1. Program Integration in Texas
Ann Robbins
Manager
HIV/STD Prevention and Care Branch
Department of State Health Services

2. State Health Department Organization
Division of Prevention
and Preparedness
Infectious Disease
Prevention Section
TB/HIV/STD Unit
TB/HIV/STD Epidemiology HIV/STD Prevention
and Surveillance TB Services
and Care

3. Integration of HIV, HCV, Syphilis Testing
 Program Philosophy
 Contractual requirements & Program
Standards
 Supports
 No increased cost
 Counselor and supervisor training program
includes information on STD, HIV, and Hepatitis C
 Counselor support materials
 Program data systems
 Follow up varies by test– required protocols for
interaction with public health

4. Challenges and Responses
 Challenges
 Rapid testing
 Mission creep and burden
 Responses and Lessons
 Understand mission and value
 Increased administrative and financial
burden reduces attractiveness

5. Current Integration Projects
 Integration of TB, HIV, STD surveillance
 Routine HIV testing in TB, substance abuse
treatment, outpatient mental health
services;
 HAV & HBV immunization in substance abuse
and HIV prevention programs for gay men
 Integration and cross training of public
health staff to create depth of communicable
disease staff