• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

15th Texas HIV-STD Conference - 4:00 Wednesday Breakout Sessions

A6: Evidence-Based Interventions: Where We've Been and Where We're Going, San Antonio Room

This presentation will focus on the different types of evidence-based interventions proven to work in HIV/STD prevention. Key issues discussed include the different types of interventions, terminology, logic models, target populations, and factors that influence behavior. Texas has been in the forefront in the nation using evidence-based interventions for HIV/STD prevention. Lessons that have been learned through this process will be discussed. New interventions on the cutting edge of HIV/STD prevention will also be addressed.

Jeffrey Wagers
Program Specialist IV
HIV/STD Comprehensive Services Branch
Department of State Health Services
Austin, Texas

Jeff Wagers has been in the public health field since 1989 in a variety of positions. He started as a volunteer doing HIV prevention work in Arkansas, his home state, in 1989. Upon relocating to Austin, he began working in 1993 at People's Community Clinic as an HIV prevention and family planning health educator, and then as the Coordinator of Adolescent Health Services. At American YouthWorks he conceived and managed a comprehensive health center for at-risk youth from 1996-2003. As a DSHS HIV/STD training specialist since 2003, he has trained numerous courses, including Bridging Theory and Practice, Outcome Monitoring, Protocol-Based Counseling and CRCS, and recently became the lead specialist focused on the training of evidence-based interventions for DSHS.

Jenny R. McFarlane
Team Leader
HIV/STD Comprehensive Services Branch
Department of State Health Services
Austin, Texas

Jenny McFarlane has worked with HIV/AIDS and STDs for the past 19 years. She has spent most of her career working with the incarcerated, substance users, sex trade workers, and individuals living with HIV and AIDS. McFarlane has been a Field Operations Consultant and Team Leader with the DSHS HIV/STD Comprehensive Services Branch for nearly ten years. She supervises a team of consultants who monitor and provide technical assistance to HIV and STD prevention and services programs funded by DSHS. In addition to her duties, Jenny has become a specialist in HIV perinatal prevention, evidence based interventions, HCV counseling and testing, and the administration of HIV services and housing assistance.

B6: Housing-Based Case Management (Part II), San Marcos Room

See B5 for presentation overview and speaker information.

C6: Clustering and VCRA: Untangling the Syphilis and HIV Webs, Sabine Room

This presentation will provide insights into the how and why of clustering and its importance to disease intervention, including tips and techniques for successful clustering. The presentation will explore how identification and venue relationships impact on resource allocation choices. Time will also be devoted to demonstration of Visual Case Relationship Analysis (VCRA), a complement to VCA emphasizing relationships over time, and its usefulness in discovering, describing, and pursuing socio-sexual networks. Disease intervention specialists and first line supervisors are strongly encouraged to attend.

Patrick B. Harris, III, M.P.A.
Assistant Senior Public Health Advisor
Department of State Health Services
Austin, Texas

Patrick Harris has over 16 years of experience in public health, serving as Disease Intervention Specialist in Atlanta, Louisville, and New Orleans. He served as Special Projects Coordinator in Mississippi with focus on county jail screenings statewide. Harris then served as Special Projects and Community Involvement Coordinator in New Orleans with a focus on the MSM community while working on the original National Syphilis Rapid Response Team. He most recently served as Operations Manager in Detroit before coming to Texas. In these varied roles in the field and in management, Harris has experience working with most aspects of public health STD and HIV Prevention Programs. He has learned from and shared knowledge with staff in 10 different states.

D6: STD Treatment Guidelines - 2006 Update, Trinity B

The new CDC STD Treatment Guidelines were published in August of 2006. The information in this report updates the 2002 Guidelines for Treatment of Sexually Transmitted Diseases (MMWR 2002;51[No. RR-06]). This presentation will highlight the changes in the updated guidelines and review other noteworthy information in the treatment and management of STDs.

Alicia Nelson, R.N., M.S.N., M.Ed., F.N.P.
STD Nurse Consultant
HIV/STD Comprehensive Services Branch
Department of State Health Services
Austin, Texas

Alicia Nelson has worked in public health for over 20 years. Much of this experience has been in family planning, STD and community health. She has been a Family Nurse Practitioner for over 10 years.

