HomeMy WebLinkAboutResolution - 3648 - Grant Application - TDOT - AIDS Education Coordinator- Best Scan Possible - 06_27_1991Resolution No. 3648
June 27, 1991
Item #18
AW:dw
RESOLUTION
WHEREAS, the City Council of the City of Lubbock deems it to be in the
best interest of the health, safety and welfare of the citizens of the City
of Lubbock to seek funding for an AIDS Education Coordinator through a Texas
Department of Health grant; NOW THEREFORE:
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to make application for a grant from the Texas Department of Health
to fund an AIDS Education Coordinator for the City of Lubbock and to sign
such grant application and associated documents as are necessary to secure
said grant funding.
Passed by the City Council this 27th day of
anexte boys, city �,ecreta
APPROVED AS TO CONTENT:
Rita P. Harmon, Assistant City
Manager for Public Safety and Services
APPROVED 4S TO FORM:
Arftlion'Y-4i li'&ms,'`As"sistant City
Attorney
June , 1991.
A rgs��
c
B. C. McMI , MAYOR
Resolution No. 3648
June 27, 1991
HIV DIVISION r TEXAS DEPART21ENT OF HEALTH I t em # 18
r; APPLICATION FOR STATE GRANT
1. DATE SUBMITTED: / / 12. DATE RECEIVED BY STATE:
APPLICANT ON:
3'.
LEGAL NAME:
4. Address (CITY,
COUNTY,STATE,
City of Lubbock Health Department
! AND
P.O. Box 2548
ZIP CODE):
5.
CONTACT PERSON AND TELEPHONE NUMBER
Lubbock
Lubbock County
Julie Shultz
Texas, 79408
(806 ) 767-2901
5.
EMPLOYER IDENTIFICATION NUMBER (EIN):
�1�_75! — 6000 f 590 106 ! 037 ` !
7.
TYPE OF APPLICANT: (enter appropriate
letter in box):` '
a. City Health Department
f.
Private Non -Profit Organization
b. County Health Department
a.
Higher Education
c. District Health Department
h.
Consortia
d. Community -Based organization
i.
Indian Tribe
e. Public ."ion -Profit Hospital
j.
Other (specify)
3.
TYPE OF APPLICATION: �- X NEW
CONTINUATION
9.
DESCRIPTIVE TITLE OF PROJECT: 11.
START DATE
END DATE
Aids Education Coordinator
09/ 01V91
08 1311 92
`12.
REQUESTED FUNDING:
TOTAL
a.
Personal
26,252
b.
Fringe Benefits
5,976
c.
Travel
780
d.
Equipment
NA
a.
Supplies
500
10.
AREAS AFFECTED BY PROJECT:
f.
Contractual
NA
a.
other
1,800
i
h.
Total Charges
City of Lubbock and Lubbock
(Sum of 13a-13c)
35,308
County
i.
Indirect Charges
1,100
] .
Total Funding
Reauested
36,408
13. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE
TRUE AND CORRECT.' THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE
GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE
ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a. Typed Name of Authorized i b. Title:
Representative: ; Public Health Admi ni ctratnr
Doug Goodman ( c. Telephone Number (806 ) 767-2900
d. Sig re oyZN_V'e'_'
Revresenrative e. Date
\/ �z (/, i-Signedi
Q-g6�Q
AIDS Education Coordinator for Lubbock
Submitted by:
The City of Lubbock Health Department
Contact Person:
Julie A. Shultz, M.A.
AIDS Education Coordinator
City of Lubbock Health Department
P.O. Box 2548
Lubbock, TX 79408
(806) 767-2901
M
TABLE OF CONTENTS
Abstract...............................................................1
Project Narrative
Introduction and Capacity of Organization ........................2
Background and Statement of Need.................................4
Coordination with Other Agencies.................................7
Project Objectives...............................................9
Activity Workplan...............................................11
Evaluation Plan.................................................14
Future of Project...............................................16
Appendix A
Budget Justification
Other Funding Sources Form
Appendix B
Confidentiality Statement Form
Assurance of Compliance with Requirements for
Contents of AIDS -Related Written Materials,
and its Prefacr Form
Assurance of Compliance with the HIV Education
Grant Program Rules Form
Advocate and Promote Statement Form
Assurance of Compliance with Model Workplace
Guidelines Form
Appendix C
Articles of Incorporation and By -Laws and official
recognition by Secretary of State's office
Board of Directors and Officers
Non -Profit Status Form 501(c)3
Appendix D
Letters of Support
Letters of Agreement
ABSTRACr
Name of Applicant: City of Lubbock Health Department
Mailing Address:1902 Texas Ave/ P.O. Box 2548, Lubbock, TX 79408
Telephone Number: (806) 767-2929, or (806) 767-2901
Contact Person:Julie A. Shultz, M.A.
Public Health Region: 2
State Senatorial District: 28
Counties to be served:. Lubbock
State Representative District: 82 and 83
Congressional District: 19
Name of Project: AIDS Education Coordinator for Lubbock
Target Population: young adults under 18; and women of child-bearing age at -risk for HI
Project Summary: The City of Lubbock Health Department is requesting $36,408 to fund
an AIDS Education Coordinator for the City of Lubbock and Lubbock County. The current program has
educated more than 4,300 people in Lubbock. Program highlights include several successful AIDS
seminars,implementation of "AIDS in the Work Place" presentations for all City of Lubbock employe
cooperation among AIDS educators in Lubbock, a greater openness in school systems for AIDS educati
and development of an AIDS policy for the health department.
Current AIDS education has proven effective in reducing duplication of services and targeti
new groups to broaden the base of service. We propose the objectives of this grant would be to
continue coordination with existing AIDS education programs in Lubbock to maintain prevention of
duplication of services; continue to educate young adults under 18 years old; and to educate women
of child-bearing age who may be at -risk for HIV infection, especially those in racial/ethnic
minority populations. The other agencies in Lubbock have agreed to participate in this cooperative
venture.
The Coordinator would facilitate bimonthly meetings with all cooperating agencies. These
meetings would be used to support each other, share needs, brainstorm solutions to problems, and
reinforce to the community the fact that it is only through a cooperative effort will we make
advances against the spread of HIV. The Coordinator has established a relationship with a contact
person for AIDS education in each high school. in Lubbock County, targeting persons under 18 years
age. The existing AIDS education program between the Coordinator and the schools could continue.
The Coordinator would target women by giving weekly presentations in the family planning and
maternity clinics at the health department, as well as give presentations at day care centers and
at the Lubbock Children's Health Clinic.
Budizet Summary:
r Personnel total
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other
Indirect Charges
Total Request
$26,252
9 6
$ 7ftn
N/A
$ 500
N/A
$ 1,800
$ 1,100
$36,408
2
INTRODUCTION AND CAPACITY OF ORGANIZATION
The City of Lubbock Health Department is divided into several divisions,
including the Personal Health Services Division. The AIDS Education
Coordinator serves in the Sexually Transmitted Disease/Human Immunodeficiency
Virus Program, which is part of the Personal Health Services Division. The
purpose of the Personal Health Services Division is to fulfill the community's
interest in assuring the conditions in which people can be healthy. This is
accomplished through individual assessment of health needs; providing health
care services through our STD/HIV Clinic, Women's Health Care Clinics,
Immunizations Clinic, and Dental Clinic; educating the population regarding
positive health care practices; and making appropriate referrals to other
agencies or services.
The City of Lubbock Board of Health is an advisory committee whose primary
function is to set goals for the maintenance of healthy conditions in the City
of Lubbock. They are a steering committee to guide the Health Department and
the City Council when health issues are discussed.
Our projected number of clients served for the fiscal year 1990-1991 are:
Immunization Clinic, 12,258 immunizations administered; STD Clinic, 6,000
clinic visits; HIV counseling, 1,000 patients pre -test counseled; Maternity
Clinic, 11,000 patient visits; Family Planning Clinic, 6,250 patient visits;
and Dental Clinic, 5,000 patient visits. The clients served by our clinics are
primarily low socioeconomic groups, which consist primarily of minorities. Our
clients are 69% Hispanic, 14% Black, 16% White, and 1% other races.
The AIDS Education Coordinator is a full-time position in the STD/HIV program.
The Coordinator has a Master of Arts degree in Mass Communications. She has
experience in public relations, networking with other agencies, and working
R
with volunteers. She has taken the American Red Cross HIV/AIDS Instructor
Trainer Course and the Texas Department of Health Counselor, Trainer, Partner
Notification Course. She has access to all the resources available to the City
of Lubbock.
