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					     MONTANA

HIV INTEGRATION PROJECT
   IN BIG SKY COUNTRY
                                             Title X Coverage by Montana Town

            Eureka
 Troy
      Libby
                                          Browning
                              Columbia Falls                                   Havre                      Malta
                         Kalispell
                                                                                                                      Glasgow

                                                                                                                                                 Sidney 
   Thompson Falls
                         Polson

                                                                Great Falls


                                                                                                                                            Glendive 
                                                                                     Lewistown
                         Missoula


                                                     Helena
                                         Deer
                                         Lodge                                                                                    Miles City      Baker 

                                      Anaconda
                  Hamilton
                                        
                    
                                          Butte 
                                                                                                   Billings


                                                                    Bozeman
                                                                                                                                 Broadus

                                      Dillon 




       Title X Clinic
       Title X Satellite Clinic
    15 Sites Across the State

4 Planned Parenthood Clinics
     • Billings
     • Helen
     • Great Falls
     • Missoula
 6 HIV Prevention Sites

• Bozeman
• Butte
• Glendive
• Kalispell
• Lewistown
• Polson
5 Family Planning Clinics

• Dillon
• Hamilton
• Havre
• Libby
• Miles City
      IMPACTS on TESTING
• Year 1 – 1,435 total tests
  – 550 rapid tests – 38%
  – 885 serum tests – 62%


• Year 2 – 2,176 total tests - 52% increase
  – 1,350 rapid tests – 62%
  – 826 serum tests – 38%
        Impacts on Testing

• Year 3 - 2,384 tests (est)
    • Rapid tests – 66%
    • Serum tests – 34 %
             Impacts on Training
                   Year 1
• Training attendance
    • 136 hours of training available
    • 52 staff attended at least one of these trainings
    • 552 total staff training hours
• Topics
    •   ABC Skills Building
    •   Cultural Competency
    •   Age Appropriateness
    •   HIV Prevention Skills Building
              Year 2 Training
• Training attendance
    • 69 hours of training available
    • 58 staff attended at least one of these trainings
    • 924 total staff training hours
• Topics
    •   ABC Skills Building
    •   Cultural Competency
    •   Age Appropriateness
    •   HIV Prevention, Risk Assessment Skills Building
    •   HIV & Meth Use
              Year 3 Training
• One Quarter’s Data
    • 12 hours training available
    • 12 staff attended at least one of the trainings
    • 72 total staff training hours
• Topics
    •   Cultural Competency
    •   Age Appropriateness
    •   HIV Prevention Skills Building
    •   Current Topics in Women & HIV
             Clinic Comments
• Planned Parenthood Sites

    •   Attracted younger clients; more gay men
    •   Testing numbers increased
    •   Ability to provide sliding scale fee
    •   Integration = normalizing HIV testing
    •   Increase in training and networking opportunities
    •   Moving into rapid testing
       Family Planning Sites


• Noticed no change in numbers, clients
• Best = able to offer the test for free
       Combo Sites (HIV/FP)
• Increased testing numbers
• Normalization, attitudinal changes



• All said that this funding was essential to
  providing this service on a sliding fee scale
  or free.

				
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