands for presentations through the HIV educator aor WCAC Panel/Speakers Bureau. Group Level Intervention GLI The HIV educator at WCDPHE coordinates two primary group level interventions. Through the following interventions, WCDPHE will provide GLI to a minimum of 421 individuals in 2000. Because these are targeting specific populations, they are also considered population interventions. The first is a continuation of the PeerVention Project started. in 1999 with assistance of an established group of adolescent volunteers in collaboration with Trademark Learning Center. Presentations are offered to junior high and high school classes in Weld County including the alternative and charter schools. Trademark represents one of the alternative school with a greater proportion of Hispanic and other high risk students. However, high risk students are included in all c:.assrooms today. According to the government's Youth Risk Behavior Survey, 68 % of high school seniors. 70% of males and 66% of females, report having had sexual intercourse. 27% of the seniors report having had one or more partners up to that time, including 31% of the males and 23% of the females. STD education is an important component for all audiences but particularly for teens. One-fourth of the 12 million new cases diagnosed each year in United States are adolescents. This, along with the increased risk of HIV infection and unwanted pregnancy. illustrates the need for intervention. The majority of these pregnancies (78%) are unplanned. Weld County has the second highest rate of teen pregnancy in the state and designated teen pregnancy 6 prevention as priority. The curriculum was developed in 1999 by the HIV educator and peer educators from HNC and Weld County schools. The "PeerVention" curriculum is presented in a series or individually by a "guest speaker", the peer educator or HIV educator. The topics include HIV/AIDS, STDs, birth control, date rape, belief systems, and attitudes. The curriculum for each topic is highly interactive and incorporates the educational standards developed by District Six. Panel presentations developed 4 years ago include speakers mentioned above, are also available. The panel discussion may be a part of the "PeerVention" program series or as an adjunct to the HIV/'STDs topic for adults or teens. This particular intervention has been highly effective, giving a personal face to HIV. A brochure describing the "PeerVention" program was developed with input from the Teen Advisory Board and staff at Trademark Learning Center. The HIV educator and 4 teen educators (ages 17-20) are currently distributing the brochure to schools and agencies throughout Weld County. Four peer educators are in place and available for presentations)They were trained through WCDPHE in HIV/STDs. Education is ongoing through the supervision of the HIV educator. The publication "Peer to Peer Youth Preventing HIV Infection together" developed by Advocates for Youth is used as an ongoing resource. Peer educators benefit from the experience and improve their communication and presentation skills and are more likely to model safe behaviors. Research shows people are more likely to listen to someone similar to themselves. Curriculum review and revision is an ongoing process involving the HIV educator and Peervention educators. Objective 5. The Peervention educators will provide a minimum of 15 risk reduction presentations in class rooms, community groups and agencies serving high risk youth by December 31, 2000. The second GEI is in collaboration with the American Red Cross Weld County Chapter and the Centennial Red Cross Chapter in Ft. Collins. Through their HIV Prevention training, we can increase the number to individuals and agencies in Weld and Lorimer Counties with HIV prevention skills. During 2000, the WCAC and the HIV educator can recruit members of the target audience to participate in the prevention training workshops provided by the Red Cross. Both chapters have agreed to provide the training, in English and Spanish. The WCAC has three certified trainers available, two of which are Hispanic/Latino. One is a counselor at the Plattevalley Youth Correction Center and the other is a counselor/educator at the Weld County HeadStart program. Both serve a large number of high risk individuals in the targeted populations and are committed to HIV/AIDS and STD prevention. Through the certified instructors, we can increase the capacity for risk