E6: Assessing and Addressing Unmet Need for HIV-Related Medical Care, Trinity A

The primary goal of estimating unmet medical need for PLWHA is to make certain that persons not receiving consistent care are connected to HIV-related medical care either through Ryan White CARE Act programs or other similar services. To that end, Ryan White grantees in Texas have been using unmet need estimates to guide assessments of barriers to medical care among PLWHA. This presentation will provide real world examples of how Title I and Title II Planners have used this information to address unmet medical needs in both rural and urban areas.

This presentation will follow on Session E5, entitled "Estimating Unmet Need for HIV-Related Medical Care" which will provide background on how unmet needs are estimated by DSHS.

Shalon Cox, M.P.H.
HIV Health Planner
Ryan White Planning Council of the Dallas Area, Dallas County Health and Human Services
Dallas, Texas

Shalon Cox works as the HIV Health Planner for the Ryan White Planning Council of the Dallas Area, which is responsible for Titles I and II funding in Dallas and surrounding counties. She received a master of public health from the University of Texas Health Science Center and has worked in public health and clinical settings in Texas, Mexico, and Honduras. While working with the Ryan White Planning Council, she has focused on assessing barriers in order to promote entry and retention in primary medical care.

Jennifer Haejin Kim, M.P.H.
Health Planner
Houston Ryan White Planning Council
Houston, Texas

Jennifer H. Kim is Health Planner for the Houston Ryan White Planning Council. She received a master of public health from Emory University and is currently a doctoral student at the UT School of Public Health in Houston. Prior to joining the Planning Council, she worked as Senior Research Coordinator at the M.D. Anderson Cancer Center and Research Analyst at the Asian & Pacific Islander Coalition on HIV/AIDS (APICHA) in New York City. At APICHA, Kim worked on a five-year SPNS demonstration project that evaluated an integrated model of care for Asians and Pacific Islanders living with HIV.

Jamie Schield, B.S., M.P.H.A.
Planning Coordinator
North Central Texas Planning Council
Fort Worth, Texas

Jamie Schield is an elder in the field of HIV. Some say emeritus, some say dowinger queen. He has been a volunteer, frontline staff, executive director, HIV planner, CPG chair, federal grant reviewer, politico and activist. He is most proud of still being a volunteer.

F6: Preparedness and Response Track: Texas Nurses Answer the Call: Lessons Learned from Hurricanes Katrina and Rita, Concho Room

This presentation will examine the different response roles of nurses in Texas related to Hurricanes Katrina and Rita. The speaker will explore the lessons learned and provide recommendations to enhance nursing responses to hurricanes in the future.

Debra Joyce Edwards, M.S., R.N.C., O.N.C.
Workforce Development Distance Learning Coordinator
Department of State Health Services
Austin, Texas

Debra Edwards is the Workforce Development Distance Learning Coordinator for DSHS. She is responsible for planning, developing, and coordinating public health nursing and other public health programs in cooperation with public health service providers. She is also an R.N. planner responsible for the assessment, planning, implementation, and evaluation of continuing educational programs for nurses.

G6: Strategies and Techniques to Engage Diverse Groups, Pecos Room

This presentation will give conference participants practical “how to” information on integrating activities into curriculums on different topics (ex. HIV/STDs, substance use, life skills) and then addressing those tough issues in the educational setting. Presentation attendees will be able to participate and practice techniques and games for engaging various populations (teens and adults) in the learning experience. Presenters will give information and examples from three programs (funded by DSHS and CSAP) currently run by Drug Prevention Resources, Inc. This presentation is important for professionals working in all aspects of HIV/STD and substance abuse prevention because it gives practical advice that can be used for almost any program. The presenters have experience working with youth in adjudicated, alternative, and shelter settings and will share fun activities to engage diverse populations. Presentation attendees will be invited to participate in activities including experiential learning games and will be given handouts with instructions to take with them.

Jennifer Coker
Program Director
Drug Prevention Resources, Inc.
Irving, Texas

Jennifer Coker serves as a Program Director for Drug Prevention Resources, Inc. (DPRI). She joined DPRI from the University of Texas Health Science Center at San Antonio - Division of Community Pediatrics. Coker currently oversees two projects funded by CSAP and DSHS. She holds a bachelor of science in community health education, a minor in non-profit management and is currently working on a master of science in public health. She has conducted numerous trainings on the ‘Becoming A Responsible Teen' curriculum as well as presentations on working with adjudicated youth on HIV/STD and substance abuse issues for DSHS, Texas Psychological Association, and the University of Texas Health Science Center at San Antonio.

