HomeMy WebLinkAbout981820.tiff RESOLUTION
RE: APPROVE PROPOSAL FOR FUNDING 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 Proposal for funding for HIV
Prevention Services 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
Health Department, to the Colorado Department of Public Health and Environment,
commencing January 1, 1999, and ending December 31, 1999, with further terms and
conditions being as stated in said proposal, and
WHEREAS, after review, the Board deems it advisable to approve said proposal, 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 Proposal for funding for HIV Prevention Services 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 Health Department, 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 proposal.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 28th day of September, A.D., 1998, nunc pro tunc January 1, 1999.
BOARD OF COUNTY COMMISSIONERS
WED COUNTY, COLORADO
ATTEST: i•/ %t .;s!;� -* 70���i. nl�,/)
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111 ♦ Constance L. Harbert, Chair
t Weld County Clerk to , : • •' ? 0� ���/ 9 � /� 1j
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BY: p C G- ;J,i .ate
Deputy Clerk to the Bob:
eorge . Baxter
FAO QED ORM:
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arbara J. Kirkmeyer
/ 981820
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Memorandum
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TO: Constance L Harbert
Chair, Weld County Cor{96N1i 5rMs MI 10: 09
DATE: September 25, 1998 CLERK
11111pO TO THE E,DA RD
FROM: John Pickle,M.S.E.H.
COLORADO Director, Weld County Health Department
SUBJECT: HIV Prevention Grant Proposal
Enclosed for board review and approval is a proposal for a contract between the Weld County
Health Department and the Colorado Department of Public Health and Environment to
implement a HIV prevention project which will include three interventions.
The first intervention will focus on group-risk reduction education targeting women and youth in
Weld County. Weld County Health Department will continue to provide workshops for women
at the Villa Restitution Center, that promote and reinforce safer behaviors, and training on
interpersonal and self-nurturing skills. In addition, Weld County Health Department will promote
the availability of 2, 4, or 6 session guest speaker curriculums which focus on HIV/STDs, birth
control, date rape, dating expectations/communication, and self-esteem to schools (grade 6-12)
and agencies serving youth throughout Weld County. These presentations will incorporate the
educational standards developed by District 6.
The second intervention is a continuation of a Public Information project targeting all residents
of Weld County. The project seeks to dispell myths about HIV transmission, support
volunteerism for HIV prevention, and reduce discrimination toward persons with HIV/AIDS.
This will be achieved through community HIV awareness events and other presentations. The
Weld County Health Department will be collaborating with the Weld County AIDS Coalition to
achieve our goal.
The third intervention is a street and community outreach project that targets select Greeley bars,
both English and Spanish-speaking. The project will provide individual level education, promote
safer behaviors, and encourage self-empowerment.
The grant request is for a one year contract beginning January 1999 and ending in December
1999. We are asking for S50,000 to implement and maintain this project.
I would recommend your approval of this proposal.
If you have any questions, please feel free to contact me.
981820
REQUEST FOR FUNDING
FOR
HIV PREVENTION SERVICES IN RURAL COMMUNITIES
WELD COUNTY HEALTH DEPARTMENT
1517 16TH AVE. CT.
GREELEY, CO 80631
CONTACT PERSON: MISTI AAS
353-0586 EXT. 2344
1. DESCRIPTION OF THE ORGANIZATION
The Weld County Health Department (WCHD) was established in 1938; the
second health department in the state of Colorado. WCHD serves the 144,000
residents of Weld County which includes 29 incorporated towns and
encompasses 4000 square miles. WCHD employs approximately 75 individuals
who work in three separate divisions; Administration, Preventive Health
Services, and Environmental Protection. The mission of the WCHD is to
preserve, promote, and protect a healthy life and safe environment for all
people in Weld County. Financial support of WCHD consists of the following;
county funds - 37.4%, fees for services - 31.6%, contracts and grants - 28.7%,
and misc. funding - 2.3%.
WCHD houses a STD Clinic and also serves as both an anonymous and
confidential HIV testing site.
The HIV education program is under the umbrella of the Health Promotions
section of Preventive Health Services at WCHD. In 1998, public information on
HIV/AIDS prevention and awareness was provided in Weld County through
community events and educational presentations to organizations and schools.
WCHD is the lead agency for the Weld County AIDS Coalition (WCAC) with the
HIV educator serving as coordinator. Six-session group risk reduction
workshops were conducted targeting women and a quarter time PCM project
was piloted.
WCHD houses an audiovisual and other educational media supply room.