In the past six months, the Coordinator has arranged for 70 educational
presentations on HIV/AIDS to 2,151 individuals. This number is up 221% from
before the Coordinator was hired. This is due to the increased number of
requests for presentations, as well as efforts made to elicit opportunities
for additional presentations to target groups. The Coordinator works with
other agencies providing education to match the appropriate educator to the
requesting group.
Since many of our clientele are minorities, the section of the proposal
targeting women of child-bearing age who may be at -risk for HIV could be well -
implemented through the Women`s Health Care'Clinic at the Health Department.
The other target of this proposal is a continuation of the successful project
currently in place. The Coordinator has a working relationship with other
agencies in Lubbock that are doing AIDS education. She also has a contact
person for each high school in Lubbock County, targeting persons under 18
years of age.
The City of Lubbock Health Department is eligible for this grant. We are a
governmental, public entity located within the state of Texas.
4
BACKGROUND AND STATEMENT OF NEED
The City of Lubbock has an estimated population of 190,000. The population of
Lubbock County is over 210,000. Lubbock is 70% White, 20% Hispanic, 9% Black,
and 1% other races.
As of May 31, 1991, the Lubbock City Health Department had reported 295 HIV -
positive individuals. We have a cumulative total of 131 AIDS cases from Spring
1985 through May 30, 1991. 64 of these individuals are still alive. The
Lubbock AIDS Health Care Planning Group estimates that by the end of 1991,
Lubbock will have 1,400 to 3,000 HIV -infected people.
The clientele seen in the STD, Family Planning, and Maternity clinics are
those in the population we are most concerned with about being exposed to the
virus due to the probability of their participation.in risky behavior. This
group of sexually -active teenagers and young adults are not the focal group of
any of the AIDS education being taught by agencies in Lubbock County.
Although the agencies may reach some of these individuals in their programs,
they are not the primary targets. The AIDS Education Coordinator at the Health
Department is the only person in Lubbock who has target persons under 18 years
of age, and people in the work force, ages 19-34.
Our proposal is to continue to target people under 18 years of age in an
organized, cooperative effort, as well as begin to specifically target women
of child-bearing age who may be at risk for HIV -infection. To target the young
people, we will continue to work with agencies in Lubbock which are doing AIDS
education. As in the past, we will direct our initial attention towards the
older teenagers, specifically Juniors and Seniors in high school. The
Coordinator will work with the Coordinator of Health Services in Lubbock
Independent School District to be used as a source of information and referral
{
5
for teachers within the school system. The AIDS Education Coordinator will
also work with individual teachers to give presentations to students in their
classrooms. We will enhance the AIDS education in the LISD curriculum, by
focusing not only on the biological aspects of AIDS, but also on risk
reduction/prevention activities, following the guidelines stipulated by the
Texas Department of Health.
Our greatest challenge has been willingness of LISD teachers to allow us to
come into their classrooms and give presentations. The program has not been
found to be threatening to any of the classes we have given presentations in.
Therefore, with an earned respect, the door is now opening for us to do more
presentations, because teachers have heard from other teachers that it will
not be offensive to those in this traditionally conservative county. Unlike
the city, however, the school systems in Lubbock County have had a much more
open policy, allowing speakers greater freedom in teaching about HIV
infection.
Our second target group is the women of child-bearing age in Lubbock County.
The majority of these women do not attend any school and are not receiving any
AIDS education. Catholic Family Service has a grant from the Texas Department
of Health to provide AIDS education to migrant farm workers. The Lubbock
Regional MHMR office has a grant to provide AIDS education to the high -risk
population of Lubbock. The are focusing primarily on IV drug users, which is
just a small percentage of these sexually active females. The Lubbock City
Health Department will work with these agencies in a cooperative effort to
provide AIDS education for these adults. We will also work within clinics at
the City Health Department to educate those that are at our clinics. We have a
captive audience with these women, as they wait for their appointment to see
the nurse or physician. In addition, we can work with day care centers to
X
Di
disseminate information to parents who use this service. Our greatest
challenge in arranging seminars for women in this group will be finding
different methods of disseminating information to them which will be the most
effective in persuading them to listen and internalize information given to
them at presentations, in order to alter their behavior in such a way to
prevent HIV infection.
ri
COORDINATION WITH OTHER AGENCIES
The idea for the initial grant proposal for an AIDS Education Coordinator was
derived two years ago from several meetings the City of Lubbock had with
various agencies providing AIDS education. Since the hiring of the AIDS
Education Coordinator in February 1990, the agencies working with one another
have developed into the Lubbock HIV/AIDS Consortium. In a recent AIDS
Education Coordination meeting, called by the AIDS Education Coordinator, all
cooperating agencies in Lubbock met to discuss AIDS education in Lubbock.
Through this meeting it was discovered that no one was specifically targeting
women of child-bearing age who may be at risk for HIV. We discussed the
possibility of the Health Department writing a grant proposal to provide this
service through the AIDS Education Coordinator. The agencies present expressed
their support of the idea and their willingness to continue to cooperate with
each other in providing the broadest coverage of the population with AIDS
Education.
In the past, the Coordinator has coordinated services with several agencies to
do AIDS presentations in Lubbock, and plans to continue to do so in the
future.
The Coordinator is currently involved with the Lubbock HIV/AIDS Consortium,
the Texas Tech AIDS Issues Awareness Committee, and the education/prevention
committee and steering committee of the Lubbock AIDS Health Care Planning
Group. In these meetings, networking has been effective in locating areas in
need of AIDS education, as well as increasing cooperative efforts among
agencies in Lubbock to do HIV education, without duplication of services. The
Coordinator also writes a bimonthly newsletter of all information regarding
HIV/AIDS in Lubbock. This newsletter has proven useful in keeping other
0
E:l
organizations abreast of HIV/AIDS information in Lubbock. This further helps
to reduce duplication of services, as it helps others know which agency has
targeted which group.
We at the City of Lubbock Health Department believe we are in a unique
position to serve as facilitator for AIDS education in the county. We have
demonstrated the ability to cooperate with all agencies doing AIDS education
at the present time. We solicit and receive many requests for AIDS education,
some of which are referred to other agencies. The Coordinator is aware of the
strengths of each agency, and refers presentations accordingly. This enables
more people to receive AIDS education focused at their specific
characteristics and needs.
N
0
PROJECT OBJECTIVES
Goal 1: To continue providing the potential for delivery of effective and
culturally appropriate, age -specific risk reduction messages and interventions
to young adults under 18 years of age in a school and/or an after -school
setting, in order to enlarge on the education they receive and to reduce or
eliminate behaviors associated with the transmission of HIV.
Process Objectives:
A. Meet with the Program Materials Review Panel every six months and approve
all new program materials.
B. Continue contact with all public and private high schools in Lubbock
County to schedule programs for their students.
C. To provide 400 adolescents between the ages of 14-18 with HIV/AIDS
presentations within 12 months as scheduled.
Outcome Objective:
A. At the conclusion of each presentation, at least 75% of the
participants will demonstrate a pre/post test gain in knowledge of the modes
of transmission of HIV and avoidance of risk behavior.
Goal 2: Provide the potential for delivery of effective and culturally
appropriate, age -specific risk reduction messages and interventions to women
of child-bearing age who may be at -risk for HIV -infection, especially those in
racial/ethnic minority populations.
Process Objectives:
A. Meet with the Program Materials Review Panel every six months and approve
all new program materials.
10
B. Contact day care centers and the WIC program in Lubbock to schedule
programs.
C. To provide 24 presentations to target population within 12 months, as
scheduled.
Outcome Objective:
A. At the conclusion of the presentation, at least 75% of the
participants will demonstrate a pre -/post-test gain in knowledge of the modes
of transmission of HIV and avoidance of risk behavior.
Goal 3: Continue to maintain a close coordination with existing HIV/AIDS
education/prevention resources in Lubbock County in order to expand the health
education and risk reduction efforts being made and in order to prevent the
unnecessary duplication of services in Lubbock County.
Process Objectives:
A. Every two months will meet collectively with the cooperating agencies to
share experiences, problems, and potential solutions.
B. Every two months, write and distribute a newsletter for coordination of
activities among agencies.
C. Serve as a reference for agencies to gain information on latest
statistics, as well as to borrow materials, all of which will be documented
and listed in quarterly reports.
D. Continue to serve as a speaker for requests made to the Health Department
for AIDS education in other work force settings.
Outcome Objective:
Through an evaluation form, every six months in the project period, have
cooperative agencies maintain 80% satisfaction with the AIDS Education
Coordinator.
11
ACTIVITY WORK PLAN
I. Goal: Provide programs for high school students
A. Meet with the Program Materials Review Panel. (1) The AIDS Education
Coordinator will continue to review education materials as they become
available to decide which is the most appropriate for a high school audience.
