Two experienced community health nurses collaborated to conduct an in-depth population-based needs assessment for Hepatitis C (HCV) for the state of Maine as a basis for developing a state-wide HCV plan. The assessment revealed that only the “tip of the iceberg” had previously been identified. Data was collected from a variety of sources including focus groups, interviews, surveys, and review of a variety of data sources including seroprevalence studies.
It is estimated that there are over 15,000 cases of chronic HCV in Maine but only 10% of the cases have actually been reported. Medicaid HCV clients, HCV-related hospital discharges and costs, and the number of children diagnosed with HCV have all increased considerably in the past 5 years. High risk populations were identified and targeted geographically. A lack of public awareness about the seriousness and transmission of HCV was also identified. In addition, HCV screening and testing is limited and access to adequate medical management is difficult, especially in rural areas.
Based on these findings, a state-wide HCV workgroup developed an action plan which included priorities for primary, secondary and tertiary prevention activities as well as legislative initiatives.
Learning Objectives: At the conclusion of the session the participant will be able to (1) Discuss the process of completing a population-based state-wide needs assessment; (2) Discuss state-wide implementation strategies based on needs assessment findings; and (3) Identify high risk HCV populations.
Keywords: Hepatitis C, Needs Assessment
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Maine Bureau of Health
Disclosure not received
Relationship: Not Received.