These supplies include over-head projectors, slide projectors, a portable
TVNCR, flip charts w/markers, an HIV virus model, and a variety of videos on
health-related issues including HIV/AIDS. The HIV educator has ready access
to all equipment. Condoms and HIV-related brochures and information are
stored in the office of the HIV educator.
The HIV educator at WCHD has been involved in HIV education for twelve
years through the University of Northern Colorado (UNC), WCAC, and currently
WCHD. She is Vice President of the AIDS Coalition for Education (ACE). She
holds a Master's Degree in Agency Counseling and has facilitated the Weld
County HIV/AIDS support group for the past six years.
2. STANDARDS FOR COMPETENCY AND PROFICIENCY
The persons affiliated with WCHD who will be implementing the HIV
prevention interventions have a continuing commitment to cultural competence
and proficiency. in order to demonstrate this commitment a 4-step model of
building cultural competence will be followed:
1) Learning about culture and important cultural components.
2) Learning about your own culture through a process of self-assessment that
includes examining your culture's assumptions and values and your
perspectives on them.
3) Learning about the individuals in your program.
4) Learning as much as possible about important aspects of their cultural
backgrounds with a focus on sexuality-related issues.
Gaining cultural competence is a long-term, developmental process. It is an
exciting, engaging, life-long process of expanding horizons, thinking critically
about issues of power and oppression and acting appropriately. Culturally
competent individuals have a mixture of beliefs/attitudes, knowledge and skills
that help them establish trust and communicate with others. Culture serves as a
road map for both perceiving and interacting with the world.
The HIV educator and associated peer educators will attend any trainings
offered through the state (or locally) on furthering cultural competence and
awareness. In addition, the HIV educator will utilize "A Youth Leader's Guide to
Building Cultural Competence", developed by Advocates for Youth, to promote
skill-building in cultural competence and proficiency in ongoing peer educator
trainings.
Groups and individuals are assessed on a cultural spectrum at the beginning
of each presentation, risk-reduction workshop, or outreach activity. Cultural
diversity and needs are taken into consideration during planning of WCAC
events. Members of WCAC include people of color who voice the unique
cultural concerns reflected by their communities. Printed materials used for HIV
prevention education are also available in Spanish. Spanish-speaking videos
are available through the video-lending library at WCHD.
The cultural competence of the organization will be assessed through
ongoing feedback of program participants and technical assistance through
CDPHE. Cultural competence will also be measured by assessment
instruments developed in conjunction with the CWT Cultural Competence
Committee.
Every effort will be made to hold presentations, workshops, and other HIV
prevention events to ensure accessibility to people with disabilities. Special
attention will be given to ensuring accessible parking, entrance, hallways,
doors, meeting room, and restrooms of the facility.
For persons who are deaf or hard of hearing, the phone number for Relay
Colorado (800/659-2656) will be printed on all marketing materials for
upcoming events or workshops. This allows individuals to contact facilities that
do not currently have a TTY number, such as the WCHD. Interpreters for the
deaf or hard of hearing can be acquired for meetings, presentations, and events
through the Northern Colorado Center on Deafness with at least 24-hour notice.
Availability of this service will also be advertised on all relevant printed
materials.
For persons who are blind, all materials relating to the agency and the
services it provides can be made available in other formats, such as audiotape
or the use of a reader upon request.
3a. TARGET AUDIENCE
Group Level Intervention
The target audience for the proposed interventions are youth and high-risk
women. CWT District 2 recommended that the greatest urgency of priority be
placed on unsafe sexual contact, partners of opposite sex, among people of all
races and ethnicities, including women and youth.
AIDS is currently the 6th leading cause of death among 15-24 year olds.
Given the average "latency" period of 10-12 years between infection with HIV
and onset of symptoms, most of the reported AIDS cases among 20-24 year
olds were probably a result of infection during the teenage years.
Key informant interviews were used in the formative evaluation process for
the proposed school-based risk reduction education. Three junior high and two
high school level teachers were asked for their input and ideas on the proposed
intervention. Keypoints of their feedback included:
- Teachers and principals should be educated on the availability and content of
the presentations, both through widely distributed written marketing and staff
presentations at various schools.
- The District educational standards should be incorporated into the
presentations in order for teachers to be able to justify bringing the workshops
into their classrooms, particularly if it is not a health-related class. For instance,
including a critical thinking or writing exercise would incorporate language arts
skill-building.
- Peer educators are a great component. Kids seem to truly listen to their peers.