She will select the new materials to be presented to the review panel every
six months. (2) Every six months the Coordinator will telephone all members of
the panel to schedule the review meeting. She will set the time, date, and
place. (3) Every six months the Coordinator will moderate the scheduled
meeting, present chosen materials, and allow committee to select the
appropriate materials following the guidelines set forth by Senate Bill 959,
Section 1, Article 2.
B. Meet with Public and Private Schools in Lubbock County. (1) The Coordinator
will telephone all high schools in Lubbock County to determine a contact
person and to schedule a meeting within one month of the beginning of each
school semester and continue contact again one month after the beginning of
each school semester. (2) The Coordinator will determine which cooperating
agency, including herself, will conduct the presentations for each school at
the time of referral. This decision will be based on cultural characteristics
of the students and the presenters. A plan of action will be initiated.
C. Give Presentations. (1) The Coordinator will finalize the place and time of
each seminar at the time of referral. (2) The appropriate agency will conduct
the presentation based on the guidelines set by the Program Materials Review
Panel, and on the guidelines set by the contact person for the requesting
group.
12
D. Evaluations. (1) Evaluations of the presentations will be given to the
group contact by the Coordinator. He/She will turn in the evaluation to the
Coordinator within one week after the presentation. (2) Every six months, the
cooperating agencies will collectively assess the evaluations of the seminars
and revise programs accordingly. Changes in the presentations will be planned
for future presentations. If at any time a problem becomes apparent from the
evaluations, the Coordinator can make changes in the presentations.
II. Goal: Provide Programs for women of child-bearing age who may be at -risk
for HIV -infection.
A. Meet with the Program Materials Review Panel. (1) The Coordinator will
review educational materials as they become available to decide which is the
most appropriate for a sexually -active female of child-bearing age. She will
select the new materials to be presented to the review panel every six months.
(2) Every six months, the Coordinator will telephone all members of the panel
to schedule the review meeting. She will set the time, date, and place.
(3) Every six months, the Coordinator will moderate the scheduled meeting,
present chosen materials, and allow the committee to select the appropriate
materials following the guidelines set forth by Senate Bill 959, Section 1,
Article 2.
B. Meet with targeted clinics and centers in Lubbock. (1) The Coordinator will
telephone all clinics and centers in Lubbock which cater to women of child-
bearing age to determine a contact person and to schedule presentations.
(2) At the time of referral, the Coordinator will determine which cooperating
agency, including herself, will conduct the presentations. This decision will
be based on cultural characteristics of the clientele and the presenters. A
plan of action will be initiated.
13
C. Give Presentations. (1) The Coordinator will finalize the place and time of
each presentation, as agreed upon with the cooperating agency at the time of
referral. (2) The appropriate agency will conduct the presentation based on
the guidelines set by the Program Materials Review Panel and on the guidelines
set by the contact person for the requesting group.
D. Evaluations. (1) Evaluations of the presentation will be given to the group
contact by the Coordinator. He/She will turn in the evaluation to the
Coordinator within one week after the presentation. (2) Every six months, the
cooperating agencies will collectively assess the evaluation of the seminars
and revise programs accordingly. Changes in the presentations will be planned
for future presentations. If at any time a problem becomes apparent from the
evaluations, the Coordinator can make changes in the presentation.
III. Goal: Coordination of Cooperating Agencies.
A. Meetings. (1) The Coordinator will schedule bimonthly meetings with all the
cooperating agencies to share experiences, problems, and potential solutions.
(2) Every six months, the cooperating agencies will meet to evaluate the
program. Suggestions will be made for future improvements in the program.
B. Newsletter. (1) Every two months, the Coordinator will collect information
from all cooperative agencies in Lubbock about what their program is doing.
(2) Every two months, the Coordinator will write and distribute a newsletter,
which will contain information about HIV/AIDS education and services of
Lubbock agencies.
14
EVALUATION PLAN
I. Goal: Provide Programs for High School Students
A. Process Measures. (1) Compare number of programs actually held for the
students with the original goal. (#) (2) Through the use of general course
evaluation, determine the information which had greatest retention factor on
audience. (3) Check for timely completion of the steps outlined in the
Activity Work Plan. (4) Keep track of number of times called by school
faculty/staff for information.
B. Outcome Measures. (1) Using pre/post tests, determine change in knowledge,
attitudes, and beliefs. (2) Use evaluations from contact person to
maintain/change program.
II. Provide programs for women of child-bearing age who may be at -risk for
HIV -infection.
A. Process Measures. (1) Compare number of programs actually held for young
adults with the original goal. (#) (2) Through the use of general course
evaluation, determine the information which had greatest retention factor on
audience. (3) Check for timely completion of the steps outlined in the
Activity Plan.
B. Outcome Measures. (1) Using pre/post-tests, determine the change in
knowledge, attitudes, and beliefs. (2) Use evaluations from contact person to
change/maintain program.
Task/Goal
I Sept.' Oct.l Nov.l Dec.' Jand Feb.' Mar.l Apr.l Mayl Jun.) Jul.' Aug.l
I. Provide programs for h.s. students
:T=XX)c
A. 1. Review available materials
"XXXXXX
110=M
3001XXX0
2. Schedule meeting w! panel
3. Meetw/ panel
- select materials
xxxxxxx
B. 1. Contact high schools
xxxxxxa
XXX=X
xxxxxxx
xxxxxxxx
2. Initiate plan of action
xxxxx
C. 1. Finalize presentations
XXKXNKXX=
XC=XXM
2. Conduct presentations
xxxxxxxx
D. 1. Evaluation by contact person
or group
xx
xx
xxsc
MXXXXV
2. Collective evaluation by
cooperative agencies
xx
II. Provide programs forwomen of
child-bearing age who may be at -
risk for HIV -infection
A. 1. Review available materials
1
X=XX,
==4
NAA
xxxxxxv
2. Schedule meeting w! panel
XXU
xx
3. Meet w/ panel
- select materials
xxxxxxx
xxxxK=
B. 1. Contact clinics and centers
2. Initiate plan of action
C. 1. Finalize presentations
X)O=
XXKXXXXXX
xx
2. Conduct presentations
xx
D. 1. Evaluation by contact
person or group
XNUCOM
xxxxxxxx
cmxxxxxxxx
2. Collective evaluation by
y
cooperative agencies
III. Coordination of agencies
A. 1. Meetings
xxx
xxx
xxx
xxx
2. Newsletter
XXXX
XXXK
XXXX
x
15
III. Goal: Coordination of Cooperative Agencies
A. Process Measures. (1) Check for bimonthly meetings with the cooperating
agencies. (2) Check for timely completion of the steps outlined in the
Activity Work Plan.
B. Outcome Measures. (1) Check for biannual evaluations of program by
cooperating agencies. (2) Count number of referrals to other agencies obtained
through Coordinator position.
16
FUTURE OF PROJECT
The current project of AIDS Education Coordinator would be non-existent if it
were not for the funding by the Texas Department Health. One of the most
beneficial aspects of the project has been the coordination among agencies
doing HIV/AIDS education. It has helped to reduce duplication of services and
to more evenly distribute HIV/AIDS education to all targeted groups.
With continued support through the Texas Department of Health, this program
will have the chance to grow and flourish, with even greater opportunities to
educate those in the Lubbock area.
HIV/AIDS EDUCATION
BUDGET JUSTIFICATION
A. PERSONNEL
HIV Education Coordinator (Julie Shultz)
100% Education
This refunded position will continue to initiate
HIV/AIDS educational opportunities in Lubbock County
focusing on adolescents and young adults and to
coordinate these activities with the other cooperating
agencies. This includes a merit increase-
B. FRINGE (23%)
FICA: rate x salaries $2,008.00
Insurance: cost per mo x FTE's 3,948.00
(Health ins. 2,182
Life ins. 17
Dental ins. 174
Retirement 1,575)
Worker's Comp: rate x salaries 20.00
Unemployment: rate x salaries NA
Total Fringe Rate 23%
C. TRAVEL
1. In -State Travel
a. One trip to a selected meeting/
conference by HIV Education Coordinator.
($240 for transportation plus
$70 per diem for 3 days.) 450.00
b. 1200 SMSA, county and local miles
x .275 per mile. 330.00
D. SUPPLIES
Funds are requested for the purchase of general office
supplies which include pencils, notepads, scotch tape,
file folders, xerox paper, stationery, etc.
$26,252.00
5,976.00
780.00
500.00
E. OTHER 1,800.00
Educational materials 1,500
This includes videotapes, slides, audiotapes,
Brochures, posters, etc.