Ashlie Hawkins
Assistant Program Director
Drug Prevention Resources, Inc.
Irving, Texas

Ashlie Hawkins serves as Assistant Program Director for two projects funded by CSAP and DSHS. She facilitates HIV/STD and substance abuse prevention intervention sessions with youth who are incarcerated or in alternative school settings and shelters. Hawkins uses many experiential learning games/activities in her work and also trains staff and educators on how to integrate alternative learning activities into their lessons.

H6: Discrimination and Stigma as Barriers to Healthcare for Pregnant HIV-Positive Women, Ballroom A

Medical management of HIV infection has succeeded in increasing survival rates, but pregnancy in HIV-positive women continues to garner debate. Discrimination and stigma have been identified as barriers to healthcare, suggesting that women with HIV may be disinclined to seek prenatal care if healthcare workers exhibit negative attitudes toward their pregnancies. To optimize prenatal and medical care for positive women, it is important to understand the general social conditions and cultural context in which these women have children.

This qualitative study used a survey and interviews with HIV-infected women to elicit their perceptions of how they were treated by providers when they became pregnant. It also included interviews with healthcare workers to determine what their feelings are about pregnancy within the context of HIV infection.

Results reveal that most of the women had negative experiences at some point during a pregnancy, but the situation improved when they sought care from a provider who was familiar with HIV infection. The women's experiences at services agencies varied considerably. The healthcare providers interviewed believed that HIV-positive women deserved optimal care and treated the women with respect, but these are individuals who are experts in providing care to HIV-positive patients.

The question remains as to what kind of care women are getting and what kinds of attitudes they are being subjected to if they see less experienced providers. Further research is needed to determine whether positive women with private health insurance and different ethnicities experience similar negative attitudes.

Donna Rochon, Ph.D.
Research Associate
Baylor College of Medicine
Houston, Texas

Dr. Donna Rochon completed her doctorate in public health at the University of Texas Health Science Center Houston School of Public Health, with a concentration in behavioral sciences and minors in epidemiology and management and policy sciences. After completing a master's degree in medical anthropology at the University of Houston, she began a 15-year career in the HIV field working for AIDS Foundation Houston as a hotline volunteer and then as Education Outreach Coordinator conducting HIV prevention programs for a wide variety of adult, at-risk populations. She is past editor of and writer for Research Initiative/Treatment Action (RITA!), a nationally distributed HIV/AIDS treatment newsletter published by The Center for AIDS. She is currently a research associate for Healthcare for the Homeless - Houston, a program sponsored by Baylor College of Medicine Department of Family and Community Medicine. Her research focuses on the development of a care model to improve homeless health care and the involvement of homeless consumers in participatory research.

I6: Management of HIV/AIDS in Sub-Saharan Africa: The Untapped Resources, Ballroom B

From the lighting in Switzerland of 8,000 candles laid out in the shape of Africa, the ringing of bells for 60 seconds in Israel, to masses and vigils in churches around the world, nations commemorated World AIDS Day, December 1, amidst the sobering reality that more than 40 million people are estimated to be living with HIV/AIDS. Africa is home for five of the world's fastest-growing economies - but also 34 of the world's 49 poorest countries (UNCTAD). The latest figures released by the World Health Organization (WHO) show that Sub-Saharan Africa remains the region hit hardest by HIV/AIDS. Every day in Africa, 6,000 people die and another 8,500 contract HIV. More than 12 million children in Africa have lost at least one parent to HIV/AIDS.

But while global efforts have been associated with the HIV/AIDS problems in Sub-Saharan Africa, the inclusion of indigenous health professionals who studied, practiced, and are still practicing have been conspicuously omitted or given lip service. The disregard of indigenous health professionals has been the untapped resource in the management of the HIV/AIDS epidemic. The Indigenous African Model, which encourages the use of indigenous health professionals, takes services to the people in their natural settings. Their knowledge of the target population will enable them to obtain greater level of trust among those they are trying to serve and therefore establish the legitimacy and continuity of service.

Samuel O. Osueke, Dr. P.H., L.C.D.C.
Professor of Health & Kinesiology
Texas Southern University
Houston, Texas

Dr. Samuel Osueke is a professor of Health & Kinesiology at Texas Southern University in Houston. He is also a DSHS Licensed Chemical Dependency Counselor, American College of Forensics Counselor, and Certified Criminal Justice and Health Education/Risk Reduction Specialist. He has authored several research articles in the area of HIV/AIDS knowledge, attitude, behavior, and perception. His current research interests are in the areas of abstinence education and HIV/AIDS services in Sub-Saharan Africa.