In addition, key informant interviews were conducted with six teens; 2 jr. high
and 4 high schoolers. Youth were asked to rank order the importance of each
component of the stated curriculums; HIV/AIDS, STDs, birth control, date rape,
dating expectations and communication, community resources/referrals, and
self-esteem. Youth were also asked who they would most like to provide this
information; their teacher, a guest speaker, or a peer educator. Younger teens
opted for either their teacher or a guest speaker, while older teens were in
strong support of the peer educators. In addition, teens were asked what type of
a format the information should be presented through. Responses indicated a
strong desire for an interactive approach, as well as teaching tools such a a
birth control kit to provide visual and hands on learning.
Additional teachers and youth from the target population will be interviewed
to assist in further planning during fourth quarter of 1998.
Women experience unique issues of empowerment and self-esteem that
influence the practice of safer behaviors, as well as an increase in new
infections. AIDS is now the 3rd leading cause of death in American women
aged 25 to 44. Women are one of the fastest-growing groups among people
diagnosed with AIDS, accounting for 41% of cumulative cases worldwide. In the
US, between 1991 and 1995, the number of women diagnosed as having
AIDS increased by 63%, more than any other group of persons reported as
having AIDS, regardless of race or mode of exposure to HIV.
Risk reduction workshops for women have been ongoing for the second part
of 1998. A written evaluation is completed by each participant at the end of
each "Relationship 201" workshop. Included in the evaluation is a likert scale for
content and length of workshop, as well as knowledge of presenter. In addition,
participants are asked to write what they liked best and least about the class.
This direct ongoing feedback from the population being targeted enables
increased effectiveness in planning, implementation, and evaluation. The
•
"Relationship 201" curriculum has been revised based on the formative and
process evaluation.
Public Information
The target audience for this intervention is all residents of Weld County, with
the inclusion of youth, people of color, people with disabilities and deaf and
hard of hearing.
The Weld County AIDS Coalition (WCAC), whose mission is to educate the
community about HIV infection and to diminish the fears and myths associated
with HIV infection and AIDS, is representative of a diverse cross-section of Weld
County residents. It's 40 members (active and non-active) include medical
providers, health educators, clergy, people of color, persons from the University
community, persons living with HIV, persons who have lost loved ones to
complications of AIDS, as well as other interested individuals. Member of
WCAC range in age from 18 to 73. The Coalition is coordinated by the HIV
educator and meets regularly on a monthly basis, as well as providing quarterly
mailed updates to all members. Meeting activities include event planning,
discussion of community needs, and resource sharing.
The coordination of WCAC gives the HIV educator the unique opportunity to
track information, perceptions, and changes in behaviors and attitudes about
HIV/AIDS in Weld County, enabling WCHD to evaluate and, if needed, re-adjust
its focus and strategies based on the needs communicated by Weld County
residents. WCAC recruits for new members at all PI events and presentations.
WCHD's Public Information intervention will reach an estimated 1000 people
through WCAC events, panel discussions and presentations in 1999, and an
additional estimated 85,000 people through various media means.
all priority populations for CWT District 2 are included under the target
audience of all residents of Weld County.
Individual Level Intervention
The target audience for the proposed street and community outreach
intervention is persons in targeted bars who are at high-risk for HIV infection.
The majority of persons in the target audience will range in age from 21 to 45
years of age. Persons who are Latino will be specifically targeted as well.
Formative evaluation will be conducted through a 10 question survey
assessing HIV knowledge and risk behaviors that will be given to a minimum of
50 individuals at a proposed outreach site during the first 2 months of the
proposed project. This survey will be piloted on members of the Greeley Gay
Lesbian Bisexual and Transgendered Alliance, reflective of a high-risk
population.
Members of the target audience will be reached through brief interactions
with trained outreach workers at specified sites where individuals congregate to
socialize with peers. Alcohol will be an additional factor present at targeted
sites, raising the level of risk for HIV infection.
3b. OBJECTIVES
GLI (Youth)
By 12/31/99, 300 clients from the target audience will receive group risk
reduction education.
By 12/31/99, self-reported condom use will increase by 5% according to the
YRBS.
GLI (Women)
By 12/31/99, 120 clients from the target audience will receive group risk
reduction education.
By 12/31/99, there will be a 10% self-reported increase in correct and consistent
condom use among women participating in risk-reduction workshops (baseline
determined through condom use survey at onset of first session).
PI
By 12/31/99, 1000 clients from the target audience will receive public
information through direct events and presentations and an estimated 85,000
individuals will receive public information through other media means
(newspaper, radio, etc.).
ILI
By 12/31/99, 500 clients from the target audience will receive street and
community outreach.
