“Integrating County Departments with Community-Based Providers to Reach HIV Positive Women in the Jails.”

Armida Ayala, MHA, Ph.D. & Marcela Sanchez, BACounty of Los AngelesDepartment of Health Services

CityMatCH Annual Urban Maternal & Child Health Leadership Conference

August 23-26, 2003Pittsburgh, PA

Background 4,082 Square Miles 9.8 Million Residents Proportion of State

Population: 28%

Proportion of State AIDS Cases: 35%

Living with HIV/AIDS: 53,000 (Estimated)

Population:Latino/a 44.6% White 31.1%Asian12.3%African-American 9.7%Native American 0.5%Pacific Islander 0.3%

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Background

Limited data on the number of HIV positive female inmates who are pregnant or of childbearing age

Lack of access to perinatal prevention of HIV transmission in jails.

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Objectives

Identify HIV positive female inmates in the jailsDevelop effective collaborations Integrate existing prevention of perinatal HIV

transmission efforts.

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Methods

Perinatal HIV Learning Cluster Team meetings Integrated surveillance, prevention and training Consolidation of data from PSD surveillance and

IMACS (Information Management for AIDS Cases & Services).

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Results

More than 60% of the female inmates were African American and Latino

Eighty five percent (85%) received a pre-release plan in the past 3-5 months

Only 6% received their HIV medications at this discharge from the jail.

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Conclusions

Successful identification of the target population Increased integration of surveillance, prevention,

case management and correctional systems Improved linkage to perinatal prevention of HIV

transmission education and related services Increased training of jail providers to include

prenatal prevention of HIV transmission education.

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Next Steps

Increase training among providers about perinatal prevention of HIV transmission

Enhance health outcomes to avoid recidivism in the jails

Improve case finding and follow-up Increase integration of surveillance and evaluation with

service planning and project monitoring Expand early detection and testing efforts with other

departments.

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