Condom Access Project (CAP)

Transcription

1 Condom Access Project (CAP) Laura Douglas, MPH Adolescent Health Coordinator CDPH, STD Control Branch Claire Feldman, MPH Senior STD Program Manager California Family Health Council

2 Presentation Content 1. Background 2. Project Description 3. User Demographics 4. Website 5. CAP Logo and Marketing 6. CAP Evaluation 7. Southern CA Partnerships

3 1. Background

4 Supporting Research Condoms are an effective method for preventing transmission of STDs, including HIV, and pregnancy when used correctly and consistently. 1 Making contraceptives, including condoms, available to youth does not promote sexual activity. 2, 3 Free condom distribution programs have resulted in increased condom use CDC (2011). Condom Fact Sheet In Brief. 2. Guttmacher et al. (1997). Am J Public Health 3. Blake, SM, et al. (2003). Am J of Public Health 4. CDC (2010). Condom Distribution as a Structural Level Intervention.

5 About CAP: Goals 1. Expand access to condoms in teen-friendly ways by addressing common barriers, such as: embarrassment, confidentiality concerns, cost, accessibility 2. Increase condom use among youth participating in CAP 3. Promote normalization of condom use among sexually active teens Target population: 15 to 19 year olds in CA *Available to teens years old

6 Existing Model Programs Take control, Philly! NYC Condoms: Get Some! Rubber Revolution DC Los Angeles PH Department SF Department of Public Health

7 2. Project Description

8 Project Component #1: Individual Home Mailers

9 Project Component #2: Condom Access Sites Any public, private or non-profit site (clinical or non-clinical) that: Has a teen-friendly, non-judgmental environment, including staff, especially reception staff, who are welcoming to youth Makes condoms available to all youth on a walk-in basis, no questions asked Does not currently offer free condoms to youth Has a physical location that can be listed on the on-line map (i.e. not used for outreach) On the Condom Finder map: CAP-supported Condom Access Sites plus Teen-friendly organizations already providing free condoms to teens

10 CAP: Cost CAP is fully funded and supported by the Centers for Disease Control and Prevention (CDC) Materials: Individual home mailer: $5.12 per mailer Condom access site: $ per site (monthly) One-time project website development within existing TeenSource website: $9,400 Plus Project management and evaluation Packing and mailing Marketing/Outreach Responding to media

11 Teen Condom Preference Poll What is your favorite brand of condoms? N=78 What is your favorite type of condom? N= Data source: Poll of adolescents taken via TeenSource Facebook page and website ( January 2012

12 Prioritizing Project Roll Out Looked at case-report data for girls & boys, 15 to 19 years old, by LHJ: Number of overall gonorrhea cases Number of overall chlamydia cases Gonorrhea cases among African American youth Chlamydia cases among African American youth County teen birth rate (above state average) LHJ = Local health jurisdiction

13 Individual Home Mailers Alameda Sacramento San Joaquin To date*: 2,877 home mailers requested/sent Kern * Data as of January 23, 2013

14 Condom Access Sites Contra Costa Sacramento San Joaquin CAP support for Condom Access Sites: 10 sites in the 8 highest priority LHJs plus at least 1 site in the remaining 53 LHJs in the CA Project Area = 140 sites max Alameda Fresno Kern Current total: CAP sites enrolled: 65 Riverside Additional sites included on online map: 420 San Diego CA Project Area = all of CA, excluding Los Angeles and San Francisco LHJ = Local health jurisdiction

15 About the Condom Access Sites N=65 Services Available: Condoms & Medical Services: 40 Free condoms, NO medical services: 25 Types of Sites: Health department locations: 9 Barber shop: 1 Community centers: 29 LGBT youth, Foster youth, Job placement centers, Runaway/homeless youth Non-DPH Clinics: 11 School-based health centers: 12 STD/HIV Clinics: 3

16 Condom Access Sites Siskiyou Humboldt Lassen Napa Sonoma Marin Contra Costa Berkeley Alameda San Mateo Yolo Sacramento San Joaquin Mono Madera Fresno Tulare Kings Biggest challenge: Identifying local partner organizations! San Luis Obispo Kern Ventura Long Beach San Diego Data as of January 23, 2013

17 3. User Demographics

18 Gender of Youth Requesting Mailers Female 30% (n=875) Male 70% (n=2,003) 4 Not specified 3 Transsexual/Queer N= 2,885 Data source: Teens ordering a CAP home mailer, February 14, 2012 through January 23, 2013

19 Age of Youth Requesting CAP Mailers 25% 20% % 10% % 0% Data source: Teens ordering a CAP home mailer, February 14, 2012 through January 23, 2013 Age N= 2,876

20 Origin Counties of CAP Orders Kern 1,061 San Joaquin 296 Alameda 801 N = 2,877 Sacramento 719 Data source: Teens ordering a CAP home mailer, February 14, 2012 through January 23, 2013