By 12/31/99, self-reported correct and consistent condom use will increase by
10% among clients receiving bar outreach (determined by condom use
questions on pre- and post-surveys).
3c. OPERATIONAL PLAN
GLI
The first and primary proposed intervention will be implemented by the HIV
educator at WCHD with the assistance of an already established group of
adolescent peer educators and in collaboration with School District 6 in
Greeley.
Presentations would be offered to the "traditional" schools throughout Weld
County, as well as the two alternative schools in Greeley. There is a larger
proportion of high-risk youth at the alternative schools. However, high-risk teens
are included in virtually all classrooms.
Young people in school today face issues which have an impact on not only
the climate in which they learn, but their health and futures as well. Violence,
substance use, mental illness, teen pregnancy, and infection with HIV and other
•
•
STDs all pose serious threats to students' well-being. Unaddressed, young
people fail to learn and prosper.
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. Further, 27% of 12th graders - 31% of males and 23% of females -
report having had four or more lifetime partners.
In the proposed intervention, several optional guest speaker "curriculums"
will be available for presentation in a classroom setting for up to 25 participants
in each group at the middle, junior high, and high school level. The presentation
options vary according to topic content and number of sessions. Each
curriculum is intended to be highly interactive and will incorporate the
educational standards developed by District 6.
The first developed curriculum is 6 sessions in length and is the most
comprehensive in content including HIV/AIDS, STDs, birth control, date rape,
dating expectations and communication, community resources, and clarifying
belief systems and attitudes. The information and activities are based on the
existing "Zeroing In on Teen Sexuality" (ZITS) curriculum (see attachment ).
The second developed curriculum is 4-sessions in length and topics include
HIV/AIDS, STDs, birth control, self-acceptance, and assertive communication
skills.
The third developed curriculum is 2 sessions in length and includes
information on HIV/STDs, as well as a panel of speakers who are directly
impacted by HIV - an infected person, a family member, and someone who
works with persons living with HIV/AIDS. The HIV panel format has been used
in presenting HIV information by WCHD for the past 3 years as a way to put a
personal face to HIV.
In all three of the established risk reduction workshops, STD education is an
important component. Teenagers comprise 25% of the 12 million STD cases in
the US reported annually to the CDC. High rates of adolescent STD infection
underscore the urgent need for intervention - especially because the same
behaviors that place people at risk for STDs also put them at risk for HIV
infection. Furthermore, infection with a STD increases a person's risk of
becoming infected with HIV. An STD slide show illustrating symptoms and
advanced STDs is included in each curriculum (see attachment ). In addition,
over 1 million adolescents become pregnant every year; the majority of
pregnancies (78%) among 15-17 year olds are unwanted.
A pamphlet describing the optional group risk reduction sessions will be
developed and distributed to teachers throughout the Weld County school
districts. Pamphlets will also be available to agencies serving high-risk youth.
A total of five qualified individuals will be available to implement the
requested group level risk reduction sessions (the HIV educator and 4 already
existing peer educators ranging in age from 17 to 20). The peer educator
program was established at WCHD in 1998 and peers are trained in HIV/STDs,
birth control, sexual assault, communication/negotiation skills, and self-esteem
issues. Peer educators receive ongoing training and are under ongoing
supervision by the HIV educator. The publication "Peer to Peer: Youth
Preventing HIV Infection together", developed by Advocates for Youth, will be
used as an ongoing resource.
9315,20
•
Through peer education, both the peer educator and the recipient of the
information benefit. The experience of learning becomes an exchange of ideas,
rather than a transfer of knowledge. Peer educators improve their
communication and presentation skills, develop leadership potential and are
more likely to engage in the safer behaviors they are committed to advocating.
Research shows that people are most likely to listen to people similar to
themselves.
Time Line
By January 31, 1999, pamphlets detailing the availability of the various group
risk reduction education options will be ready for community-wide distribution.
By February 28, 1999, peer educators will be trained in each session of the
available curriculums.
By March 31, 1999, program pamphlets will be distributed to all schools (grades
6-12) in Weld County and various agencies serving high-risk youth.
By December 31, 1999, a minimum of 15 group risk reduction workshops will be
given in classrooms (6-12) and agencies serving high-risk youth.
GLI - Women
The second proposed intervention is the continuation of a current, ongoing
risk-reduction program targeting high-risk women. The HIV educator will
conduct risk-reduction workshops, 3 sessions in length at the Villa, a Restitution
center in Greeley which houses approximately 30 women at any given time.