Books and Periodicals 150
Postage 150
F. TOTAL DIRECT COSTS 35,308.00
G. INDIRECT COSTS (UGCMS) 1,100.00
H. TOTAL BUDGET $36,408.00
OTHER FUNDING SOURCES
(GRANTS, CONTRACTS, DONATIONS) OVER $1,000 EACH
FOR SUPPORT OF HIV ACTIVITIES DURING THE REQUESTED
FUNDING PERIOD
SOURCE OF OTHER FUNDS PURPOSE OF FUNDS AMOUNT
Source $
one
Source = $
two
Source $
three
Source $
four
Source $
five
Source $
six
(Add other pages if needed.)
The AIDS Education Coordinator position has no other sources of funding,
through the Lubbock City Health Department.
R. D. Goodman
Public Health Administrator
CONFIDENTIALITY STATEMENT
The City of Lubbock Health Department and its employees or
subcontractors, if applicable, provide assurance to the Texas Department of Health that:
Confidentiality of all records will be maintained. All information obtained in connec-
tion with the examination, care; or provision of programs or services to any person covered
by Texas Department of Health HIV/AIDS grant funds shall not be disclosed without the
individua-Ts consent except as may be necessary to provide services to him/her, or as may
be reguired by law. Information may be disclosed in statistical or other summary form or
for clinical purposes, but only if the identity of the individuals diagnosed or provided care
is not disclosed.
We are aware that the Communicable Disease Prevention and Control Act provides
for both civil and criminal penalties against anyone who violates the confidentiality of
persons protected under the Act. Furthermore, all employees and volunteers will be
required to sign a statement of confidentiality assuring compliance with the law. An entity
that does not adopt confidentiality guidelines as required by law is not eligible to receive
state funds until the guidelines are developed and implemented.
of
Director
Signature of Authorized Business Official
(o4,hl
Date(
(,7:, /-.;Z/ Z-12
Da e
ASSURANCE OF COMPLIANCE
with the
REQUIREMENTS FOR CONTENTS OF AIDS -RELATED WRITTEN
MATERIALS, PICTORIALS, AUDIOVISUALS, QUESTIONNAIRES,
SURVEY INSTRUMENTS, AND EDUCATIONAL SESSIONS,
AND ITS PREFACE IN
TDH HIV EDUCATION GRANT PROGRAMS
By signing and submitting this proposal, the applicant agency certifies that its Project
Director and Authorized Business Official:
1) have received a copy of the Requirements. for Contents of AIDS -Related Written
Materials, Pictorials, Audiovisuals, Questionnaires, Survey Instruments, and Educational
Sessions in -Centers for Disease Control Assistance Programs, dated January 1991, and its
Preface; 2)—have read them; 3) accept them; 4) agree to comply with all particulars and
specifications set forth; 5) and agree that all specified materials shall be submitted to the
program materials review panel and subject to the CDC Basic Principles set forth.
Following are the names, occupations, affiliations and addresses of the proposed
panel members: (Use attachment page if needed.)
Name
Palmira Hay
Benny Brito
Jane Tustin
Karen Dad i ch
Marilyn Mitchell
Scott Badgett.
Occupation Affiliation and Address
Catholic Family Service, Ir
Supervisor of family life services 123 N. Avenue N.
Lubbock Regional MHMR
AIDS Outreach Worker 122n RrpndwA V SUItp 10Q5
Lubbock Ind. School District
Coordinator -Health Services 1A28 lgth Crriept
TTUHSC-School of Nursing
Assoc._ Prof of Clinical Nursing I ihhnrk TY_ 243n
Lubbock City Health Dept.
STD/H I l/dram Super-u Unr P _ n _ Rnx 9 /9 Q) Tea,,, Aw
WesTAF
Pres i dP.nt-Wact..Taxas Af n� Foundat i nn P _ n RnY 93190
City of Lubbock Health Department
617,116)1
Date
6, Z I rZ 2 1
ASSURANCE OF COMPLIANCE
with the
HIV EDUCATION GRANT PROGRAM RULES
By signing and submitting this proposal, the applicant agency certifies that its Project
Director and Authorized Business Official have:
1) received a copy of the HILT Education Grant Program Rules. Chapter 98, Subchap-
ter B, Rules & Regulations for the Control of Communicable and Sexually Transmitted Dis-
eases & Reporting of Occupational Diseases. Revised, Texas Department of Health; 2) have
read them; 3) accept them; and 4) will comply in all particulars with the rules as set forth.
City of Lubbock Health Department
Applicant Agency
La4�
Si re of Proje Director
/---\ ..
Signature o6' Authorized Business Official
I /-� W/!?-Z
Date
Z A
Date
ADVOCATE AND PROMOTE STATEMENT
Applicant agency certifies that it does not advocate or promote conduct that violates
state law, in compliance with the HIV Services Act, Texas Civil Statutes, Article 4419b-4,
as follows:
"Grants may not be awarded to an entity or community organization that advocates
or promotes conduct that violates state law. This subsection does not prohibit the award of
a grant to an entity or community organization that provides accurate information about
ways to reduce the risk of exposure to or transmission of HIV."
I certify that the
City of Lubbock Health Department
(name of entity or community organization) does not advocate or promote conduct that
violates state law.
Signature of Project Director
Date
co 2 t
Signature of Authorized Business Official Date
ASSURANCE OF COMPLIANCE
with the
HIV/AIDS MODEL WORKPLACE GUIDELINES
PROVIDERS OF DIRECT CARE, SERVICES, OR PROGRAMS
By signing and submitting this proposal, the applicant agency certifies that its Project
Director and Authorized Business Official have:
1) received a copy of the HIV/AIDS Model Workplace Guidelines, Providers of Direct
Care: -Services, or Programs, Amended Final Rules, Texas Board of Health, January 27,
1990; 2) have read them; 3) accept them; and 4) agree to adopt and implement work-
place policies on HIV/AIDS to include at a minimum: a) the provision of education for
employees and clients concerning HIV, its related conditions, and AIDS; b) confidentiali-
ty of AIDS and HIV -related and all other medical information for employees, clients,
inmates, patients, and residents served by the applicant agency; and c) an anti -discrimina-
tion policy assuring all privileges and opportunities for any employee or client with a
communicable disease, unless based on accurate scientific information.
City of Lubbock Health Department
Appiicant Agency
Si Lure of Project Director
Date
la I Z9
Date
City of Lubbock
1902 Texas Avenue
P.O. Box 254E
Lubbock, Texas 7940E-9961
BOB-762-6411
The City of Lubbock
Therefore, we do not
official recognition
Health Department
Health Department is a governmental, public entity.
have Articles of Incorporation, By-laws, and
by the Secretary of State's office.
i1
R.D. Goodman
Public Health Administrator
Health Department
City of Lubbock
1902 Texas Avenue
P.O. Box 254E
Lubbock, Texas 7940E-9961
BOB-762-6411
The City of Lubbock Health Department is a governmental, public entity.
Therefore, we do not have a Board of Directors.
R.D. Goodman
Public Health Administrator
Health Department
City of Lubbock
1902 Texas Avenue
P.O. Box 254E
Lubbock, Texas 7940E-9961
B06-762-6411
The City of Lubbock Health Department is a governmental, public entity.
Therefore, we cannot provide Form 501(c)3.
R.D. Goodman
Public Health Administrator
CITY OF LUBBOCK
LUBBOCK, TEXAS
--� _.
LUIE380CK I f 1./V ;
B. C. "PECK" Mr-MINN
MAYOR
Doug Goodman
Public Health Administrator
City of Lubbock Health Department
P.O. Box 2548
Lubbock, TX 79408
Dear Doug:
June 20, 1991
As co-chair of the Lubbock AIDS Health Care Planning Group, I am a
believer in cooperative efforts. I am writing this letter in support of
the City of Lubbock Health Department's grant application for the
continuation of an AIDS Education Coordinator for Lubbock. As Mayor of
the City of Lubbock, I have had the opportunity of being involved in the
AIDS mission in this community.
We have seen Lubbock address the overall problems created by the AIDS
epidemic more effectively since the formation of the planning group.
The AIDS education coordinator has been a valuable member of the
steering committee, informing us of the education and prevention efforts
going on throughout our community. I believe the AIDS education
coordinator can continue to help the cooperating agencies address the
issue of HIV/AIDS education effectively. This can only help to
strengthen the city-wide efforts even more.
Sincerely,
JBC. "Peck" McMinn
Mayor
BCM:sh
�p;C E Op
0 T
Texas Department of Health
Public Health Region 2
Robert Bernstein, M.D., F.A.C.P.
