title: Program collaboration and service integration activities among HIV programs in 59 U.S. health departments.
abstract: OBJECTIVE
  We identified the level and type of program collaboration and service integration (PCSI) among HIV prevention programs in 59 CDC-funded health department jurisdictions.
  
  
  METHODS
  Annual progress reports (APRs) completed by all 59 health departments funded by CDC for HIV prevention activities were reviewed for collaborative and integrated activities reported by HIV programs for calendar year 2009. We identified associations between PCSI activities and funding, AIDS diagnosis rate, and organizational integration.
  
  
  RESULTS
  HIV programs collaborated with other health department programs through data-related activities, provider training, and providing funding for sexually transmitted disease (STD) activities in 24 (41%), 31 (53%), and 16 (27%) jurisdictions, respectively. Of the 59 jurisdictions, 57 (97%) reported integrated HIV and STD testing at the same venue, 39 (66%) reported integrated HIV and tuberculosis testing, and 26 (44%) reported integrated HIV and viral hepatitis testing. Forty-five (76%) jurisdictions reported providing integrated education/outreach activities for HIV and at least one other disease. Twenty-six (44%) jurisdictions reported integrated partner services among HIV and STD programs. Overall, the level of PCSI activities was not associated with HIV funding, AIDS diagnoses, or organizational integration.
  
  
  CONCLUSIONS
  HIV programs in health departments collaborate primarily with STD programs. Key PCSI activities include integrated testing, integrated education/outreach, and training. Future assessments are needed to evaluate PCSI activities and to identify the level of collaboration and integration among prevention programs.
authors.affiliation: Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA ; ICF International, Atlanta, GA.
authors.forename: Lauren F
authors.initials: LF
authors.lastname: Fitz Harris
authors.affiliation: Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA ; ICF International, Atlanta, GA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Toledo
authors.affiliation: Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA.
authors.forename: Erica
authors.initials: E
authors.lastname: Dunbar
authors.affiliation: Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA.
authors.forename: Gustavo A
authors.initials: GA
authors.lastname: Aquino
authors.affiliation: Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA.
authors.forename: Steven R
authors.initials: SR
authors.lastname: Nesheim
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S. / Q000458:organization & administration; D003153:Community Health Services / Q000458:organization & administration; D003299:Cooperative Behavior; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006525:Hepatitis, Viral, Human / Q000517:prevention & control; D006801:Humans; D007373:Interinstitutional Relations; D009111:Local Government; D011635:Public Health Administration / Q000379:methods; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D014397:Tuberculosis, Pulmonary / Q000517:prevention & control; D014481:United States / Q000453:epidemiology