The curriculum for the risk-reduction includes:
Session 1: Overview
Expectations from workshop
HIV/AIDS basic knowledge •
STDs
Session 2: Risk reduction/safer behaviors
Session 3 Factors influencing unhealthy relationship patterns
Self-nurturing activities
The 3-session workshop will be conducted on a weekly basis in two separate
concurrent sessions of 15 women in each and will cycle every 3 months.
Emphasis is placed on correct condom use, along with
communication/negotiation skills, as an effective risk-reduction technique.
However, recognition and sensitivity will be given to the fact that for many
women -whatever the cultural context - to suggest to their husband or partner
that he use a condom is seen as evidence of the woman's infidelity or is felt by
the man as defiance or insolence.
Emphasis is also placed on STD education, for both prevention and
treatment. Women who are infected with other STDs have an increased number
of HIV target cells (CD4 cells) present in cervical secretions. Researchers
believe that having a larger number of these cells increases a wornan's
likelihood of acquiring HIV infection if she is exposed to HIV. The genital ulcers
caused by some bacterial and viral STDs are an efficient portal of entry for HIV
as well.
Referrals for treatment of current STDs is an important component of the risk-
reduction workshop. A landmark community-level randomized trial in a rural
area of Tanzania demonstrated a 42% decrease in new heterosexually
transmitted HIV infections in communities with improved treatment of
symptomatic STDs as compared to communities with minimal STD services.
Additional emphasis is placed on self-acceptance and self-nurturing
behaviors. Women need to take actions to protect themselves from HIV, not just
their partners or their babies.
Time Line
By December 31, 1999, four group risk reduction workshops will be given to
women at the Villa in Greeley.
For both risk-reduction interventions, methods of education delivery will
include group discussion, role plays, games, demonstrations, and appropriate
referrals in order to foster skill-building and reinforce behavior change and
maintenance of safer behaviors. All participants will be asked to uphold a verbal
confidentiality agreement.
CWT District 2 recommended that the greatest urgency of priority be placed
on unsafe sexual contact, partners of opposite sex, among people of all races
and ethnicities including both youth and adults. According to the District 2
priority statement, HIV prevention programs should focus on changing barriers,
skills, social norms, attitudes, intentions, emotion, self-efficacy, and self
standards. Group level intervention sessions will also incorporate risk reduction
education for same-sex partners and respect for individual differences.
PI
Public information continues to be an important HIV prevention intervention.
With the continued media-acclaimed success of combination AIDS drug
therapies, many people erroneously believe that HIV/AIDS is a disease of the
past. This, along with other variables, has contributed to an alarming trend of
risky behavior. Public information is imperative, particularly in a rural community
where myths and discrimination surrounding HIV/AIDS seem particularly
prevalent.
The WCAC was established in 1987 and is a diverse volunteer group of
community individuals committed to the prevention of HIV/AIDS through
education. The WCHD HIV educator serves as its coordinator. Over the years,
WCAC has grown in both membership and service. The organization plans and
implements several annual events that the community anticipates and looks
forward to, and in turn these events continue to grow.
•
In the spring of 1999, WCAC will sponsor its 5th Annual Candlelight
Memorial Service in observance of the International AIDS Candlelight Memorial
and Mobilization. This service rotates among Houses of Worship and includes
participation by other interested clergy and community members in Weld
County. Music, readings, poetry, meditations, memory sharing, and candle-
lighting will remember those who have died from complications of AIDS, and
honor those who are living with HIV/AIDS.
In the fall of 1999, WCAC will plan and implement its 8th Annual "A Walk in
the Park". This 5K walk will take place at Bittersweet Park and will include
educational information as well as refreshments and prizes donated by area
merchants. The primary focus of the walk is to provide public education and
awareness surrounding HIV. A number of Weld County businesses will be
solicited for sponsorships and prize donations for the event. "A Walk in the Park"
not only draws community members together in the battle against AIDS, but
also gives Weld County businesses and merchants an opportunity to show their
support for continued HIV/AIDS awareness.
Both of the aforementioned events will be publicized through multi-media
means. Press-releases will be sent to 17-newspapers throughout Weld County,
and PSAs will be sent to 5 radio stations in Northern Colorado. Posters
advertising each event will be distributed throughout the community. For the
Candlelight Memorial Service, announcements will be sent to Houses of
Worship throughout Weld County to be included in their bulletins.
KFKA radio is an annual sponsor of "A Walk in the Park" and is a strong
supporter of the mission of WCAC. KFKA will air radio interviews with the
WCHD HIV educator and other Coalition members in the weeks proceeding the
walk.
