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  • Congenital Syphilis intervention
  • Perinatal HIV intervention
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• Please select the region that your health department is located in. Any
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• Where was/is the intervention implemented? (Select all that apply.) Any
  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 were/are the top three barriers to implementation? (Select up to 3.) Any
  Lack of dedicated funding Lack of staff expertise/training Lack of staff capacity Lack of community partnerships Other
• Which keywords would you use to describe your intervention? Any
  3rd trimester screening Awareness / Outreach Bicillin Case management / Case Reporting Community partners Community-based organizations (CBO) Corrections / Jail Data / Surveillance Disease intervention specialists (DIS) Drug Use / Substance Use Education Health Equity Homeless Incentives Legislation / Policy OBGYN Partner services Perinatal Pregnancy Prenatal Provider detailing Providers Public health nurses Rapid testing Screening / Testing Social Determinants of Health Treatment
• Have you worked with local jail(s) on syphilis testing of individuals with childbearing capacity? Any
  Yes No
• Is the testing opt-in (offered/detainee requested) or opt-out (expected, part of medical assessment)? Any
  Opt-in Opt-out Don't know
• How was the jail testing program funded? (Select all that apply.) Any
  Direct federal funds Federal funds passed through the state State funds Local funds
• What were the top three barriers to implementing syphilis testing at the jail? (Select up to 3.) Any
  Lack of HD or jail funding to support testing/screening Not part of contract with jail medical provider Lack of staff capacity at HD or jail Logistical, space, or security issues at the jail No relationship between the HD and jail Other
• What were the top three facilitators to implementing syphilis testing at the jail? (Select up to 3.) Any
  Sufficient funding from HD or jail to support testing/screening Included in contract with jail medial provider Sufficient staff capacity at HD or jail No logistical, space, or security issues at the jail or issues were resolved Solid relationship history between the HD and jail Other