Connecting People To Care Survey

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Connecting People to Care Survey

Tell Us How You Handle It

POZ and AIDSmeds are working to jump-start a very exciting--and very important--program to help HIV testing sites, clinics and other service organizations strengthen their efforts to get people with HIV into care.

Please take a few minutes to complete this brief survey.

Thanks so much for your help! We'll be reaching out again to find out what you need to continue the great work you do!
 
1. Does your organization offer HIV testing?
Yes
No
 
2. If yes, where is HIV testing offered?
Onsite
Mobile services
Both
 
3. If both, is the process for connecting people to care different?
Yes
No
 
4. Approximately how many tests do you conduct monthly?
Fewer than 25 tests per month
About 25 to 50 tests per month
About 50 to 100 tests per month
More than 100 tests per month
We do not provide HIV testing
 
5. What services do you provide to help link people who test positive for HIV--either at your organization or elsewhere--to an HIV-treatment care provider? (Check all that apply.)
Immediate 1:1 counseling session
Give them a phone number of a clinic or health care provider
Assign a peer navigator to help them access care
Offer printed materials (brochures, booklets, fact sheets)
Walk or drive or provide other transportation to a clinic or health care provider
Offer ARTAS case management/professional counseling (Antiretroviral Treatment Access Study)
Direct them to a website that offers more information
Schedule a follow-up appointment
Other: Provide some other kind of outreach: 
 
6. In the next six months, do you expect these services will
Increase
Decrease
Stay the same
Change
I don't know
Other: 
 
7. Do you provide these types of services to:
People who test positive at your facility
People who test positive at other facilities
Both
 
8. What is the title of the person most likely to provide services to people who test positive in your clinic?
Outreach coordinator
Peer navigator
Peer counselor
Linkage coordinator
Case manager
Counselor
Treatment educator
Other: (please specify) 
 
9. In the last six months, has your organization changed the title of the person most likely to provide the services to people who test positive?
Yes
No
I don't know
 
10. Would you, or someone at your organization familiar with your linkage-to-care efforts, be available for a brief follow-up conversation to tell us more about that effort?
Yes
No
 
11. Name:
 
12. Title:
 
13. Organization:
 
14. State:
 
15. Phone:
 
16. Email:
 
17. Is there anything else you would like to tell us about your process of getting people with HIV into care?



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