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 1
What is the CHERT? PAN-led project Online survey - collects annual data from PAN member organizations Programs and services Looking into outcomes Developed with guidance and support from the BC HIV/HCV Evaluation Advisory Group 2
What are the purposes of the CHERT? Measuring contribution of community-based organizations Program planning & improvement Standardization Accountability 3
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/ 4
2014 CHERT Reports 1. Key Themes Report 2. The Community-Level Contribution to From Hope to Health 3. CHERT Supplemental Information Report (2011 – 2014) 5
2013 – 2014 CHERT Respondents A total of 32 CHERT respondents (2013 – 2014) Previous two years, 30 organizations/programs participated 6
2013 – 2014 CHERT Respondents A total of 32 CHERT respondents (2013 – 2014) Previous two years, 30 organizations/programs participated 7
1. Key Themes Report Stigma & Human Resources Harm Reduction Discrimination 8
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 9
Key Theme: Human Resources Paid Staff for HIV/HCV Related Work 10
Key Theme: Human Resources What are some potential reasons for this trend of community-based organizations increasing in size? 11
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-profits 1 Amounted to 2.1 billion volunteer hours, the equivalent of 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 12
Key Theme: Human Resources 13
Key Theme: Human Resources Post-secondary students assisting with HIV/HCV work 14
Key Theme: Human Resources Why aren’t PAN member organizations making use of post-secondary students? How can we better connect students to organizations? Students thirsty for work experience 15
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. 16
Key Theme: Harm Reduction CHERT respondents are increasingly adopting a focus on harm reduction approaches and services over time 17
Key Theme: Harm Reduction 18
Key Theme: Harm Reduction 19
Key Theme: Harm Reduction 20
Key Theme: Harm Reduction 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? 21
Key Theme: Harm Reduction #’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 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 22
Key Theme: Harm Reduction 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, a nd Other Harms” Available for download from: http://www.bccdc.ca/prevention/HarmReduction/CdnBest Practices.htm 23
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 24
Key Theme: Stigma & Discrimination CHERT findings – stigma & discrimination continue to act as a challenge at community-level 25
Key Theme: Stigma & Discrimination 26
Key Theme: Stigma & Discrimination 27
Key Theme: Stigma & Discrimination 28
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? 29
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 30
2. Linking CHERT Data to From Hope to Health 31
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 32
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 33
2. Linking CHERT Data to From Hope to Health Report Conclusions: Findings from CHERT demonstrate that community-based organizations 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 34
Questions for me? 35
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? 36
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Thank you! Sincere thanks are extended to the Provincial Health Services Authority for funding this work. 38
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