In observance of World AIDS Day (Dec.1 st), WCAC will promote a red ribbon
campaign specifically targeting businesses throughout Weld County. Letters will
be sent to the 11 largest companies in the county providing information
regarding World AIDS Day, as well as the opportunity to request red ribbons for
their employees. Other smaller businesses will be contacted via phone by
Coalition volunteers. An announcement will also be placed in the business
section of the Greeley Tribune.
The WCAC Speaker's Bureau includes persons living with HIV, parents who
have lost adult children to complications of AIDS, medical providers, health
educators, and others who have been affected by HIV/AIDS. Four to six
members of the Speaker's Bureau participate in each panel discussion. Panel
presentations are highly interactive with the audience, with the majority of time
focused on a question/answer format.
Schools, community groups and other organizations are encouraged to
request panels. These panels serve to personalize HIV/AIDS, and seek to
dispel myths about HIV transmission, as well as aiming to reduce discrimination
toward persons living with HIV/AIDS and providing referrals for testing and
other services.
The HIV Educator will provide educational presentations surrounding
HIV/AIDS to community agencies/organizations and University classes upon
request. Presentations are tailored to each audience and include: "Basic HIV
with condom demonstration", "Teaching Elementary Children about HIV", "HIV
' /Jr2O
Education and Behavior Change", and "Protease Inhibitors: Beyond the Silver
Lining".
Video loans, HIV/AIDS pamphlets, and condoms will be provided to groups
ancLindividuals on a request basis. All messages and materials are sensitive
and appropriate to the target audience's needs, and interests and have been
pretested to assure understanding by and relevance to the target audience.
Alternative formats are available for the disabled (see Standards for
Competency and Proficiency).
The recommendations of CWT District 2 list Public Information as a potential
intervention for all priority statement/populations. This intervention
demonstrates cultural competence as defined by CWT.
Time Line
By April 30, 1999, all participating clergy and other contributors will be lined up
for the Candlelight Memorial Service.
By April 30, 1999, press releases, PSAs, House of Worship bulletin
announcements, and posters will be distributed throughout Weld County to
invite participants to the local observance of the International AIDS Candlelight
Memorial and Mobilization.
By August 31, 1999, all community prize donors and business/organizational
sponsors will be secured for "A Walk in the Park".
By August 31, 1999, press releases, PSAs, posters, and registration forms will
be distributed throughout Weld County to invite participants to the 8th Annual "A
Walk in the Park".
By October 31, 1999, an editorial focusing.on one or more aspects/issues of
HIV/AIDS will be written to appear in the Greeley Tribune.
By November 30, 1999, major corporations in Weld County will have received a
letter promoting a red ribbon campaign for World AIDS Day.
By December 31, 1999, a minimum of six panel presentations promoting
HIV/AIDS awareness will be provided to schools and/or community
organizations.
By December 31 , 1999, a minimum of twelve tailored HIV/AIDS educational
presentations will be provided to community agencies/organizations and
university classes.
By December 31, 1999, twelve WCAC meetings (one each month) will be
facilitated.
ILI
9F/3 0
A group of 8 volunteers has been formed and is pending training for the
proposed intervention. Outreach volunteers will participate in an initial 8-hour
training which will include HIV 101, field safety, effective approaching skills to
the target audience, referral sources, and an outreach experience. An
agreement of confidentiality will be understood and signed by each volunteer
The training will be a collaborative effort between the HIV educator and Gerald
Earnst, a known independent contractor for outreach.
Outreach volunteers will participate in one outreach activity each month.
Designated bars will be visited on select Friday and Saturday nights from 10 pm
to 12 am.
Bars with the highest number of patrons will be specified for outreach
education. It is important to note that there are currently no gay-identified bars in
Greeley.Latino bars will also be targeted. Latino/Spanish-speaking volunteers
will always be utilized for these outreaches. Educational materials and condom
instruction cards are also printed in Spanish.
Outreach workers will strive to help clients develop skills and motivation to
adopt and maintain safer behaviors over time. This will be achieved through the
distribution of materials, referrals, and educational discussions on sexual risk,
needle-sharing behaviors, and the overall relationship between substance use
and risky behavior. Outreach methods will include striving toward ongoing
reinforcement (recontacting); disseminating information (both written and
verbal) which is accurate, up-to-date, culturally appropriate, and non-
judgemental; and the distribution of quality, non-expired safer sex kits. A table
will be set up at each outreach site as a non-threatening option for material
distribution. The comfort level of both volunteers and participants will be
continually assessed and respected.