reduction education and individual outreach. A foundation for a community based HIV/AIDS prevention effort can be established by training leaders and key people in the targeted populations. Individuals in the Hispanic/Latino and the Gay, Lesbian, Bisexual community will be recruited to participate in the HIV Prevention training through the WCAC. Training will take place with a group of six or more individuals for three days according to the Red Cross protocol. Individuals can attend a training sponsored by with chapter to provide more flexibility for the participants. Objective 6- A minimum of 2 HIV Prevention Education workshops will be provided through the American Red Cross and coordinated by WCDPHE in 2000 with expansion in 2O01.. 2003 to 7 4 per year. We will cooperatively provide venues, training materials, refreshments, supplies and personnel as needed. To reach the target populations, the WCAC and the WCDPHE will begin planning and implementation of group level education in these communities using the new instructors. One possible format for education in the Latino community is a traditional gathering of friends at a person's home to discuss the issues and enjoy refreshments. The Ft. Collins Women's Center is using this model in Larimer County and following the discussion with testing. Because we want to establish a foundation with these communities for addressing a variety of health issues, emphasis is placed on developing these methods. Key informant interviews with community leaders as well as community members will help lay this foundation. Objective 7. By December 2000, a minimum of 3 HIV prevention workshops for community members of the Hispanic/Latino and GLBT will take place in Weld County. For 2001 -2002, we expect to increase this number to 6 per year. Individual Level Intervention ILI During 2000, the majority of the ILI to 842 individuals in District 2 will be conducted by NCAP and their volunteers. WCDPHE is committed to increasing the ILI in Weld County through collaboration with Gerald Ernst, volunteers from the community, the HIV educator and a bi-lingual health educator/ office technician involved in community outreach for cancer prevention. Matching funds for staff time and latex supplies will be provided by the WCDPHF Public Health Education and Nursing Division. It is a goal of this agency to increase the number of clients accessing our counseling and testing services for 2000 - 2002. Outreach volunteer and the staff will participate in an initial 8 hour training which includes HIV 101, field safety, effective approaching skills for the target audience, referral sources and outreach experience. Training will be a collaborative effort between the HIV educator and Gerald Ernst, an independent contractor for outreach and District 2 representative for CWT. A confidentiality agreement will be signed by everyone participating in the activities. The target population is the Hispanic/Latino community, MSM, IDU, and others involved in risky behaviors, primarily in the 21 - 45 year age group. A focus group from the GLBT Alliance and the Latino/Hispanic community will help identify the bars with the highest number of patrons. There are no gay-identified bars in Weld County at this time. A 10 questions survey develop in 1999 will be used to assess the HIV knowledge and types of high risk behaviors present of during the first Volunteers to participate in outreach will also be recruited from these groups. Educational materials and condom cards are printed in Spanish and English. Other materials are available for the disabled population. Outreach will consist of distribution of materials, individual information sharing on high risk behaviors, sexual and needle sharing and substance abuse. Out reach volunteers strive to motivate clients to change high risk behavior. The volunteers will disseminate verbal and written information and safer sex kits to patrons and seek to establish a circumstance where reinforcement can take place. Information will be available for patrons in a separate area for patrons to take with them. Maintaining volunteer and clients respect and comfort is essential to the success of the outreach. Objective 8. By June 2000, recruitment and training of 6 volunteer/staff will take place.. Objective 9. By July, 50 surveys will be given to individuals at proposed outreach sites. 