4709 66th Street
Commissioner
Lubbock, Texas 79414
Robert A. MacLean, M.D.
(806) 797-4331
Deputy Commissioner
Professional Services
June 18, 1991
Hermas L. Miller
Deputy Commissioner
Management and Administration
Doug Goodman
Administrator
Lubbock City Health Department
1901 Texas Avenue
Lubbock, Texas 79405
Dear Mr. Goodman:
RECEIVED
Ji U N 2 0 1991
LUBBOCK CITY HEALTH DEPI
I would like to extend my full support to Lubbock City Health Depart-
ment's proposal for a city/county HIV education coordinator.
Lubbock City Health Department has an outstanding record of service
with respect to HIV counseling, testing and partner notification. Now
that Lubbock has several groups actively involved in HIV disease
education, it has become increasingly important to maintain inter-
agency cooperation and to ensure the most efficient delivery of
programs. The city/county HIV education coordinator is in the unique
position to assess and prioritize community needs, ensure fair access,
make referrals to the appropriate educators, assist in promotion and
monitor programatic outcomes.
The funding of an HIV education coordinator has lead to significant
improvement in the understanding of the natural history of HIV disease
among at risk populations in Lubbock. The successful implementation
of your proposal has prevented much of the anticipated burden of HIV
disease among our at risk populations and I lend it my full approval
and support.
Sincerely,
r
Anthony Bay, M.D.,"Ph.D.
Acting Regkonal Director
Public Health Region 2
ABW/pjj
LUBBOCK INDEPENDENT SCHOOL DISTRICT
JANE TUSTIN, RN, MSN
COORDINATOR - HEALTH SERVICES
TELEPHONE (806) 766.1972
DOUG GOODMAN
PUBLIC HEALTH ADMINISTRATOR
LUBBOCK CITY HEALTH DEPARTMENT
1902 TEXAS AVENUE
P.O. BOX 2548
LUBBOCK, TEXAS 79408
Dear Mr Goodman,
The Lubbock Independent School District has benefitted in
many ways from its close relationship with the City Health
Department. One very important contact has been the AIDs
Education Coordinator.
This year Health Services provided an HIV update to all
faculty and staff, approximately 2.500 individuals. The AIDS
Education Coordinator was an invaluable resource to the
school nurses in providing speakers, current materials and
films for the inservices. The coordinator herself has also
made many presentations to secondary science, health and
home economics classes, and. to campus units of the PTA. She
is listed as a reference resource for teachers and nurses,
and is frequently called upon in that capacity to answer
questions and to direct health rare referrals.
The role of the AIDS Education Coordinator has been a. vital
link between the current research, new programs and
materials, and the school system. Appropriate resources and
other teaching materials are shared through.this City Health
Department to assist with the ongoing evaluation of the
school district's comprehensive AIDs curriculum.
The Lubbock Independent School District strongly supports
the proposal for AIDS Education in Lubbock.
QSi'cnerel�e Tutin
CC: Julie Schultz, AIDS Education Coordinator, LCHD
Ronnie Gooch
MIKE MOSES, EO.D., SUPERINTENDENT
DISTRICT OFFICES: 1628 19TH STREET, LUBBOCK, TExAs 79401-4895 TELEPHONE 806/766-1000 (FAX 806/766-1037)
0 N*iNTR
Lubbock Regional dental I lcalrh
Mciwil Retardation Center
June 17, 1991
Doug Goodman
City of Lubbock Health Department
1902 Texas Avenue
Lubbock, Texas 79401
Dear Doug,
I am pleased to write this letter of support for the continuation of your AIDS
Education Project. The position of co-ordinator has played an important part in
ensuring that all local agencies involved in education work as a team. I believe
that we will continue to rely upon the co-ordinator to help us provide the highest
level of services and to avoid the duplication of efforts.
The proposed changes in the direction of this project are consistent with
national and local evolution of the AIDS epidemic. Young adults and women of
child-bearing age are represented in ever increasing numbers in the AIDS
morbidity; it is essential that sharply focused programs like this take the lead in
offering prevention messages.
We will continue to work with the AIDS Education Project by co-ordinating
services through the project and participating in all inter -agency meetings.
Sincerely,
Ray C lombe
AIDS ducation & Prevention
1:)10'1'cyn,s Avenw, -I nl�hncl<, 'I cxrr,; 79401-40SR 806/766-0110
\n F'111:11 F11±111(wer'rvlvinp C(I"Imn, Crn�hc. I1"u6.lry,
No Text
Bishop of Lubbock
June 19, 1991
Michael J. Sheehan
Executive Director
Doug Goodman
Stephen Hay,ACSw
public Health Administrator
BOARDOF
Lubbock City Health Department
DIRECTORS
1902 Texas Ave
President
Bob E. Paikowski
P, O. Box 2548
Vice -President
Lubbock, Texas 79408
Amy Picon
Treasurer
David Buescher
Dear Mr. Goodman,
Secretary
Kathy Flores
I am writing this letter of support of the AIDS education
Arlene Brooks
Joe Hart
coordinator grant request submitted by the City of Lubbock
LupMax Garzzaa
Max Garza
Health Department.
Jeff Koym
Stephanie Lucas
Chavelo Montelongo
The coordination of AIDS education activities in Lubbock
Gerry Ramos
during the past several years has been very helpful to
Rudy
Sr. Mary Kathleen Small
r.Maryat
Catholic Family Service and other provider agencies In
Y P g
Frances Sowder
our AIDS Coalition Nework. The act of convening on a
regular basis to share and coordinate our education
activities has made it more possible for agencies to
avoid duplication and make our programs more effective.
I fully support the continuance of this coordination
activity on the part of your AIDS Education Coordinator.
We presently are providing AIDS education to farmworkers
in Lubbock and surrounding counties. The CFS AIDS
educator has reaped benefits through this reference group
coordinated through the City. There is little doubt
that the AIDS education work is underfunded in our area;
however, with coordination and collaboration, the small
budgets that we all have will be more efficiently
utilized through the role played by the City`s AIDS
Education Coordinator.
Sincerely,
! � J �j� i`---
Stepbien Hay
MEMBER Executive Director
6
Catholic
Charities
USA123 North Avenue N, Lubbock, Texas 79401 (806) 765-8475
�' iubbock
r�
2615 19th Street
Lubbock, Texas 79410
(806) 763-7051
June 19, 1991
Doug Goodman
Public Health Administrator
City of Lubbock Health Department
P.O. Box 2548
Lubbock, TX 79408-
Dear Doug:
It is fortunate to have a wide variety of groups working together to
:.... .combat .AIDSThe:.-coordination of educational activities of°groups, "in
Lubbock has been`most'effective through the position of AIDS Education
Coordinator at the City -of Lubbock Health Department. As chairperson of
the Lubbock HIVJAIDS Consortium, I support the grant proposal for the
City of Lubbock Health Department to continue to have an AIDS Education'
Coordinator.
The Coordinatorhas typified the position she holds, by being the very
essence of her title..;.The'Coordinator has worked with the Consortium to
organize AIDS booths at health fairs, coordinate awards presentations,
develop bylaws for theConsortium, and has shared information and ideas
with the group to enhance AIDS education efforts in Lubbock.
I believe Lubbock is doing some fine work in educating about HIVJAIDS..
This work has'become.very effective through having a central
coordinator. Please let me know if I.can do anything else to further
efforts to continue this much -needed position.
ja
cerel
id Crader
irperson
bock HIV/AIDS Consortium
l{ <
Texas Tech University Health Sciences Center
SCHOOL OF MEDICINE/Department of Preventive Medicine and Community Health
Lubbock, Texas 79430 / (806) 743-2485
June 19, 1991
Doug Goodman
Public Health Administrator
City of Lubbock Health Department
P.O. Box 2548
Lubbock, TX 79408
Dear Doug:
As Chairman, Department of Preventive Medicine and Community Health,
Texas Tech University Health Sciences Center, School of Medicine, I have
had the opportunity to work with a class of medical students who have
volunteered to do AIDS education in Lubbock. The AIDS Education
Coordinator with the City of Lubbock Health Department has been effective
in working in a cooperative effort with these students to reach targeted
populations. I support the Lubbock City Health Department's application
for a grant for the continuation of the AIDS Education Coordinator
position.
With continued efforts by all cooperative groups in this area, AIDS
education is successfully being implemented. With the group of medical
students I work with, the AIDS.Community Education Committee, the AIDS
Education Coordinator has been valuable as a reference and guide to
develop their program, as well as serving as a guest speaker. I look
forward to the continued success of the AIDS Education Coordinator in
Lubbock through a grant provided through the Texas Department of Health.
