Evaluation and Reporting Tool (CHERT) PAN Fall Conference October - - PowerPoint PPT Presentation

Findings from the Community HIV/HCV Evaluation and Reporting Tool (CHERT)

PAN Fall Conference October 22, 2014 Presented by: Elayne Vlahaki, President, Catalyst Consulting Inc. evlahaki@catalystresearchgroup.com

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What is the CHERT?

 PAN-led project  Online survey - collects annual data from PAN member

• rganizations

 Programs and services  Looking into outcomes

 Developed with guidance and support from the BC HIV/HCV Evaluation Advisory Group

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What are the purposes of the CHERT?

 Measuring contribution of community-based

• rganizations

 Program planning & improvement  Standardization  Accountability

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2014 CHERT Reports

1. Key Themes Report 2. The Community-Level Contribution to From Hope to Health 3. CHERT Supplemental Information Report (2011 – 2014)  All CHERT reports are available for download on the PAN website at: http://pacificaidsnetwork.org/the- community-hivhcv-evaluation-and-reporting-tool-chert- 2/

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2014 CHERT Reports

1. Key Themes Report 2. The Community-Level Contribution to From Hope to Health 3. CHERT Supplemental Information Report (2011 – 2014)

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2013 – 2014 CHERT Respondents

 A total of 32 CHERT respondents (2013 – 2014)

 Previous two years, 30 organizations/programs participated

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2013 – 2014 CHERT Respondents

 A total of 32 CHERT respondents (2013 – 2014)

 Previous two years, 30 organizations/programs participated

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• 1. Key Themes Report

Human Resources Harm Reduction Stigma & Discrimination

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Key Theme: Human Resources

 When assessing community-based contribution, must reflect on human resources to support their report  Trends related to CHERT respondents’ paid and unpaid human resources over time

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Key Theme: Human Resources

 Paid Staff for HIV/HCV Related Work

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Key Theme: Human Resources

 What are some potential reasons for this trend

• f community-based organizations increasing in

size?

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Key Theme: Human Resources

 Volunteers for HIV/HCV work  Non-profits heavily rely on volunteers to help fulfill missions  Recent statistics Canada survey says that in 2010, roughly ½ of Canadians volunteered their time, energy and skills to groups such as non-profits1  Amounted to 2.1 billion volunteer hours, the equivalent

• f 1.1 million full-time jobs
• 1. Statistics Canada (2012). Canadian Social Trends:

Volunteering in Canada. Retrieved from: http://www.statcan.gc.ca/pub/11-008- x/2012001/article/11638-eng.pdf

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Key Theme: Human Resources

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Key Theme: Human Resources

 Post-secondary students assisting with HIV/HCV work

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Key Theme: Human Resources

 Why aren’t PAN member organizations making use of post-secondary students?  How can we better connect students to

• rganizations?

 Students thirsty for work experience

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Key Theme: Harm Reduction

 Harm reduction programs have proven to reduce the incidence of HIV and hepatitis C in a cost-effective manner 2,3  CHERT trends related to distribution of harm reduction materials and provision of related services

• 2. Wodak, A., & Cooney, A. (2006). Do needle syringe programs reduce

HIV infection among injecting drug users: A comprehensive review of the international evidence. Substance Use and Misuse, 41, 777-813.

• 3. Berg, C.V.D., Smit, C., Brussel, G.V., Coutinho, R., & Prins, M. (2007).

Full participation in harm reduction programmes is associated with decreased risk for human immunodeficiency virus and hepatitis C virus: Evidence from the Amsterdam Cohort Studies among drug users. Addiction, 102, 1454-1462.

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Key Theme: Harm Reduction

 CHERT respondents are increasingly adopting a focus on harm reduction approaches and services over time

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Key Theme: Harm Reduction

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Key Theme: Harm Reduction

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Key Theme: Harm Reduction

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Key Theme: Harm Reduction

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 More CHERT respondents are reporting an increased focused on providing harm reduction services, yet distribution of materials are not increasing

 Why do you think this is?

 #’s of harm reduction materials put into context  Total #’s of harm reduction materials distributed ACROSS BC in 2013 4  Of the 4,076,780 condoms distributed BC-wide, CHERT respondents distributed roughly 10% of them in 2013 - 2014  Of the 8,299,325 needles distributed BC-wide, CHERT respondents distributed roughly 12% of them in 2013 – 2014

Key Theme: Harm Reduction

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• 4. University of Victoria, Centre of Addictions Research of BC (2013).

Harm reduction in British Columbia. Retrieved from: http://www.carbc.ca/Portals/0/propertyagent/558/files/427/harm%20r eduction%20in%20bc%20infographic.pdf

 How to improve the reach, quality and effectiveness of harm reduction programs in the future?

 Look to recently published best practice guidelines  “Best Practice Recommendations for Canadian Harm Reduction Programs that Provide Services for People Who Use Drugs and are at Risk for HIV, HCV, and Other Harms”  Available for download from: http://www.bccdc.ca/prevention/HarmReduction/CdnBest Practices.htm

Key Theme: Harm Reduction

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Key Theme: Stigma & Discrimination

 Multi-sectoral programs to address stigma and discrimination, but remain substantial barriers to addressing HIV and hep C  Ministry of Health recognizes importance of issue – key guiding principle in From Hope to Health  Key driver of both the HIV and hep C epidemics  Can prevent…  …testing, people from engaging and remaining on treatment

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Key Theme: Stigma & Discrimination

 CHERT findings – stigma & discrimination continue to act as a challenge at community-level

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Key Theme: Stigma & Discrimination

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Key Theme: Stigma & Discrimination

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Key Theme: Stigma & Discrimination

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Key Theme: Stigma & Discrimination

 Data from CHERT should urge PAN member organizations to strengthen efforts to address stigma and discrimination  Has can we strengthen community-based efforts to better address stigma and discrimination?

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• 2. Linking CHERT Data to From Hope to

Health

 Employs CHERT data to demonstrate the contribution community-based organizations are making to From Hope to Health

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• 2. Linking CHERT Data to From Hope to

Health

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• 2. Linking CHERT Data to From Hope to

Health

 Areas of CHERT data used in report to demonstrate community-based contribution:

 Prevention of new infections  Provision of HIV prevention education  Distribution of harm reduction materials  Promoting and hosting HIV testing

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• 2. Linking CHERT Data to From Hope to

Health

 Areas of CHERT data used in report to demonstrate community-based contribution:

 Engaging and retaining people in care  HIV treatment services (including treatment adherence programs and services)  Supporting people through the cascade  Provision of social support services (nutrition and food security, housing, and mental health and substance use services)  Contribution to From Hope to Health guiding principles  Fighting stigma and discrimination  Community involvement

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• 2. Linking CHERT Data to From Hope to

Health

 Report Conclusions:

 Findings from CHERT demonstrate that community-based

• rganizations are making a substantial contribution to the

success of TasP, and the larger HIV prevention response in BC  Government, policy makers, other organizations are urged to collaborate with community-based groups given critical role in fight to address HIV

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Questions for me?

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Questions for you!

 Using the CHERT

 Has anyone’s organization used data from the CHERT? How so?  How can we improve the use of the CHERT among PAN member organizations?

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Sincere thanks are extended to the Provincial Health Services Authority for funding this work.

Thank you!

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