8 Objective 10 - By December, 2000, 8 outreach activities will take place in Weld County. The following two years this number will increase to at least one each month. Evaluation Public Information - Formative evaluation through discussions and input from the WCAC is ongoing during the year. Feedback from participants and volunteers for the WCAC events is solicited by the WCAC member and the HIV educator before and after each event. A formal summary will be included in the quarterly reports to the CDPHE (funder). Process evaluation includes tracking the number of 1)educational materials distributed, 2) condoms distributed., 3)PSAs and news releases distributed, 4) participant at the WCAC events. 5) number of presentations to community groups. This information is accumulated and reported quarterly to the CDPHE Epidemiology decision and used by the WCAC and WCDPHE for future planning. For educational presentations, a pre/post test is used to evaluate change in knowledge and/or attitude. These results are accumulated and used for revising the presentations and reported to the CDPHE quarterly. A narrative report will accompany these results submitted quarterly to the Contract Supervisor. Group Level Intervention - Formative evaluation for this intervention includes focus groups and key informant interviews with the Hispanic/Latino population, the GLBT Alliance, the high risk youth and teachers. During 1999, the Teen Advisory Board and teachers from Trademark Learning Center and District 6 schools provided feedback to the project. In addition, key informant interviews were conducted with members of the Latino community as described in the target population section. Pre and post tests will be administered to both youth and adult at presentations or panel discussions. These tests collect both demographic data and measures change in knowledge and attitude. If a series of presentations is provided by the Peervention team, a behavior change may also be reported. General evaluation forms are distributed at each presentation and will provide formative evaluation.information the HIV educator, peer educators and staff. Process evaluations includes tracking the number of 1) educational workshops and panel discussions, 2) participants at each workshop/presentation 3) other peer educator activities 4) condoms and educational materials distributed. These are submitted to the CDPHE Epidemiology division quarterly. A narrative is submitted to the Contract Supervisor including progress toward objectives, activities for HIV prevention. Individual Level Intervention - Formative evaluation includes the 10 question survey of individuals described in the operational plan and will provide baseline information on current condom use. This same survey will be conducted again by December 31 to evaluate change in knowledge and behavior and feedback. Process evaluation includes tracking the following number of: 1) clients, 2) educational materials, 3) referrals, 4) safer sex kits. This information will be sent to the CDPHE Epidemiology division on a quarterly basis. A narrative report summarizing the activities will be included in the quarterly report to the HIV Contract Supervisor. 9 a a £: E �r a > E o o I✓ - ..o. Co C) O U c�a • 0o N •M rn -4 O U O of a cG co cd , M �' .fl N s. of ,.., N ‘, p '- N N el o a. E.A, a s c. bn ri x C r+i < C ci C ---;--- E: Y >,m > r, a) a) o cs ti o b a a a a i 761 • 3 3 3 3 3 3 3r� 3 � 3cb. O O a 0 O o O O O a) N CL O N O O O cet > C) N .--i O O ON o o ct o M • _ N OO _ii . ,--'?" N eI Ca N M — M (^,i b0 . o Q M c�C a G� o G �, N C — 6 H < < N Z a7 0 0 0 c r.I O C) It h 'U O m N o o t 0 a• zt v h o v 'b 6 AO H H HW H 'O ❑ be, E • y = O .a H 7 .a r-1 ,1 ti •° �bn ti ' C7 C7 C7 0 L`) 0 E') H Q U U E o b ❑ ❑ a Q U x v? z z 're; Fa ro a I 'O On O O O00 O 0 r O o C O v', c-, OO ' O O O N c{ '.p N a - F.; j A At p0 H t) a, Q ti; a g V) a n O a Z y C Q C) O N a.a. V s., i.,; c0 '� O s 'a -< Q' O 'N C... W 'h ''' ,, N C C C N C >. ' '- U 7 C It v r xo, a x x3 z > VD CZ C ° — :c w LC a a b < ¢ ¢ Q 0 0 Q 3 3 L c 3 3 3 3 � •° w w w v� v5 v) E E At 0 x x x x 0 ^ o a A. a. a. E U G -a -_Gli -aa Lt c vx Q Q Q b -a 76 C- C.) 3 3 3 3 c� C ) \ ) o \ ) / ^ h9 " \ \ { H OA EA ch C 6 ) $ / © Q = / ) gyp / 2= = R@ = CA C-1 [ / yy ) IA ) CA CN / ) Do 06 u � 3 = �_ _ 5Q3 & 2Q ) — / / _ \ \ Ln / wa\ \ 0 0 [ } \ k / $ / 0 \ / \ \ \ \ \ ; CoC. •.( : j 0 } v/ / t \ / 9 v 3 ; , , w \ { & z 2 a Q * H e t t ? cu U ( \ \ � \ \\ � { � } cL \ / j \ g // , u /± � / } k ; W \ \ /.. 2 . ! z /) : a ) 7 ] \± \ / zf // \ Cl) /\/ \ Z F2E z Hello