Sincerely,
Anthony B. Way,
Chairman and Associate Professor
Department of Preventive Medicine
and Community Health
dt
"An Equal Opportunity/Affirmative Action Institution"
Lubbock
• Children's
MO 7615906 • 102 AVENUE J • P.O. BOX 5311 • LUBBOCK TEXAS 79417 Health Clinic
FORMERLY LUBBOCK WELL BABY CLINIC
June 19, 1991.
Doug Goodman
Public Health Administrator,
City of Lubbock Health Department
P.O. Box 2.548
Lubbock, TX 79408
Dear Mr. Goodman:
I am writing this letter of support for the City of Lubbock Health
Department's grant application for an AIDS Education Coordinator.
As Executive Director of Lubbock Chi ldren's Health Clinic, I am concerned
about the well being of women and children in our area. Our agency
provides comprehensive primary health care services for children and
administers the WIC program for all of Lubbock County. With 7000 women,
infants, and children currently enrolled in the County's WIC program, and
over 10,000 children receiving health care services, I am keenly aware of
a multitude of public health problems in our area. AIDS is one of those
problems.
I am told that the target group for the Health Department's proposed grant
is women of child --bearing age who may be at risk for HIV infection. I
support your efforts and would be pleased to have the AIDS Education
Coordinator make AIDS presentations to our clients here at our Clinic.
Sincerely, I
I_ in S. Shapley
Executive Director
Supported by The United Way
TEXAS DEPARTMENT OF HEALTH
HIV DIVISION
REQUEST FOR PROPOSALS
FOR STATE HIV EDUCATION, PREVENTION, RISK REDUCTION
GRANT PROGRAM
FOR FISCAL YEAR 1992
TEXAS DEPARTMENT OF HEALTH
STATE HIV EDUCATION/PREVENTION GRANT PROGRAM
TABLE OF CONTENTS
L
REQUEST FOR PROPOSALS
Page
A. Introduction
1
B. Purpose of Grant
2
C. Target Population
3
D. Availability of Funds
3
E. Eligible Applicants
3
F. Schedule of Steps in Funding Process
4
G. Project Responsibilities
4
H. Use of Funds
6
I. Confidentiality
6
L Reporting Requirements
7
K Matching Funds
S
- I- Local Program Materials Review
S
M. Proposal Review Criteria
g
N. Public Hearings
10
O. Application Submission
10
P. Where to Obtain Additional Information
10
IL
PROGRAM BACKGROUND
11
in.
GRANT APPLICATION INSTRUCTIONS
A. Letter of Transmittal
13
—
B. Application for State Grant Form
13
C. Proposal Checklist
13
D. Title Page
13
E. Table of Contents
13
F. Abstract
14
G. Project Narrative
14
1. Introduction and Capacity of Organization
14
? Back round and Statement of Need
-14
3. Coordination with Other Agencies
14
4. Project Objectives
15
5. Activity Workplan
16
6. Evaluation Plan
16
7. Future of the Project
17
H. Budget Justification
17
1. Other Funding Sources
20
J. Other Required Documents and Assurances
20
-IV.
FORMS
23
V.
APPENDICES
t
1. REQUEST FOR PROPOSALS
FOR FISCAL YEAR 1992 GRANTS TO SUPPORT
HIV EDUCATION, PREVENTION, RISK REDUCTION PROJECTS
The Texas Department of Health (TDH) requests proposals from governmental.
public and private non-profit entities located within the state of Texas to develop and
implement effective health education, prevention, and risk -reduction strategies to prevent
infection and reduce the transmission of Human Immunodeficiency Virus (HIV), the virus
which causes Acquired Immunodeficiency Syndrome (AIDS). Successful projects will be
comprehensive, cost-effective, collaborative, innovative, and coordinated with other
commnnity efforts. In awarding funds for education programs, the TDH will give special
consideration to projects designed to serve persons under 18 years of age who may be at
risk of HIV inf--ction.
Funding of these grants has been authorized by the HIV Services Act, Texas Civil
Statutes. Article 4419b-4, (Chapter 1194, Acts of the 71st Legislature, Regular Session,
1989 (Senate Bill No. 959)). In awarding grants for education programs, the TDH will en-
deavor to complement existing education programs in a community, to prevent unneces-
sary duplication of services within a community, to provide HIV education programs for
populations engaging in behaviors conducive to HIV transmission, to initiate needed HIV
education programs where none exist. and to promote early intervention and treatment of
persons with HIV infection. Proposals for projects must demonstrate, with current letters
of support that indicate familiarity with the proposal and its objectives, the ability to work
with and complement existing HIV education programs in the community.
'The department may contract with any entity or person for the design, development,
and distribution of education programs provided for under this section except a person
who advocates or promotes conduct that violates state law. This subsection does not re-
strict an education program from providing accurate information about different ways to
reduce the risk of e..wosure to or the transmission of HIV....All materials in the education
programs intended for persons under 1S years of age shall emphasize sexual abstinence
before marriage and fidelity in marriage as the expected standard in terms of public health
and as the most effective ways to prevent HIV infection, sexually transmitted diseases, and
unwanted pregnancies and shall state that homosexual conduct is not an acceptable life-
-style and is a criminal offense under Section 21.06 of the Penal Code," (HIV Services Act).
These provisions also extend to those entities who may participate as sub -contractors to
the primary contract holder.
i
I . A project funded with a grant under this program shall provide information and
'education materials that are accurate, comprehensive, and consistent with the current
findings and recommendations of the United States Public Health Service. Information
and education materials developed with funds awarded under this announcement must
contain information and be presented in a manner that is specifically directed to the group
for which the materials are intended.
Projects should be developed based on an assessment of community needs and iden-
tification of existing gaps in services. Local projects should be designed to: (1) expand the
base of health education and risk reduction efforts that are being conducted at the local
level; (2) address needs that are not met by other sources of funding; (3) prevent unneces-
sary duplication of services within a community; and (4) encourage cooperation and inter-
dependence between public health officials and community -based organizations providing
services in order to maximize impact and effectiveness of these limited resources.
B. Purvose-Qf Grant
The objective of this program is to provide for the establishment of education,
prevention and risk -reduction projects to prevent and reduce exposure to and transmission
of HIV. Strategies will include reduction or elimination of high -risk behaviors; change in
community norms to discourage high -risk behaviors; support of low/reduced/no-risk
behaviors; and building support for prevention activities.
_ The application should demonstrate the following:
1. The potential for delivery of effective and culturally appropriate, age -specific
risk reauction/prevention messages and interventions to target populations on a local or
regional level in order to reduce or eliminate behaviors associated with the transmission of
HN;
2. Specific. detailed. and measurable culturally appropriate strategies and tech-
niques for disseminating HIV/AIDS health education, prevention, and risk reduction
messages to targeted populations;
3. Close coordination with existing HIV/AIDS education/prevention resources
including city and/or county health departments, community -based organizations, and
other agencies involved in HIV/AIDS education and prevention efforts;
4. Experience and credibility of the organization in providing services to the
target population on a local or regional level; and
S. A plan for monitoring and evaluating the success of the project in meeting its
objectives and activity workplan.
2
.' G
A target population is the population for whom the proposed project is directed.
Proposals will be considered which address HIV/AIDS education, prevention, and risk
reduction activities for any of the groups listed below:
j 1. Individuals whose behavior may place them at increased risk for infection for
HIV (e.g. men who have sex with men, intravenous (IV) and/or crack/cocaine drug users,
persons who exchange sex for drugs or money, and the sex and/or needle -sharing partners
of those listed above).
2. Racial/ethnic. minority populations, which for the purpose of this proposal are
defined as African -Americans, Hispanics, Native -Americans, and Asian -Americans who
may be at risk.
3
3. Women of child-bearing age who may be at -risk, especially those in
racialfiethnic minority populations.
4. HIV -infected individuals and their sex, and/or needlesharing partners to
prevent further transmission, including perinatal transmission.
5. Persons who have hearing -impairment, visual impairment, mobility impair-
ment, and/or developmentally disabled and may be at risk.
or 6. Out -of -school adolescents and young adults under 13 years of age, especially
those in racial/ethnic minority populations.
This announcement is made prior to an appropriation of FY 1992 funds to allow
applicants sufficient time to respond to the proposed application due date. Contingent on
legislative appropriation, TDH intends to fund 20 - 30 projects with budgets in the range
of �30.000 to $60.000 per project for a twelve-month period beginning September 1, 1991
to August 31, 1992. The specific amount to be funded for each project will depend on the
merit and scope of the proposed project and the availability of funds.
