Evaluation of Community Health Action of Staten Island Status Check Project Open Access
Brito, Dorian Malaquias (2015)
Abstract
Introduction: Community Health Action of Staten of Staten Island created the Status Check Project, a community-intervention designed to impact low testing rates, low individual awareness of serostatus and low awareness of community HIV risk in Staten Island. This thesis describes community-level surveying done to assess the reach of the program and to gather information regarding testing behaviors and attitudes towards HIV in their target neighborhoods after 1 year of program implementation. These data will inform future programmatic activities and further refine the larger evaluation of the program.
Methods: Street-intercept surveys were conducted in areas where the Status Check Project was implemented. Surveys assessed the following domains: 1) demographics, 2) awareness of HIV status, 3) awareness of testing services and 4) awareness of the Status Check Project. Eligible respondents were Staten Island residents, ages 18-64. Quantitative data analysis provided frequencies and percentages of demographics, HIV testing, awareness of the Status Check Project, engagement of the community by the Status Check Project peers, and awareness of testing locations in the community
Results: A total of 192 residents of areas where the Status Check Project was implemented were surveyed. A majority (85%) reported previously being tested for HIV and of those 63% reported being tested within the last year. A majority (76%) reported that it was not difficult to get tested for HIV. In regards to concern for personal risk of infection and for community risk of infection, 71% reported being concerned for their own risk and 86% reported that they were concerned for their community. When asked if respondents were aware of Status Check or if they have been engaged but project staff in an intensive conversation regarding HIV, 16% were not aware of the project and 12% had engaged in a conversation with project staff.
Recommendation: Based on the results of this year one community-level survey recommendations were developed to both improve Status Check Project activities and inform the development of evaluation measures.
Table of Contents
CHAPTER 1: INTRODUCTION. 1
The National and Local HIV Picture. 1
Barriers and Facilitators to HIV Testing. 3
CHAPTER 2: Review. 6
Overview of the STATUS CHECK PROJECT. 6
Defining Community-Based Interventions. 6
Program Theory. 8
Foundational Constructs of SCT. 9
Previous Zone Based Community Intervention: The Blocks Project. 11
Status Check Project: Project Description. 14
Status Check Project Goals. 15
Logic Model. 16
Target Population. 19
Program Implementation: Activities. 20
Outreach and engagement strategies. 21
CHAPTER 3: COMMUNITY-LEVEL SURVEY METHODOLOGY. 24
Data Collection Instrument and Procedures. 24
Recruitment. 29
Analysis. 31
Chapter 4: Community-Level Survey Results. 32
Demographics. 32
HIV status. 32
Awareness of HIV testing services. 33
Awareness of Status Check Project. 33
Chapter 5 Discussion. 38
Awareness of HIV status and testing services. 38
Awareness of CHASI and the Status Check Project. 40
Limitations. 40
Implications and Recommendations. 42
Conclusion. 48
References. 50
APPENDIX: CHASI Evaluation Survey Instrument. 59
About this Master's Thesis
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