Owlia Gholamali, Ph.D.
Professor of Health & Kinesiology
Texas Southern University
Houston, Texas

Dr. Owlia Gholamali is tenured faculty in the Department of Health and Kinesiology at Texas Southern University in Houston. His academic specialty is in the area of adapted physical education. He has published extensively in the United States and Tehran, Iran. His research interests are in the areas of adapted physical education and HIV/STD prevention. His book, written in Persian, is titled "Concepts of Physical Fitness."

Esther I. Orji, M.Ed., B.Ed., A.C.E.
Program Coordinator
New Hope Counseling Center, Inc.
Houston, Texas

Esther Orji is the Program Coordinator and Case Manager for New Hope Counseling Center, Inc. She is a consultant with the United States Department of Health and Human Services as a grant reviewer. Her research interests include HIV/AIDS prevention education, abstinence education, and case management. She has co-authored several research projects with Drs. Samuel Osueke and Owlia Gholamali.

Rev. Sister Caroline Iwueke, U.S.O.A., R.N., N.R.M.
New Hope Counseling Center, Inc.
Houston, Texas

Rev. Sister Caroline Iwueke is a member of the Religious Congregation of University Sisters of Assumption, USOA. She is a registered nurse and a mid-wife. After her training as a Catholic Nun, Sr. Carol worked in both urban and rural hospitals and clinics in Nigeria. She has developed a special interest in HIV/AIDS prevention education, treatment, counseling, referrals, and partner notification.

J6: AETC Border Issues Track: HIV Rapid Testing among Pregnant Women in a Northern-Mexico Border City, Wedgewood Room

HIV prevalence in Mexico during pregnancy is estimated at 0.09 percent. HIV testing is not routinely done during prenatal care and the HIV prevalence during pregnancy at Ciudad Juárez (northern Mexico border city) is unknown. It is important to know the feasibility of implementing rapid testing during pregnancy and labor.

HIV rapid tests were given to 148 pregnant women with unknown HIV status admitted in labor to two hospitals in Ciudad Juárez. Women with a positive test received oral nevirapine and their newborns received oral nevirapine SD followed by zidovudine and lamivudine for seven days.

The mean age of study participants was 22.8 years. 12.8 percent were single, 39.9 percent married, and 48.8 percent had a steady partner. Eighty-four percent were not native to the city. Risk factors were: 4.1 percent received blood transfusion between 1981-1989, 3.4 percent used intravenous drugs, 4.1 percent had partners that did IV drugs, 2.02 percent exchange sex for money or drugs or had partners that did, 15.5 percent were previously treated for an STD and 19.7 percent had partners treated for STD. 64.2 percent had no prenatal care. Two (1.4%) women tested positive for HIV and those cases were confirmed by a second rapid test and a Western Blot.

The prevalence of HIV infection among pregnant women in the northern border region of Mexico (1.4%) is higher than the national average (0.9%). HIV rapid testing in all pregnant women in labor with unknown HIV status must become a standard routine in Mexico because timely knowledge of the mother's HIV status provides opportunities for other interventions that reduce transmission.

Claudio Perez Ledezma, M.D.
Hospital General de Ciudad Juárez
Ciudad Juárez, Mexico

Dr. Claudio Perez Ledezma graduated medical school in March 2005. During his community service he worked for six months in the local HIV program. He also volunteered for six months and worked alongside community physicians in local public health clinics giving first time consult to populations at high risk for HIV. He visited HIV-infected patients who had not gone to their monthly medical appointment to find out the reasons for their absence. He assessed circumstances that kept patients away from HIV continuity of care. He also offered HIV patients help from the hospital so that patients could continue with their treatment.

José A. Perez Ruvalcaba, M.D.
Chief of Infectious Diseases
Hospital General de Ciudad Juarez
Ciudad Juarez, Mexico

Dr. José Perez Ruvalcaba has worked with HIV since 1987 in the northern border region of Mexico. His other area of particular interest is TB. He worked as an assistant professor of infectious diseases at University of Guadalajara and currently works at the University of Juárez. He created and coordinated the first local HIV clinic in Ciudad Juárez that included pregnant women, children, and adults.


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Last updated May 22, 2013