E. ibl Applicant�
EIgible applicants for this program are governmental, public or non-profit private
entities located within the state of Texas. Eligible entities may include, but are not limited
3
to, city or county health departments or districts; community -based organizations; and
'public or private hospitals. Individuals are not eligible to apply. TDH will give special
consideration to non-profit community organizations whose primary purpose is serving
persons under 18 years of age. Organizations currently receiving federal funds through the
TDH for HIV/AIDS education/prevention among ethnic/racial minorities are not eligible
to apply unless their objectives and workplan do not duplicate services provided under
their existing TDH contract. Funds awarded under this proposal will not supplant mandat-
ed Health Education Risk Reduction (HERR) programs, or programs funded by other
sources to reach minority populations (e.g., direct funding from CDC).
F. 5chedul _Qf 5 its Fu�Proces
Date Action/Step
May 24, 1991 Texas Register Announcement of Request for Proposals
June 7, 1991
Julv 8, 1991
July 9 - 24, 1991
July 9 - 24, 1991
August 7, 1991
August 12 30, 1991
September 1, 1991
Application packets available
5:00 p.m. deadline for receipt of
completed proposals at the HIV Division
Public hearings held in Public Health Regions
Review of proposals
Announcement of grant awards
Contract development
Projects begin
G. Project Resi2onsibilities
Activities for the HIV education/prevention projects will vary, but there will be
several responsibilities common to all projects. The common responsibilities are listed
below.
1. Applicant (Performing Agency) shall:
a. Provide assurance that any educational or informational materials developed or
purchased for the project will be approved by a Local Program Materials Review Panel
4
• (Appendix 1). Such materials will be scientifically accurate and specifically directed
toward the group for which they are intended.
b. PIan and conduct the program in consultation with appropriate local officials,
community groups representing the area served by the program, organizations comprising
and representing the specific population to which the program is directed, and individuals
having expertise in health education and the needs of the population to be served,
c. Have a continuing relationship, or establish a continuing relationship, with the
portion of the population at high risk in the area to be served and with the public and
private entities in such area that provide health and other support services to infected
individuals,
d. Provide other information as TDH may prescribe,
e. Evaluate effectiveness of the project. Evaluation should result in changes in the
project, as necessary, and
f. Share information gained in the project with other agencies and organizations
within the community and across the state.
g. If receiving $25,000 or more in total federal/state financial assistance during their
fiscal year, arrange for an agency -wide financial and compliance audit of the agency's
fiscal year. The audit must be done by an independent CPA and must be in accordance
with the applicable OMB Circulars and Government Auditing Standards.
2. Texas Department of Health (Receiving Agency) will:
a. Provide consultation in planning, implementing, and monitoring activities,
b. Assist in identifying sources of current scientific data to be used by project staff.
c. Participate in transfer of information about projects to other communities within
the state which may wish to replicate activities,
d. As appropriate and possible, assist in development and/or the provision of print-
ed and audio-visual materials for use with health education activities. and
e. Provide technical assistance in financial management and compliance with con-
tractual requirements.
_ s
_Qf Funds
Funds are to be used for developing, establishing, and expanding education, preven-
tion, and/or risk reduction activities directed toward individuals at increased risk of HIV
infection.
Funds may be expended for purchase or development of written materials, audio-
visuais, questionnaires, survey instruments, and educational group sessions related directly
to meeting the objectives of the project. Such materials must be approved in accordance
with the guidance provided in this announcement in Appendix 1, entitled Content of
HN/AIDS-Related Written Materials. Pictorials. Audiovisuals, Questionnaires, Survey In-
struments, and Educational Sessions in Centers for Disease Control Assistance Programs,
dated January 1991, and its Preface. Funds may be used to support personnel, travel, and
to purchase supplies under S500, and services directly related to planning, organizing,
conducting, and evaluating the proposed project. Funds may be used for purchase of
equipment over $500 only if justified to conduct the project and with specific written
approval from TDH.
Funds may not be used for: (1) HIV testing or screening; (2) purchase or provision
of medication. medical services. medical equipment or inpatient services; (3) building con-
struction. alterations. renovations or purchase: or (4) cash payments to intended recipients of
services.
The TDH proportionate share of the audit is an allowable expense and should be
included in the budget category "Other.'
i. Conndentiaiity
Confidentiality of all records is essential. All information obtained in connection
with services provided to any individual under any program which is carried out with a
ant made pursuant to this announcement. shall not, without the individual's consent, be
disclosed. except as may be necessary to provide services to him/her, or as may be re-
quired by a law of the state. Information derived from any program may be disclosed in
statistical or other summary form only.
Agencies providing direct client care, services, or programs and receiv-
ing awards under this announcement agree to implement workplace policies based on the
HIV/AIDS Model Workplace Guidelines adopted by the Texas Board of Health to include.
at a minimum. HIV/AIDS education for employees and clients; confidentiality of AIDS
and HIV -related medical information for its employees, clients, inmates, patients, and
residents; and anti -discrimination policy assuring all privileges and opportunities for any
employee/clients with a communicable disease, unless based on accurate scientific infor-
mation. Such policies will be consistent with the model guidelines published by the TDH
and with state and federal laws and regulations. An agency that does not adopt confidenti-
ality policies as herein required is not legally eligible to receive state funds until the poli-
cies are developed and implemented. (See Appendix 2.)
J. Reporting Requirements
1. General requirements
All organizations receiving funding under this announcement shall collect and
maintain relevant data documenting the progress toward the goals and objectives of their
project wid any other data requested by TDH. Quarterly reports must be made on the
TDH forms provided. Contractors should notify in writing the Education Coordinator,
HIV Iivision, and the Director of the Grants Management Division of any changes in the
Project Director or other key personnel.
2. Programmatic Progress Reports
Progress reports are required on a quarterly basis and are due 20 days after the end
of each quarter on the TDH forms provided. Progress reports should be mailed to the
Grants Coordinator, HIV Division, Texas Department of Health, 1100 West 49th Street,
Austin. Texas 78756 (512) 458-7304. The itemized votes of the Program Materials Review
Panel on all materials reviewed during that quarter and a copy of any new material de-
veloped by the project and approved by the panel shall be included.
3. Financial Reports
Quarterly financial reports are required no later than twenty (20) days after the end
of each quarter on the TDH forms provided. Financial reports shall be mailed to the
Director. Grants Management Division, Texas Department of Health, 1100 West 49th
Street. Austin, Texas 78756-3199 (512) 458-7520. A final financial report, Request for
Advance or Reimbursement. Form 270 (TDH Form GC-10) is required within forty-five
(45) days after the end of the contract period. or no later than October 15, 1992.
4. Reporting Schedule FY 1991
Ouarte Month
1 September, October, November, 1991
2 December 1991, and January, February, 1992
3 March, April, May, 1992
4 June, July, August, 1992
Final September 1991-August 1992
►� • 9 4 -
December 20, 1991
March 20, 1992
June 20, 1992
September 20, 1992
October 15, 1992
Th9--program has not included cost -sharing as a requirement for FY 1992; therefore.
no spgciuc matching funds are necessary at this time. However, the application should
contain data on the applicant's contribution to the overall program costs, such as in -kind
donations and volunteer contributions as part of the budget narrative.
L- LDcalProgr Material Review
All applicants are required to sign an assurance of compliance with the guidelines
contained in the Content of HIV/AIDS-Related Written Materials Pictorials, Audiovisuals,
Quesdonnaires, Survey Instruments, and Educational Sessions in Centers for Disease Control
Assistance Programs, January 1991, and its Preface, contained in Appendix 1. A fj= i5
r vi
Under these content guidelines, grant recipients are required to establish a local
Program Materials Review Panel whether the applicant plans to conduct the total program
activities or plans to have part of them conducted through subcontracts to other organiza-
tions. This panel, guided by the basic principles of the content guidelines in conjunction
with prevailing community standards, shall review and approve all written materials, picto-
rials. audio -visuals, questionnaires or survey instruments, and proposed educational group
session activities to be used under the grant proposal. This panel is intended to review
materials only. It should not be empowered either to evaluate the proposal as a whole or
to replace any other internal review panel or procedure of the grant recipient.
One member of the Program Materials Review Panel must be a represen-
tative from the local public health department, or, in communities without a
local health department, a representative from the TDH Regional office for
that community.
All materials, publications, public announcements, etc., produced with these grant
a
r
funds shall include the following acknowledgement: 'Produced with funds received from
the Texas Department of Health. Any opinions expressed herein do not necessarily reflect
the policies of the Texas Department of Health."
M. Propos Review Criteria
Applications for the HIV Education/Prevention Program contracts will be reviewed
and evaluated according to the criteria listed below.
