Evaluation of the Georgia HIV Behavioral Surveillance (GHBS) System Open Access

Pinckney, Lennisha (2013)

Permanent URL: https://etd.library.emory.edu/concern/etds/dr26xx89m?locale=en


Background: The National HIV Behavioral Surveillance (NHBS) system is an ongoing behavioral surveillance system that was established by the Center for Disease Control and Prevention (CDC) in 2003 to assess trends in HIV risk behaviors, testing, and HIV prevention services among three groups. The NHBS system is used primarily in cities where approximately 60% of all cases of acquired immunodeficiency syndrome (AIDS) had been reported. Atlanta, GA is on this list. This evaluation will assess the efficaciousness of the implementation of the Georgia HIV Behavioral Surveillance (GHBS) System.

Purpose: The purpose of this study is to conduct an evaluation of the Injection Drug Use (IDU) component of the GHBS project. This evaluation has been designed to collect information on the logistics of the GHBS project, to address relevant evaluation questions, and to conduct a thorough assessment of the performance of the GHBS project.

Methods: The study used a mixed method approach. Qualitative methods consisted of conducting key informant interviews with relevant stakeholders. Quantitative methods consisted of sending out an electronic anonymous survey to local HIV/AIDS organizations. Lastly, the CDC's framework for surveillance systems was used to determine if the GHBS system met specific standards.

Results: Results from the study showed that the GHBS system has been successful with reaching enrollment goals. However, there are some issues with dissemination of data, costs, and representation. It was discovered that staff of local HIV/AIDS organizations are aware of the GHBS system but a small percentage of the staff utilize the data.

Conclusions: Information collected from the key informant interviews and electronic survey shows that overall, the surveillance project is operating successfully. However, there are some areas of concern such as representativeness, cost, and dissemination of data that need to be addressed to improve the efficacy of the surveillance project.

Table of Contents

Table of Contents

Chapter 1 - Introduction 1

Purpose of the Evaluation 2

Evaluation Questions 3

Stakeholders 3

Logic Model 4

Figure 1: GHBS Logic Model 6

Chapter II - Literature Review 7

Introduction 7

History of Public Health Surveillance 7

Modernization of Public Health Surveillance 8

HIV/AIDS Surveillance in the United States 9

CDC's First Launch of a Surveillance Project Similar to GHBS 12

Comparison of Similar Surveillance Projects 13

Summary 15

Chapter III - Methodology 16

Introduction 16

Evaluation Design 16

Procedures 18

Instruments 19

Data Analysis 19

Chapter IV - Results 22

Introduction 22

Evaluation Question # 1 22

Findings 22

Data Source 22

Summary 23

Evaluation Question # 2 23

Findings 24

Data Source 24

Summary 24

Thematic Analysis 25

Cost 25

Representation 25

Dissemination 26

Evaluation Question # 3 26

Findings 26

Data Source 27

Quantitative Results 27

Evaluation Question # 4 27

Findings 27

Data Source 27

Evaluation Question # 5 27

Figure 2 - Response Rate: Awareness of GHBS System 29

Figure 3 - Response Rate: Awareness & Use of GHBS Data 29

Data Source 30

Table 1 - Descriptive Statistics of Data Collected from Electronic Survey 30

CDC Conceptual Framework for Surveillance Systems 35

Does the GHBS System meet CDC Standards for a Reliable Surveillance System 35

Sensitivity 35

Representativeness 36

Timeliness 38

Table 2 - IDU Cycle III Interim Progress Report 38

Stability 42

Chapter V - Discussion 44

Introduction 44

Summary of Study 44

Recommendations 45

Recommendations from GHBS & Evaluator 45

Representativeness 45

Costs 46

Dissemination of Data 46

Limitations 47

Conclusions 48

APPENDIX A - Frequency Tables 49

APPENDIX B - Interview Guide: Qualitative Data Source 54

APPENDIX C - Knowledge Based Questions: Quantitative Data Source 56

APPENDIX D - Institutional Review Board (IRB) Approvals 58

APPENDIX E - Informed Consent Form: Key Informant Interviews 61

APPENDIX F - Informed Consent Form: Electronic Survey 63


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