Estimating Need Geography and Planning Services

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Estimating NeedGeography and Planning Services

• Gunther Freehill
• County of Los Angeles
• Department of Health Services
• Office of AIDS Programs and Policy
• January 6, 2004

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Planning Perspectives

• Racial and Ethnic Groups
• Gender
• Interventions or Services
• Behavioral Risk Group
• Geography
• All of the Above

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Service Planning Areas

• Public Health Services
• Area Health Officer and Medical Director
• Multiple Supervisorial Districts

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Key Variations Among SPAs

• Population
• Size
• Racial and Ethnic Groups
• Area
• Impact of HIV Epidemic
• Historical
• Current

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What We Know

• Residence
• At Time of HIV Test
• At Time of AIDS Diagnosis
• Reported Racial and Ethnic Identity
• Reported Gender
• Reported Risk Behavior
• At Time of HIV Test
• At Time of AIDS Diagnosis

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What We Dont Know

• Changes in Residence
• Since AIDS Diagnosis
• Since HIV Test
• Private HIV Tests and Results
• Changes in Risk
• Geographic Area of HIV Risk Behavior
• Optimal Location of HIV Prevention Services

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What Weve Done

• Identify Six Indicators
• Assign Weights
• Generate Estimate of Proportions Among SPAs
• Apply within SPA

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Weighted Indicators
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Indicators for HIV Services

• By Service Planning Area
• The total number indicated is divided among SPAs,
  and represented as a proportion
• Within Service Planning Areas
• The distribution of a single indicator among
  populations within each SPA

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Summaries for Populations

• African-Americans Among SPAs
• Asians and Pacific Islanders Among SPAs
• Latinos Among SPAS
• Native Americans Among SPAs
• Whites Among SPAs

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Summaries for SPAs

• Indicators by Racial and Ethnic Groups

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Summaries Male - Female

• Indicators by Racial and Ethnic Groups

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Your Tasks

• Identify the Indicators of HIV Need
• Assign Weights Among the Indicators
• Advise on the Implementation of the BRG Model
• By Service Planning Area
• By Racial and Ethnic Group
• By Intervention
• By Gender

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Acknowledgments

• Eduardo Alvarado
• Kyle Baker
• Connie Chavers
• Earl Leonard
• Pamela Ogata
• HIV Epidemiology