For additional information on cultural competence and evaluation of this
intervention, please refer to sections 2, 3a, and 3f.
Time Line
By January 31, 1999, volunteer outreach workers will have completed the 8-
hour training for performing street and community outreach activities.
By February 28, 1999, a minimum of 50 pre-test questionnaires will have been
completed by patrons at the targeted outreach sites.
By March 31, 1999, owner/managers of two targeted bars (1 English-speaking
and 1 Spanish-speaking) will have been contacted and asked permission to
perform outreach activities.
By December 31, 1999, a minimum of 10 targeted bar outreach activities will be
conducted.
3d. MISC. FACTORS
There are 16,174 youth aged 12-18 in Weld County. Women over the age of
18 make up 56,327 people in Weld County. The total population of Weld County
is . Individuals age 18-44 in Weld number 66,760. In 1996, there were
" 0
•
7720 reported cases of chlamydia in the state of Colorado, indicating the need
for increased STD education and skill-building for preventive behavior.
3e. COLLABORATION
GLI
The WCHD HIV educator will be working in close collaboration with the
Greeley School District 6 in implementing the proposed group risk reduction
intervention targeting youth (grades 6-12). Currently School District 6 only has
an established curriculum for health and sexuality education at the elementary
level. The proposed intervention gives teachers the opportunity to provide
sexuality-related information at the higher grade levels. The is providing
assistance in incorporating the District educational standards in the
presentation content, and will provide ongoing technical assistance throughout
the implementation of this program.
The HIV educator will collaborate with the Director of the Women's Program
at the Villa. The Director, along with the women's program counselors, will
provide continuing feedback and technical assistance. The Villa provides the
location and participants for the risk-reduction workshops.
Currently there are no other service providers in Weld County providing HIV
risk-reduction workshops or peer educator presentations. Northern Colorado
AIDS Project (NCAP) is currently funded to provide some HIV risk-reduction
education targeting the MSM population in Weld County.
PI
The WCHD HIV educator works collaboratively with individuals involved in
WCAC in order to plan and implement the WCAC sponsored events and panel
presentations. WCHD also collaborates with UNC on HIV/AIDS educational
events.
Other organizations in Weld County, such as Planned Parenthood, provide
printed HIV/AIDS educational materials and referrals to individuals. NCAP
provides limited PI activity to Weld County, but the majority of NCAP's
prevention outreach is focused on Larimer County due to geographic logistics.
This proposal is not duplicative of any other HIV prevention services offered in
Weld County.
ILI
For this intervention, collaboration will occur with Gerald Earnst, an
independent contractor for outreach. Gerald has had experience with street and
community outreach and has supervised a successful outreach project in
Larimer County, Positively Negative. Gerald will co-facilitate the volunteer
training and will provide ongoing technical assistance throughout the year.
NCAP.is currently funded for 1997 to provide outreach to MSMs but does not
provide any bar outreach in Weld County.
3f. EVALUATION PLAN
GLI - Youth
formative evaluation through key informant interviews of the target
population, as well as teachers, was utilized as described in sec. 3a.
A pre- and post-test questionnaire will be administered to participants at the
beginning and the end of the 2, 4, and 6 session interactive presentations. The
questionnaire will collect demographic data on the participants, as well as
measure knowledge,attitudes, and behaviors. General evaluation forms will
also be collected at the end of each performed intervention. These techniques
will serve as a form of process evaluation and assist in the completion of
outcome evaluation.
GLI - Women
Formative evaluation was conducted through the use of written and verbal
evaluation of 1998 risk-reduction workshops by program participants.
A pre- and post-test questionnaire will be administered to participants at the
beginning and the end of the 4-week risk-reduction workshop. The
questionnaire will collect demographic data on the participants and ask
questions about sexual practices (including condom usage) and drug and
alcohol use. An instrument measuring self-esteem will also be utilized.
Additionally, participants will be asked to provide feedback on a general
evaluation sheet. Participants will be given the opportunity to comment on time
allotment, educational themes and other aspects of the workshop. These
techniques will serve as a form of process evaluation and assist in the
completion of outcome evaluation.
For both targeted populations, the number of workshops, participants, peer
education activities, and printed materials and condoms will be tracked and
submitted to the CDPHE Epidimiology division on a quarterly basis. A narrative
detailing general activities and accomplishments toward the outlined objectives
will be included in the quarterly HIV prevention progress report to the Contract
Supervisor.
PI
Formative evaluation for this proposal was achieved through continued input
from community members of WCAC and past feedback from participants at
WCAC events.
