1. PROYECTO PROMOVER The Ruth M. Rothstein CORE Center/Hektoen Institute for Medical Research Pamela Vergara-Rodriguez, Patricia Aguado, Susan Ryerson-Espino

2. Proyecto Promover Overview Target participants: men, women & transgendered populations of Mexican descent in the Chicago EMA. GoalsIntervention ComponentsObjectives Decrease Individual & Community Stigma related to HIV testing and Increase awareness of HIV Serostatus Community-level: Social Marketing Campaign Community Education Community Networking Raise Community HIV Awareness Reduce HIV Community Stigma Normalize Testing – increase testing Identify HIV+ Mexicanos unaware of their status Increase early linkage, retention in care of HIV positive Mexican patients Patient-level: 12-month intervention involving: Outreach 1-1 psychosocial support & navigation Contingency management Increase early patient linkages Reduce patient barriers and stigma Increase patient retention

3. Stigma Reduction GoalsIntervention ComponentsObjectives Decrease Individual & Community Stigma related to HIV testing and Increase awareness of HIV Serostatus Community-level: Social Marketing Campaign Community Education Community Networking Raise Community HIV Awareness Reduce HIV Community Stigma Normalize Testing – increase testing Identify HIV+ Mexicanos unaware of their status Increase early linkage, retention in care of HIV positive Mexican patients Patient-level: 12-month intervention involving: Outreach 1-1 psychosocial support & navigation Contingency management Increase early patient linkages Reduce patient barriers and stigma Increase patient retention

4. Overview Cont.  Chicago EMA is home to the nation’s fifth largest population of PLWHA (1).  1.6 million Latinos of Mexican origin living in Illinois (2).  Chicago EMA home to the nation’s second largest Mexican immigrant population (2).  In Chicago, prevalence rates for Latino PLWHA of 444 /100,000 people, significantly above the national HIV/AIDS prevalence rate of 277/100,000 (3).  Prevalance rates for Mexicanos living in La Villita estimated between 540-800/100,000 (3).  The interplay between structural/financial and socio-cultural barriers contributes to health disparities affecting Mexicanos at risk for HIV and PLWHA. 1.CDC. Diagnosis of HIV infection in the United States and dependent areas, 2011. HIV Surveillance Report 2013;23:available at: http://www.cdc.gov/hiv/topics/surveillance/resources/reports/.http://www.cdc.gov/hiv/topics/surveillance/resources/reports/ 2.Paral R. Race and ethnicity by place of origin by census tract. In: Hard to find census data on Chicago community areas. Chicago; May 22, 2012. 3.CDPH. STI/HIV Surveillance Report, 2011. City of Chicago November, 2011.

5. Partners and Collaborators  CCHHS-ACHN (Cook County Health and Hospital System- Ambulatory Health Care Network)  Community Partners: Mexican Consulate of Chicago, Mujeres Latinas en Acción, Project Vida, Calor, El Rincón, HAS  Advisory Board Group (ABG)

6. Community Intervention (churches, flea market, day labor employment agencies) GoalsIntervention ComponentsObjectives Decrease Individual & Community Stigma related to HIV testing and Increase awareness of HIV Serostatus Community-level: Social Marketing Campaign Community Education Community members Community providers Community Networking Raise Community HIV Awareness Reduce HIV Community Stigma Normalize Testing – increase testing Identify HIV+ Mexicanos unaware of their status

7. Patient-level Intervention GoalsIntervention ComponentsObjectives Increase early linkage, retention in care of HIV positive Mexican patients Patient-level: 12-month intervention involving: outreach 1-1 psychosocial support & navigation Contingency management Increase early patient linkages Reduce patient barriers and stigma Increase patient retention

8. Local evaluation Specific Evaluation Questions Process Conceptualization, development, implementation, reflection Nature of activities implemented Barrier & barrier reduction lessons Outcome Community-level: Community perceptions of HIV resources & priorities Community prevention & testing activities Patient-level : 60 & 90 day Linkage rates; Rate of late presenters; Retention, adherence & suppression rates; Relationship between intervention activities & outcomes

9. Local evaluation IRB Study Participants: Patient Recruitment Incentives CAB & peers Advisory Board Community Partners Intervention Staff Patients

10. Local evaluation What are the instruments you will use? Participant observation and field notes Monitoring data to gauge development and implementation phases Community instruments Patient-level data collection Analyses Qualitative / Quantitative Analyses Dissemination strategies

11. Contact Information  Pamela Vergara-Rodriguez, PI, 312-572-, pvergara-rodriguea@cookcountyhhs.org  Patricia Aguado, PD, 312-572-4755, paguado@cookcountyhhs.org  Susan Ryerson-Espino, 847-404-7313, srespino@gmail.com

12. Year 1 Timeline Goal One: Develop and implement Proyecto Promover Social Marketing campaign and Community Education Program to increase initial engagement and to improve retention in receiving care at the Ruth M. Rothstein (RMR) CORE Center. Goal Two: Establish Mexican HIV baseline data for those accessing and sporadically accessing care and those lost to follow-up.  Key Action Step 1: Hire/Train Project Staff and Establish Advisors Board Group  Key Action Step 2: Community Needs Assessment  Key Action Step 3: Develop Educational Program  Key Action Step 4: Develop Promotor Outreach Activities  Key Action Step 5: Develop Patient Navigation Activities  Key Action Step 6: Prepare for IRB Submission  Key Action Step 7: Establish database  Key Action Step 8: Work plan with Collaborators