1. Lessons Learned: Integration of Services Regional Training Center Perspective April Pace, Regional Manager Center for Health Training 2007 OPA HIV Prevention Technical Support Conference New Orleans, LA

2. Center for Health Training June 2007 Lessons Learned: Integration of Services RTC Perspective: Lesson 1  Knowledgeable about HIV service integration and how it varies in family planning clinics  To design effective training and TA one must use the integration continuum  HIV Counseling & Testing (C&T) services are a moving target; we must be aware of impact on how changes are integrated

3. Center for Health Training June 2007 Lessons Learned: Integration of Services RTC Perspective: Lesson 2  Training/TA like funding for services is fragmented and it is helpful if we track various resources available to staff  Length of training can be burdensome

4. Center for Health Training June 2007 Lessons Learned: Integration of Services RTC Perspective Lesson 3  RTCs have been fortunate to have CDC funded HIV Integration project  Over the years it has allowed us to: Document models of integration Develop assessment tools Share models of training  OPA funding to clinics has allowed increased testing in low prevalence areas

5. Center for Health Training June 2007 Lessons Learned: Integration of Services RTC Perspective Lesson 4  Many of us have used a “systems change” approach with clinics  We provide clinics with an opportunity to think through what “systems change” means

6. Center for Health Training June 2007 Lessons Learned: Integration of Services RTC Perspective: Outcomes  Address staff knowledge of HIV C & T protocols  Address staff attitudes and behaviors  Staff agree that HIV services are important & don’t “take away from other RH services”  Staff still feel paperwork is burdensome

7. Center for Health Training June 2007 Lessons Learned: Integration of Services RTC Perspective Outcomes  Are able to assess patient flow and staff responsibilities  Are able to use “team leaders, traffic directors or champions” to ensure top level commitment and support to staff and clients  Address client wait times  Help change environment to be more client centered

8. Center for Health Training June 2007 Lessons Learned: Integration of Services RTC Perspective Summary  Many of us underestimated the amount of time, energy and resources needed to support clinic staff  Despite enthusiasm of clinic staff, we needed to identify challenges and barriers from systems perspective in order to sustain integration.

9. Center for Health Training 1809 Seventh Avenue, Suite 400 Seattle, WA 98101-1313 206/447-9538 tel 206/447-9539 fax www.centerforhealthtraining.com April Pace Regional Manager april@jba-cht.com