Process evaluation will include tracking the following: the number of video
loans, other educational materials, and condoms distributed; the number of
WCAC meetings facilitated; the number of panel and educational presentations
given; and the number of participants at WCAC events. All of this information
will be recorded in the HIV program log book. On a quarterly basis, this tracked
information will be submitted to the CDPHE Epidemiology division. A narrative
detailing general activities and accomplishments toward the outlined objectives
will be included in the quarterly HIV prevention progress report to the Contract
Supervisor.
A pre- and post- test questionnaire will be used at panel and educational
presentations to evaluate participant knowledge and effectiveness of
presentations. Participants will be asked to complete an evaluation of WCAC
events . This information will also assist WCHD in outcome evaluation.
ILI
Formative evaluation will be conducted through a 10 question pre-test/survey
as described in the target population section (3a). This will be achieved at the
beginning of the project before arty formal outreach activities take place. This
pre-test will include questions on current condom use in order to obtain
baseline information before the intervention occurs.
This survey will also be administered at the same targeted location at the end
of the funding cycle as a tool to assess knowledge and behavior change and to
assist in outcome evaluation
Process evaluation will include tracking the following: the number of client
contacts made by volunteers; the number of educational materials distributed;
the number of referrals given; and the number of safer sex kits distributed at
any given outreach. On a quarterly basis, this tracked information will be
submitted to the CDPHE Epidimiology division. A narrative detailing general
activities and accomplishments toward the outlined objectives and timeline will
be included in the quarterly HIV prevention progress report to the Contract
Supervisor.
4. BUDGET
Group Level Intervention
HIV Educator Salary $15,693.60
($15.09/hr. x 20 hrshwk x 52 wks)
Fringe $4551 .14
(29% of salary)
Peer Educator Stipends $3120.00
(4 peers x $5.00/hr. x 3 hrslwk x 52 wks)
Mileage $712.80
(12 Denver trips; 1200 misc. miles)
Conference Costs $500.00
Peer Educator Training Exc enses $300.00
Educational Materials $800.00
Indirect $3895.28
(15.17% of total budget)
Total Requested $29,572.82
Public Information
HIV Educator Salary $7846.80
($15.09/hr x 20 hrs/wk x 52 wks)
Fringe $2275.57
(29% of salary)
Mileage $518.40
(12 Denver trips; 480 misc. miles)
ACE Membership Fee $85.00
Educational Materials $400.00
Advertising $250.00
Interpreting for the Deaf/Hard of Hearing $100.00
(if needed at presentations/events)
Indirect $1740.87
(15.17% of total budget)
Total Requested $13216.64
Individual Level Intervention
HIV Educator Salary $3923.40
• ($15.09/hr x 5 hrs/wk x 52 wks)
Fringe $1137.79
(29% of salary)
Mileage $259.20
(6 Denver trips; 240 misc miles)
Educational Materials $500.00
Outreach Volunteer Training Costs $200.00
Indirect $913.29
(15.17% of total budget)
Total Requested $6933.68
STATE OF COLORADO
Roy Romer,Governor or Patti Shwayder,Executive Director stic,c
Dedicated to protecting and improving the health and environment of the people of Colorado `� �•
4300 Chem,Creek Dr.S. Laboratory and Radiation Services Division ��� •
Denver,Colorado 80246.1530 8100 Lowry Blvd. - .re'r
Phone(303)692-2000 ' Denver CO 80220-6928
Located in Glendale,Colorado (303)692-3090 Colorado Department
http://www.cdphestate.m.us of Public Health
and Environment
INVITATION TO BID
DATE:August 21, 1998
REP NO: ROSET990015
DIRECT INQUIRIES TO:ROBERT M. O'NEILL
PHONE NO: (303) 692-2074
DATE RFP DUE:Wedneday. 10/07/98 Cat 1:00 PM MDT
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. All bids shall be quoted F.O.B. destination, unless otherwise
specified, to the delivery location or jobsite listed herein.
SEALED COMPETITIVE PROPOSAL FOR:
HIV PREVENTION 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 Board of Commissioners
ADDRESS 915 10th Street. Greeley. Colorado 80631
Constance L. Harbert
TYPED OR PRINTED SIGNATURE
Gr
i ¶ uth• 7zed Officer or Agent of Vendor
TITLE Chair
DATE 09/28/98 PHONE #970-356-4000 FAX# 970-352-0242
The above bid is subject to Terms and Conditions on attached sheets.
RETURN THIS COPY
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