Wayne Steward

Local Evaluation Online (LEO)

Through this project CAPS is partnering with the California Office of AIDS (OA) to provide on-going support for the Local Evaluation On-Line (LEO) system in California. LEO is a web-based information system that enables California’s prevention providers to systematically collect and access information that is critical to effectively prevent HIV infection.

Evaluation and Technical Assistance Center (ETAC) for the SPNS Culturally Appropriate Interventions of Outreach, Access and Retention among Latino/a Populations Initiative

The Evaluation and Technical Assistance Center (ETAC) at UCSF will provide leadership and support to demonstration sites implementing interventions to enhance HIV testing and diagnosis among out-of-care Latina/os, and to link and retain these populations in high quality HIV care.

Severity of Need: California Health Care Financing and Policy Research Initiative [summary]

The Ryan White HIV/AIDS Treatment Modernization Act (a reauthorization of the original Ryan White CARE Act) changed the formulas used to distribute funding to states and cities in the US. The case counts used to allocate the awards shifted from using only AIDS cases to using both HIV (non-AIDS) and AIDS cases. In addition, federal agencies have been charged with developing a Severity of Need Index, which eventually may be used in formula award allocations to weight HIV/AIDS case data by factors thought to impact the variable cost of treatment around the nation.

Health Information Technology Evaluation Center (HITEC)

HITEC is the evaluation center for the HRSA Special Projects of National Significance (SPNS) Information Technology Networks of Care Initiative. Six demonstration sites are implementing electronic network systems to interconnect providers at different care locations. The goal of these systems is to promote health information exchange to improve the delivery, continuity, and quality of care to people living with HIV/AIDS who receive services in publicly-funded settings.

Formative Study of the Role of Gender, Ethnicity and Sexual Orientation in the Provision of Prevention Counseling with HIV+ Patients

We will conduct formative research to inform the design of a discrete choice experiment (DCE) that will quantitatively assess the relative importance of gender, ethnicity and sexual orientation in providers’ decisions to provide Prevention with Positives (PWP) counseling. In the DCE, providers will be presented a variety of scenarios in which factors that impact provision of PWP counseling are varied. Information from their responses will be used to quantitatively assess the relative impact of each of the factors included in the scenarios on providers’ decisions to provide PWP counseling.

Influence of Stigma and Discrimination on HIV Risk among Men in China

This is a three-phase study to identify the specific mechanisms by which MSM stigma affect sexual risk behaviors among MSM in Beijing, China. In Phase 1, we will explore the range of management strategies used to cope with MSM stigma via 30 in-depth qualitative interviews with MSM. In Phase 2, we will develop, using Phase 1 qualitative data and adapting existing quantitative scales, culturally-relevant measures of explanatory constructs of interest (e.g., MSM stigma management) to establish reliability and validity (N=170). In Phase 3, we will examine potential mediators (e.g., stigma manag

Context and Correlates of Health Behaviors in South India

This five-year study is being conducted in collaboration with three Indian NGOs: YRGCARE in Chennai, Tamil Nadu, SHADOWS in Chirala, Andhra Pradesh, and Shelter in Calicut, Kerala. The overall goal is to obtain a better understanding of HIV risk-taking in the context of alcohol consumption among male migrant workers and female sex workers in South India through formative work as well as qualitative and qualitative interviews.

Reducing AIDS Stigma among Health Professionals in South India (The DriSti Study)

This study brings together researchers from the University of California, San Francisco; Research Triangle Institute in Washington DC; St. John’s National Academy of Health Sciences in Bangalore, India; and the All India Institute of Medical Sciences in New Delhi, India to evaluate the efficacy of a promising intervention designed to reduce HIV stigma among Indian health professionals.

Reducing AIDS Stigma among Health Professionals in South India

This study brings together researchers from the University of California, San Francisco; Research Triangle Institute in Washington DC; St. John’s National Academy of Health Sciences in Bangalore, India; and the All India Institute of Medical Sciences in New Delhi, India to evaluate the efficacy of a promising intervention designed to reduce HIV stigma among Indian health professionals.