Implementation Plan

PROJECT DESIGN IMPLEMENTATION PLAN

"Target VCTs" run by:

• Non governmental Organizations (NGOs)
  
• Govt of TN
• People with HIV organizations
• Community based organisations
• NACO
• Private Hospitals

St. Vincents Catholic Medical Center’s, Comprehensive HIV Center in Manhattan (SVH) and New York Medical College (NYMC) in collaboration with the "Target VCTs", will be responsible for

• Total project oversight
• Management
• Monitoring
• Evaluation
  
• Staff from St.Vincents Comprehensive HIV Center and NYMC will work with VCT Officials in Chennai to train VCT staff about AHI
• SVH and NYMC will acquire, transport, and work with VCT officials to set up required number of automated liquid-handling robot (Biomek FX, Beckman Coulter) machines to handle pooled testing of plasma samples from VCT clinics

Major Activities

• SVH and NYMC will conduct longitudinal, clinical in-services on AHI to providers at VCT clinics
• SVH and NYMC will collaborate with VCT officials to design and implement rapid turnaround and contact tracing to facilitate HIV prevention interventions
• SVH and NYMC will establish data collection mechanisms to help investigators evaluate the effectiveness of the combined PVLT and ELISA HIV antibody testing algorithm
• Investigators, will model estimates of averted HIV infections resulting from the identification and contact tracing of AHIs in an effort to determine the program’s cost effectiveness

MONITORING AND EVALUATION

1. Conduct a base-line survey to measure VCT staffs’ knowledge of signs and symptoms of AHI
2. Conduct post-test evaluation of AHI trainings to evaluate their effectiveness
3. Conduct focus groups with VCT staff to identify effectiveness of contact tracing protocols for prevention interventions and bringing patients into care
4. Monitor on a daily basis, the effectiveness of PVLT testing infrastructure to collect and test biological samples, turn around results, and conduct rapid contact tracing.

ORGANIZATIONAL CAPACITY

St. Vincents Comprehensive HIV Center operates New York State’s largest HIV practice and currently provides HIV clinical in-service trainings to community -based clinics throughout York City under contracts from the New York Stage AIDS Institute and HRSA. SVH has been conducting community based trainings for more than 15 years. New York Medical College, School of Public Health (NYMCSPH) will provide the expertise for data management and analysis.