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Regional IPP Projects

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IPP is changing! In collaboration with CDC/Division of STDP Prevention and the Office of Population Affairs IPP is becoming STDRHPTTAC.

Infertility Prevention Project

About the Project

CDC's Division of STD Prevention, in collaboration with the Office of Population Affairs (OPA) of the Department of Health and Human Services (HHS), supports a national Infertility Prevention Program (IPP) that funds chlamydia and gonorrhea screening and treatment services for low-income, sexually active women attending family planning, STD, and other women's healthcare clinics. Key IPP partners include the Indian Health Service's national STD prevention program, state and local family planning and STD programs, family planning regional training centers and state public health laboratories. This program has shown that routine screening of women can reduce chlamydia prevalence and pelvic inflammatory disease (PID) incidence in women. From its start in 1988 as a demonstration project in Region X, IPP has expanded to include all ten federal U.S. Public Health Service (USPHS) regions.

Each IPP is a collaborative effort among Cardea staffers, representatives of state family planning and STD programs, public health laboratories and other key stakeholders. Regional IPP partners meet several times a year to review project goals and objectives and advise Cardea on activities. These advisory groups address common program elements, including:

  • Clinical care — screening, treatment and partner management;
  • Training and education — clinicians, laboratorians, epidemiologists, etc.;
  • Laboratory technology — test performance, purchasing, turn-around-time, quality assurance; and
  • Surveillance — data collection, management and analysis, as well as reporting of local, state and regional findings.

Some History

In 1988, Cardea (as the Center for Health Training) began a comprehensive chlamydia (CT) screening project at Title X family planning (FP) clinics in USPHS Region X (Alaska, Idaho, Oregon, Washington). During the next 10 years CT screening led to a reduction of over 60% in CT positivity among young women aged 15-24 years seen at 150 FP clinics.

In 1993, the Centers for Disease Control and Prevention (CDC) expanded its chlamydia prevention demonstration projects to include Regions III, VII, and VIII. Funding for this expansion was the result of legislation enacted by Congress (Preventive Health Amendments of 1992) that authorized activities for what is now known as the Infertility Prevention Program (IPP). The key components of the IPP as authorized by Congress in 1992 are to provide:

  • CT/GC screening, treatment, counseling and follow-up services for women
  • Partners of women with screening and treatment
  • The public with information and education about prevention and control
  • Training to health care providers.

By the mid-1990's, IPPs were in place in all ten USPHS regions.

Resources

CDC/National Resources

National Infertility Prevention Project (link to website »)

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Annual Report for 2010 (open PDF »)

National Chlamydia Coalition (link to website »)

  • Why Screen for Chlamydia? An Implementation Guide for Healthcare Providers (open PDF »)

Division of STD Prevention Strategic Plan 2008-2013 (open PDF »)

Fact Sheets
Programs & Campaigns
Treatment Guidelines
Laboratory
Data and Statistics: www.cdc.gov/STD/stats/default.htm
Health Disparities: www.cdc.gov/STD/health-disparities/default.htm
Consultations
  • Addressing Social Determinants of Health: Accelerating the Prevention and Control of HIV/AIDS, Viral Hepatitis, STD and TB (December 9-10, 2008) (open PDF »)
  • Consultation to Address STD Disparities in African American Communities (open PDF »)
  • Male Chlamydia Screening Consultation (March 28-29, 2006) (open PDF »)
  • A Public Health Approach for Advancing Sexual Health in the United States: Rationale and Options for Implementation (open PDF »)
Other Key Resources

Expedited Partner Therapy (link to website »)

Health Communication (link to website »)

HEDIS

Partner Services (link to website »)

  • Recommendations for Partner Services Programs for HIV Infection, Syphilis, Gonorrhea and Chlamydial Infection (open PDF »)

Practical Use of Program Evaluation among STD Programs (link to website »)

Program Collaboration and Service Integration: Enhancing the Prevention and Control of HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis in the United States (open PDF »)

Establishing a Holistic Framework to Reduce Inequities in HIV, Viral Hepatitis, STDs, and Tuberculosis in the United States (open PDF »)

American Indians/Alaska Natives

Indian Health Service National STD Program (link to website »)

  • Indian Health Surveillance Report – Sexually Transmitted Diseases, 2009 (open PDF »)

Alaska Native Tribal Health Consortium (link to website »)

Northwest Portland Area Indian Health Board (link to website »)

Native STAND Curriculum

American Indian/Alaska Native Fact Sheets, National Coalition of STD Directors

IHS/CDC Standard STD/HIV Screening Policy and STD Treatment Protocol -- A collection of documents to guide standard delivery of STD care to American Indian and Alaska Native populations. Produced by Cardea, in partnership with the Alaska Native Tribal Health Consortium; IHS National STD Program; JSI Research & Training Institute -- Region VIII IPP; Project Red Talon, Northwest Portland Area Indian Health Board; and Phoenix Indian Medical Center.

