Evaluation of the Georgia HIV Behavioral Surveillance (GHBS) System Pubblico
Pinckney, Lennisha (2013)
Abstract
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
REFERNCES 65
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