 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Laura Packel, MPH, Surveillance and Epidemiology Section, California DHS Sexually Transmitted Disease Control Branch, 1947 Center Street Suite 201, Berkeley, CA 94704, 510-883-6660, lpackel@dhs.ca.gov, JM Chow, DrPH, Sexually Transmitted Disease Control Branch, CA DHS, UCSF Center for Reproductive Health Research and Policy, 1947 Center Street, Suite 201, Berkeley, CA 84704, Jan Treat, PHN, MN, Office of Family Planning, State of California Department of Health Services, 714 P Street , Suite 440, Sacramento, CA 95814, John Mikanda, MD, MPH, Office of Family Planning, California Department of Health Services, 714 P Street, Room 440, Sacramento, CA 95814, and Gail Bolan, MD, STD Control Branch, California Department of Health Services, 1947 Center Street - Suite 201, Berkeley, CA 94704.
The detection and treatment of sexually transmitted infections (STIs) are critical components of contraceptive management and family planning reproductive health care. Seven STI performance measures were examined in Family PACT, the California publicly funded program for these services. Three data sources covering fiscal year 2000/2001, claims data from clinician, laboratory and pharmacy providers, chart review data and laboratory data, were used to evaluate performance with respect to the STI indicators: documented STI risk assessment; chlamydia (CT) screening; prevalence of CT; documented treatment within 7 days of positive result; documented partner management; CT cases with re-testing within 4 months of initial infection; and documented STI/HIV counseling among CT cases. Sixty percent of female clients were assessed for STI risk within the past 24 months. Sixty-two percent of females age 25 and under were screened for chlamydia in the past year. The prevalence of CT among females age 25 and under was 7.1% and 10.7% among males age 25 and under. Over 90% of CT cases were treated within 7 days of result. Eighty-six percent of female CT cases had documented partner management. Of female CT cases, 35.6% were re-tested for CT, 92% of which were re-tested within 4 months of initial infection. Seventy-five percent of female CT cases and 81.6% male CT cases had documented STI counseling at the test visit. Measurement of STI quality indicators based on administrative, laboratory and chart review data can aid in the assessment and evaluation of STI services integrated within a family planning program.
Learning Objectives:
Keywords: STD, Quality of Care
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.