Backup — original pdf

Backup

Town Hall Ac(cid:415)on Plan Town Hall Commi(cid:425)ee Poten(cid:415)al Partners:  Fast Track Ci(cid:415)es  Ending the Epidemic  Kind Clinic  ASHwell  David Powell CommUnity Care  Integral Care  Project Transi(cid:415)ons  Red Ribbon Tes(cid:415)ng  Whatsinthemirror   Commission on Aging  Public Health Commission  Texas Syndicate  Transgender Educa(cid:415)on Network of Texas  Aus(cid:415)n Black Pride  City of Aus(cid:415)n Government LGBTQ Quality of Life Commission Format of Town Hall: Common format is a briefing by a panel of three/four community leaders, and a moderator. The panel discussion is typically 35‐50 Minutes and the ques(cid:415)on‐and‐answer period usually lasts 30 minutes. The public and policymakers are the primary audience. What would the idea panel consist of? Mee(cid:415)ng Logis(cid:415)cs: Se(cid:427)ng a Time and Date  Avoid compe(cid:415)ng community events  Aiming for June with follow up discussion in July  Select a place that is easy for residents and local media to get to  What is our ideal RSVP #? 20‐50? 50‐100?  Would Eventbrite be best pla(cid:414)orm to host invita(cid:415)ons?  Early evening? A(cid:332)ernoon? During the week or weekend? Should we consider hybrid? Or focus on in‐person with an online submission op(cid:415)on Se(cid:427)ng Loca(cid:415)on  June o Round Rock Pride Fes(cid:415)val, Saturday June 1, (Vendor Sign Up filled as of 4/11) o Saturday June 1, 10:00AM : Pop‐Up ATX: City Services on the go AT George Morales Dove Springs Recrea(cid:415)on Center o Na(cid:415)onal Long‐Term Survivors Awaresness Day June 5th o Na(cid:415)onal HIV Tes(cid:415)ng Day June 27th  July  August o allgo Decompress Fest o Zero HIV S(cid:415)gma Day July 21st o City Pride Event on August 10th Promo(cid:415)on  Create Press Kit and News Release with APH PIO for online promo(cid:415)on with partners.  Rou(cid:415)ne emailing from Planners to partners for bi‐weekly reminder for promo(cid:415)on.  Create physical flyers with event informa(cid:415)on to post in community gathering spots. Community Demographics HIV Prevalence (new and exis(cid:415)ng cases) Rate of Persons living with HIV per 100K People By County, 2021. Source: 2021 Prevalence Rate 473 people/100 K 182 people/100 K 198 people/100 K 259 people/100 K 230 people/100 K Total Popula(cid:415)on in 2020 1,290,188 609,017 241,067 97,216 45,883 Table 1: 2021 HIV Prevalence Rate per 100,000 persons in the popula(cid:415)on from AIDSvu and Popula(cid:415)on size from Census.gov by County. Comparison of Diagnosis by Year and Age 1751 1593 1651 1640 1,651 1,621 1,580 1,485 685 599 County Travis Williamson Hays Bastrop Caldwell 2000 1500 1000 500 0 2022 Austin TGA 2021 Austin TGA 0‐12 13‐24 25‐34 35‐44 45‐54 55‐64 65+ Figure 1. Comparison of 2022 and 2021 HIV Diagnosis count data by age categories from Texas DSHS HIV/STI surveillance data. In 2021, Ann Robbins, HIV/STI Sec(cid:415)on of Texas DSHS reported that about 50% of diagnosed PLWH are between the ages of 35 and 54. In 2022, according to the provided surveillance data this sta(cid:415)s(cid:415)c has dropped to about 45%. 3000 2500 2000 1500 1000 500 0 Comparison of Diagnosis by Year and Race/Ethnicity 2841 2678 2,625 2,611 1603 1,518 341 309 2022 Austin TGA 2021 Austin TGA Asian Black Hispanic/Latino White Multi‐race Figure 2. Comparison of Diagnosis counts by Year and Race/Ethnicity for the Aus(cid:415)n TGA. Source: Ann Robbins, Texas Department of State Health Services. Based on the demographic breakdown of Travis County Table 2. 2022 Race profile of Travis County provided by Census Reporter.org. Expect Number of Black PLWH in Travis 7568*0.08 = 606. Actual in 2022 =1603 Expect Number of La(cid:415)nx PLWH in Travis 7568*0.33 = 2498. Actual in 2022 = 2841 Expect Number of White PLWH in Travis 7568* 0.47 = 3557. Actual in 2022 = 2678 CommUnity Care/David Powell Emergency Room/hospital Other Community clinic Private Doctor or Clinic Veteran Affairs Clinic or Hospital N/a; I do not regularly see a doctor for my HIV Other Total Responses Table 3. Preferred Care Location of Participant in the Austin HIV Needs Assessment of service needs and barriers, 2022. 