Social Networking Strategy Using Social Networks to Recruit

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Social Networking Strategy: Using Social Networks to Recruit for HIV Testing Loralee Trocio, MPH

Social Networking Strategy: Using Social Networks to Recruit for HIV Testing Loralee Trocio, MPH Cessa Karson-Whitethorn, MPH

Social Networks • Individuals are linked together to form large social networks – Spread

Social Networks • Individuals are linked together to form large social networks – Spread infectious diseases – Route for delivering disease prevention services

Social Networks Brief History • Social networks approach to syphilis contact interviewing has been

Social Networks Brief History • Social networks approach to syphilis contact interviewing has been happening since the 1960 s • Gained widespread attention with the appearance of HIV/AIDS in the 1980 s

Social Networks Strategy (SNS) Primary Goals 1. Find undiagnosed HIV positive people who are

Social Networks Strategy (SNS) Primary Goals 1. Find undiagnosed HIV positive people who are unaware of their status 2. Engage HIV negative people through HIV testing

SNS in Action County/CBO Staff Network Associate/ Recruiter Network Associates

SNS in Action County/CBO Staff Network Associate/ Recruiter Network Associates

The Social Network Demonstration Project • 9 organizations in 7 cities – October 1,

The Social Network Demonstration Project • 9 organizations in 7 cities – October 1, 2003 – December 31, 2005 • 422 Recruiters referred 3, 172 peers – 177 were determined to be HIV+ • 63% successfully linked to services • HIV prevalence rate is almost 5 times higher than other testing programs funded by the CDC – SNS - 5. 6% among those recruited – ~ 1% in other testing sites

What’s happening at home? 2009 Special Project Funds from CDC 6 counties applied. 4

What’s happening at home? 2009 Special Project Funds from CDC 6 counties applied. 4 counties received funding. All counties who began SNS have continued to implement the intervention without additional funding.

Oregon At a Glance County # of Recruiters NA # of HIV # HIV+

Oregon At a Glance County # of Recruiters NA # of HIV # HIV+ Tests Participants HIV Prevalence Rate 0 Marion 61 18 79 0 Benton / Linn Lane Douglas 3 1 2 0 0 46 7 110 10 111 2 10 0 9% 0 Yamhill 0 0 0 Totals 117 139 194 10 5. 2% 10 Participants Tested HIV+ via SNS 10/194 = 5. 2 % prevalence rate of those tested via SNS

Lane County + - HIV + Recruiter - + + - HIV + Network

Lane County + - HIV + Recruiter - + + - HIV + Network Associate HIV Recruiter + - - -- - HIV Network Associate + - - - - - + + - + - - - -

Use of Incentives for HIV Testing • $10 - $25 incentives for recruiters and

Use of Incentives for HIV Testing • $10 - $25 incentives for recruiters and network associates • Participant refusal of incentives – Potential to implement with limited funds

Lessons Learned • • Challenges Split roles of county staff Paperwork developed s. HIVer

Lessons Learned • • Challenges Split roles of county staff Paperwork developed s. HIVer continued to evolve Self care for SNS staff MSM recruiters are hard to identify, recruit and train Two year plateau Staff turnover NA are not found via traditional practices Triumphs • Identification of new HIV positive individuals • Partnering SNS with other HIV prevention programs • Reaching hard to reach populations • Clinic staff is an essential component to success • New partnerships • Great data for Oregon’s application for an expanded SNS demonstration project

 • • • SNS Partners Douglas County Harm Reduction Center Southern Oregon Marion

• • • SNS Partners Douglas County Harm Reduction Center Southern Oregon Marion County Lane County HIV Alliance Yamhill County Benton-Linn Megan Johnson Matt Navarre OHA HIV Prevention Program Staff

The Future Enhanced SNS Demonstration Project • • • Engagement of all Ryan White

The Future Enhanced SNS Demonstration Project • • • Engagement of all Ryan White Part B Case Managers Partner with adult business Use Partner Services data Dual rapid test algorithm Peer testing component

or more information, ontact Loralee Trocio: oralee. j. trocio@state. or. us Prevent HIV Oregon

or more information, ontact Loralee Trocio: oralee. j. trocio@state. or. us Prevent HIV Oregon @Prevent_HIV _OR