21 4. Website

22 Let s explore the website!

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24 5. CAP Logo and Marketing

25 CAP Graphics Old New

26 Focus Group Feedback Conducted 3 focus groups in mailer counties Youth requested more information Add background about the purpose of CAP or a "for parents" section Participants requested specific types of condoms and some felt 10 condoms per mailer was not enough Participants would be most likely to access the website from a smartphone, not a desktop Creation of mobile App The term "pick-up" (as in, pick up free condoms here ) was confusing Some thought local sites were where you would go to pick up your order, not just a general place where youth could get condoms anytime The use of "score" wasn't popular-- sounds like a game or a gimmick Condoman received mixed feedback May want to add other images both male/ female or non-gendered

27 Teen Artwork inspired CAP Logo Inspired by a teen illustration from CFHC s 2002 condom art cover contest Designers helped us make changes to the design to create logos

28 Headlines at Launch Kern's issue bigger than mailed condoms -Bakersfield Californian Wrap It Up, Kids: New Program Shows Teens Where to Get Free Condoms -LAist Why should I pay for someone s recreational sex? -Pomerando News Op-Ed Free condom mail program sparks debate -ABC 7 Bay Area

29 Media Coverage at Launch 147 New sources covered CAP since launch Including International, National, out of state, CA and online coverage 34 times on Television 22 Newspapers Jimmy Kimmel, Bill O Reilly, Huffington Post, SF Weekly syndicated news including NBC, ABC, Fox, CBS

30 Tweets & Facebook Posts Can t afford condoms? We ve got you covered, literally, with the Condom Access Project! Get FREE condoms here. Condoms are the ONLY birth control that protects against STDs. Get them for FREE here! Put a CAP on it! Get FREE condoms now! Need condoms? No more excuses - get yours mailed FREE today!

31 How did you hear about CAP? N = 2,815 30% 25% 20% % % 290 5% 135 0% Facebook Friends/Word of Mouth Health Center/Clinic News Other Advertisement (Radio, Print, Etc.) School Reported by youth ordering individual home mailers; Data as of January 23, 2013

32 How did you hear about CAP? News Facebook Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Friends/Word of mouth Health Center/Clinic Other Advertisement (Radio, Print, etc.) School Reported by youth ordering individual home mailers; Data as of January 23, 2013

33 6. CAP Evaluation

34 About CAP: Goals 1. Expand access to condoms in teen-friendly ways by addressing common barriers, such as: embarrassment, confidentiality concerns, cost, accessibility 2. Increase condom use among youth participating in CAP 3. Promote normalization of condom use among sexually active teens Target population: 15 to 19 year olds in CA *Available to teens years old

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36 CAP Evaluation Strategy: Teen Users 3 teen user surveys: Can we contact you via ? 1. Home mailer users n=437 or 15% users to date 2. Map users Unknown 3. At the Condom Access Sites Unknown Example questions: Before you were able to get free condoms by mail, where did you usually get them when you needed them? I didn t have a usual place to get condoms At a clinic or health center I bought them I got them from friends or family I was having sex, but I didn t use them I wasn t having sex Other: Have you already picked up condoms at a place listed on the CAP map? Yes No Unsure (If No) Why haven t you gone to one of the places on the CAP map to pick up free condoms? I don t need condoms right now I couldn t get there I don t like any of the places listed I haven t made the time to go yet Other:

37 CAP Evaluation: Other Data Biannual condom access site survey Process oriented, example: How do you feel the project is going at your site so far? Do you have a sufficient supply of materials? Other feedback for us? Qualitative interviews with site coordinators Website user demographics Other possibilities: Intercept surveys school based sites County STD and teen birth rate data

38 Evaluation Q&A Concerned about Creating barrier for teens by asking too many questions Holding CAS partners accountable to program goals without creating barriers for their participation Challenge Assessing the projects impact on condom use Designing an evaluation with a reasonable chance of a good response rate Balancing the benefit of asking teens evaluation questions while they are on the website with wanting to ask questions that can only be asked in a followup survey (e.g. Did you visit one of the sites on the map?) Have you designed an evaluation for a project like this? What did you do?

39 7. Southern CA Partnerships

40 Help wanted! If you know of organizations that may want to partner with us in any of the counties in blue, please contact us! Also let us know about organizations in any county that already provide free condoms to teens and may want to be listed on the condom access site map!

41 Thank you! Claire Feldman, MPH (510) x2328 Laura Douglas, MPH (510)

42 Challenges Start up challenges: Anticipating demand for individual mailers and condoms at the condom access sites Logistics: packing, mailing, ordering cases monthly, etc. Technology bugs getting the backend of the website up and running Ongoing challenges: Identifying condom access sites in some local health jurisdictions Making the technology/website work for us what else can it tell us? Evaluation: gathering useful evaluation information without creating a barrier for users or condom access sites This is a political topic some anxiety around preparing ourselves for and dealing with the media response