131 61 61 63 15 47 % 31 14 14 15 3 11 53 431 12 Table 4 describes 2021 demographic informa(cid:415)on provided by AIDSvu. This table is provided to give an overview of various indicators that influence HIV prevalence in the Aus(cid:415)n TGA. A Gini coefficient of 0 expresses perfect equality where everyone has the same income, while a coefficient of 100 expresses full inequality where only one person has all the income. The following link provides a heat map organized by Zip code to show where the highest prevalence rates are in the Aus(cid:415)n TGA: h(cid:425)ps://map.aidsvu.org/prev/city/rate/none/none/usa?geoContext=na(cid:415)onal Percent Living in Poverty Percent High School Education Median Household Income Income Inequality (Gini Coefficient) Percent Uninsured Percent Unemployed 10.9 84.4 78339 0.4055 13.3 80.1 63380 0.4296 13.6 90.5 71061 0.4496 11.2 90.6 85043 0.477 21.5 27.9 15.5 13.6 4.5 4.9 4.1 4.1 6.3 94705 Table 4. 2021 Demographic informa(cid:415)on of Aus(cid:415)n TGA provided by AIDSvu. 0.3987 10.7 94 4 Percent Living with Severe Housing Cost Burden Syphilis Rate per 100k 10.5 5 11.6 18.2 15.2 11 17 32 10.8 6 County Bastrop County Caldwell County Hays County Travis County Williamson County Field English % (n) Field Spanish % (n) Agency English % Average 53.82 (134) 65.52 (38) (n) 58.21 (39) 59.00 56.63 (141) 65.52 (38) 61.19 (41) 61.00 56.90 (33) 55.22 (35) 53.00 28.92 (72) 44.83 (26) 52.24 (35) 42.00 HIV Medical Appointments /Medical Care/Citas Medicas Dental Care/Cuidado dental Free to low cost medications/ Medicinas gratis o a bajo costo Food bank/banco aliemento 46.18 (115) 37.35 (93) 36.21 (21) Help with Housing/ayada para viviendo Table 5. Average top five percentages regarding to the question “Think about the most important services you currently need. Check the 5 services you need the most. (Select only 5)”. 2022 49.25 (33) 41.00 Participants of the 2021 Needs Assessment on service needs and barriers were asked to report their most common reasons for missing medications and appointments from a compiled list. There was also an option to write in additional barriers faced. For all participants in the field, who represent those not in care, the top three barriers faced are: ability to pay for services. lack of access to health insurance 1. 2. 3. Not knowing where to go Figure 12. Percentage of Agency responses for English Speakers to the question “If you did not see a doctor for your health or receive a medication, why not? Select all that apply”. Denominator 22. 2022 igure 12, which focuses on the barriers faced for persons who are already be connected to care were unique in that “other” was the most selected barrier. The barriers reported by par(cid:415)cipants in‐care included:  Seeing [another doctor]  New diagnosis  None/didn’t have it/I didn’t know I was posi(cid:415)ve/I am HIV‐nega(cid:415)ve/I do not have an HIV diagnosis Legal issues and housing  The agency survey did not have a ques(cid:415)on that allowed persons to report that they were HIV‐nega(cid:415)ve as the survey was intended to be filled out by PLWH only. Therefore, this can create issues in interpreta(cid:415)on as the agency group was intended to represent PLWH who are in‐care and/or retained in care. This ques(cid:415)on also had a low response rate within the agencies, which introduces bias. It should be noted that the second most reported barrier (27.27%) for agency clients, as seen in Figure 6 was being undetectable. First: who is our panel, and understand their struggles, incorporate results from na AND see if panel  needs align with NA results. Can guide the agenda. S(cid:415)ck w/ listed priori(cid:415)es from 2022