National Association of County and City Health Officials (NACCHO)

Health Department

County of Santa Clara

Category

Please provide a brief description of the intervention (with name, if possible).

Outreach, screening, and linkage to treatment for unhoused women of childbearing age

Who was/is involved in implementing the intervention (e.g., staff titles, partner organizations, etc.)?

Santa Clara County PHD

Where was/is the intervention implemented? (Select all that apply.)

Health department STI services

Health department family planning services

Community health center

Mobile outreach/testing setting

Community-based organization

Emergency room

Homeless shelter

Jail

Other

What was/is the target population? (Select all that apply.)

Individuals who have tested positive for syphilis

Partners of those who have tested positive

Pregnant people

People of reproductive capacity

Young adults

Other

What were/are the primary objectives/goals of this intervention?

Provide education and increase awareness of congenital syphilis to unhoused women of childbearing age through printed education materials.
Rapid syphilis screening of women of childbearing age at unhoused encampments. The harm reduction team provides all screening and counseling via mobile units.
Increase the number of unhoused women of childbearing age linked to medical care and treatment with immediate referrals for all positive syphilis screens to PHN or CDI for care coordination and treatment.

What were the outcomes of the intervention?

Please provide specific outcomes if possible, such as # or people served, # or % of reaching XYZ outcome, etc.

Still in process we have not evaluated.

What were/are the top three barriers to implementation? (Select up to 3.)

Lack of dedicated funding

Lack of staff expertise/training

Lack of staff capacity

Lack of community partnerships

Other

What were/are the top three facilitators to implementation? (Select up to 3.)

Dedicated funding

Staff expertise/training

Staff capacity

Community partnerships

Other

What else would you recommend or advise to other counties considering this intervention/activity?

Develop relationships with CBOs and unhoused advocates to leverage support

Have you worked with local jail(s) on syphilis testing of individuals with childbearing capacity?

If “No” is selected in response to Question 11, you are finished.

Yes

When are individuals with childbearing capacity who are incarcerated at the jail tested for syphilis?

At the time of booking

Not at booking

Don’t know

Is the testing opt-in (offered/detainee requested) or opt-out (expected, part of medical assessment)?

Opt-in

Opt-out

Don't know

Number of admissions of individuals with childbearing capacity to the jail (duplicated count)