  • Sample Policy STD Screening and Treatment in AI-AN Populations (WORD 83KB)
  • Sample Protocol STD and HIV Screening, STD Treatment (WORD 141KB)
  • Additional STD Screening and Treatment Resources (PDF 3.41MB)
Region X IPP Meeting Presentations

Washington State IPP meeting, September 2007

  • Racial/ethnic differences in chlamydia among female clients 1997 – 2006, Washington state FP clinics. (PDF 154KB)
Region IX IPP Presentations
  • Working in Indian Country. Melanie Taylor, MD (PDF 524KB)
  • California Indian Country and STDs 2000-2010, California Tribal Epidemiology Center, Richelle Harklerode (PDF 604KB)
Region VI IPP Presentations

Navajo Nation Presentation, RIPAC Meeting October 2011

  • Navajo Area Response Activities To The Syphilis Outbreak (PDF 2.25MB)

IHS Presentation, RIPAC Meeting October 2011

Conference Presentations

Alaska Statewide Tribal STD/HIV Taskforce Meeting, September 2010

  • Talk Story: Promoting Health Equity and Social Justice in American Indian/Alaska Native Communities: (PDF 1.28MB)

National STD Prevention Conference, March 2008

  • Chlamydia Positivity in American Indian/Alaska Native Women Screened in Region X Family Planning Clinics, 1997-2004 (PDF 188KB)
Journal Articles
  • Chlamydia Positivity in American Indian/Alaska Native Women Screened in Family Planning Clinics, 1997-2004. (PDF 326KB)
  • Chlamydia Positivity in Women Screened in Family Planning Clinics: Racial/Ethnic Differences and Trends in the Northwest U.S., 1997-2006 (PDF 762KB)
Research Reports

Chlamydia and Race/Ethnicity in Title X Region X Female Clients Age 15-24 Years.

Non-Routine Exams and Pregnancy Test Only Visits

Regional IPP Meeting Presentations
  • The Case for Screening During Non-Routine Exams: Evaluating IPP Screening Policy. Presented at the Regional Advisory Committee meeting, January 2009 (PDF 90KB)
  • CT and pregnancy visits in FP: An examination of characteristics of and risks for Chlamydia trachomatis for pregnancy-associated visits among women aged 15 - 24 years at Region X Family Planning clinics, 2003—2006. Presented at the July 2008 RAC meeting (PDF 36KB)
  • Pregnancy Test Only Visits—Hawaii 2008 (PDF 98KB)
  • Chlamydia Screening of Pregnancy Test Only and Emergency Contraception Clients in Family PACT, Preliminary Results 2000 – 2007 (PDF 113KB)
  • CA / LA Project Area, Non – Pelvic Exam CT Screening, 2008 (PDF 255KB)
  • Southern Nevada Health District, Pregnancy Test Only Urine Based NAATS Chlamydia Testing Project, 2006 (PDF 30KB)
  • Report on Pregnancy Test and other Non-Pelvic Exam Clients, June 2009 Region IX IPP Meeting (PDF 275KB)
  • Pregnancy Test Only Clients Louisiana, Texas and Oklahoma CT and NG Screening October 2008, Region VI RIPAC (PDF 135KB)
Conference Presentations
  • The Case for Screening During Non-Routine Exams: Evaluating IPP Screening Policy: (PDF 56KB)

Other Guidelines/Measures

  • Laboratory Diagostic Testing for Chlamydia trachomatis and Neisseria gonorrhoeae, Association of Public Health Laboratories and CDC, January 2009 (link to website »)
  • National Guidelines for Internet-based STD and HIV Prevention, National Coalition of STD Directors, March 2008 (open PDF »)
  • Screening for Chlamydial Infection, U.S. Preventive Services Task Force, June 2007 (link to website »)
  • Social Media Tools for Consumers and Partners - Guidelines & Best Practices, January 2010 (link to website »)

 

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