1. The background and statement of need shows justification of funding.
2. Applicant shows understanding of HIV/AIDS prevention activities and the
purpose of the grant program as set forth in this announcement.
3. The objectives are appropriately targeted to the needs of the community.
4. The objectives are realistic. specific, numerically measurable, and time -phased.
5. The activities work -plan will clearly lead to achievement of the objectives.
6. The evaluation plan will allow project management to monitor individual and
organizational performance, methods, and activities.
7. The applicant is committed to coordinating project activities with existing
HIV/AIDS prevention groups, local HIV/AIDS Task Force groups, or other community
coalitions/organizations, which would be able to assist in achieving objectives in the appli-
cant`5 Dian.
.3. The applicant will coordinate project activities with other local, state, federal,
and private funds for HIV/AIDS prevention activities, and the ability of the applicant
to ocument separate use of program funds.
9. The budeet is reasonable and consistent with the intended use of grant funds.
10. Proposed staffing, administration. and resources, (e.g., volunteers, equipment
and facilities) are appropriate to meet objectives.
11. The application is complete,
N. i u liirHearin
Each applicant requesting funding under this announcement will be required to appear
at a public hearing in the region in which the community organization is based before the
TDH may award an initial grant or grants totaling more than $25,000 annually. Failure to
appear may constitute noncompliance with RFP requirements. A representative from each
organization applying for funds under this announcement is expected to give an oral
presentation at the public hearing. This presentation shall not exceed ten (10) minutes in
length. At least ten (10) days before the public hearing is scheduled, notice shall be given
to each organization, and to each state representative and state senator who represents
any part of the region in which any part of the grant will be expended.
The one page abstract required as a part of this application will be available to the
public at the time of the hearing.
O. Application Su mission
The original and five copies (unbound) of the application must be received by the
HEN Division, Texas Department of Health, Room G-308, 1100 West 49th Street, Austin.
Texas 78756-3199, on or before 5:00 p.m. July 8, 1991 to be considered.
Late Application: Applications which do not arrive by 5:00 p.m., July 8, 1991 will not
be considered in the current competition. The five copies will be returned to the applicant.
P. WhereM Qbtai Additional Information
Attached to this packet is a map of the TDH Public Health Regions, Region Offices, and a
list of Regional HIV Coordinators. Technical assistance in preparing this application is
available from your Regional HIV Coordinator (Appendix 5 & 6) or Isabel Ellsworth,
Education Coordinator, HIV Division, Texas Department of Health, 1100 West 49th
Street. Austin. Texas 78756-3199, or by calling 512/458-7304.
10
H. PROGRAM BACKGROUND
As of February 28, 1991, 11,920 cases of AIDS had been reported and 7,552 (63%) of
those had died. Texas ranks fourth in AIDS morbidity in the nation behind New York,
California, and Florida.
Over 99% (11,920) of the total cases reported have been among adult/adolescents and
almost three fourths of those have been among adults between the ages of 20 and 39, a
highly productive time of life. The adult/adolescent cases have been predominantly white.
70% (8,357); however, African -American and Hispanics represented 16% (1,870) and 14%
(1,654) respectively of the cases. Pediatric cases have accounted for 1% (119) of the
reported morbidity.
Five rsajor city/counties in Texas reported almost 82% of the AIDS morbidity:
Austin/Travis (723), Dallas/Dallas (2,739), Fort Worth/Tarrant (638), Houston/Harris
(4,850j, and San Antonio/Bexar (844).
Eariv in the epidemic, AIDS was characterized as a disease of white male homosexuals
centered in a few urban areas of the United States. This characterization was widely
promoted through the mass media and reinforced by the primary focus of AIDS health
education and risk reduction efforts directed toward the gay population through the gay
service groups. Data indicate cases are increasing among African -Americans. Hispanics.
females and IV -drug users, due to personal involvement in high -risk behaviors. Many of
z these individuals may have put themselves at risk due to the belief that if the contact does
not take place with a white, gay male, there is no risk. The misperceptions that
AIDS/HIV is limited to gay, white men must be changed and the focus placed on risky
behaviors rather than risk groups.
An analysis of trends in AIDS cases diagnosed in Texas between 1988 and 1989, by
comparing the relative levels of increase for different demographic and mode of exposure
characteristics, demonstrates the groups of greatest concern are African -Americans and
IV -drug users which had a 45% and 427c increase, respectively. Females, Hispanics and
heterosexual cases showed rates of increase of 24%, 27% and 38%, respectively. The age
group with the highest rate of increase is the group 20 - 29 years of age. The implication
of current rates of increase in females, heterosexuals and IV -drug users is that the age
distribution in Texas AIDS cases may become younger as the increase in these groups will
result in increased pediatric cases. Available data indicates that the epidemic is not slow-
ing in Texas which had a 16% increase in cases between 1988 and 1989. This 16% in-
crease was higher than the national 14% increase in cases between 1988 and 1989.
Methods developed for reaching and educating gay populations cannot be directly
applied to other target populations without some modifications. New, culturally sensitive
programs and materials must be developed with input from members of the community for
which the programs or materials are intended. As demonstrated in the gay communities,
,these materials and programs will be accepted better if prepared with input by community
members and introduced by persons or organizations that have the respect of the target
group-
Content of AIDS -Related Written Materials, Pictorials,
Audiovisuals, Questionnaires, Survey Instruments,
and Educational Sessions in
Centers for Disease Control Assistance Programs
January 1991
(NOTE: This revision updates the legislative citation to
reference the Fiscal Year 1991 appropriation. There are no
other changes in the Guidance.)
controlling the spread of HIV .infection and AIDS requires the
promotion of individual behaviors that eliminate or reduce the risk
of acquiring and spreading the virus. Messages must be provided to
the public that emphasize the ways by which individuals can fully
protect themselves from acquiring the virus. These methods include
abstinence from the illegal use of IV drugs and from sexual
intercourse except in a mutually monogamous relationship with an
uninfected partner. For those individuals who do not or cannot
cease risky behavior, methods of reducing their risk of acquiring
or spreading the virus must also be communicated. Such messages
can be controversial. This document is intended to provide
guidance for the development and use of educational materials, and
to require the establishment of Program Review Panels to consider
the appropriateness of messages designed to communicate with
various groups.
1. Basic Principles
a. Written materials (e.g., pamphlets, brochures, fliers),
audiovisual materials. (e.g., motion pictures and video
tapes), and pictorials (e.g., posters and similar educational
materials using photographs, slides, drawings, or paintings)
should use terms, descriptors, or displays necessary for the
intended audience to understand dangerous behaviors and
explain less risky practices concerning HIV transmission.
b. Written materials, audiovisual materials, and pictorials
should not include terms, descriptors, or displays which will
be offensive to a majority of the -intended audience or to a
majority of adults outside the intended audience unless, in
the judgment of the Program Review Panel, the potential
offensiveness of such materials is outweighed by the
potential effectiveness in communicating an important HIV
prevention message.
c. Educational sessions should not include activities in which
attendees participate in sexually suggestive physical contact
or actual sexual practices.
d. Messages provided to young people in schools and in other
settings should be guided by the principles contained in
"Guidelines for Effective School Health Education to Prevent
the Spread of AIDS" (MMWR 1988;37 (suppl. no. S-2]).
e. HIV/AIDS education programs and education curricula funded by
CDC from 1991 appropriations must be consistent with language
contained in the Labor, Health and Human Services, and
Education and Related Agencies Appropriations Act, 1991
(P.L. 101-517, Sec. 214, 104 Stat. 2209). This language is
as follows: "Notwithstanding any other provision of this
Act, AIDS education programs funded by the Centers for
Disease Control and other education curricula dealing with
sexual activity that receive assistance under this Act - (1)
shall not be designed to promote or encourage, directly,
intravenous drug abuse or sexual activity, homosexual or
heterosexual, and (2) with regard to AIDS education programs
and curricula - (A) shall be designed to reduce exposure to
and transmission of the etiologic agent for acquired immune
deficiency syndrome by providing accurate information, and
(B) shall provide information on the health risks of
promiscuous sexual activity and intravenous drug abuse."
The Surgeon General's Report on Acquired Immune Deficiency
Syndreme (October 1986) contains messages which are consistent
with the provisions cf this legislation.
2. Program Review Panel
a. Each recipient will be required to establish or identify a
Program Review Panel to review and approve all written
materials, pictorials, audiovisuals, questionnaires or survey
instruments, and proposed educational group session
activities .to be used under the project plan. This
requirement applies regardless of whether the applicant plans
to conduct the total program activities or plans to have part
of them conducted through other organization(s) and whether
program activities involve creating unique materials or
using/distributing modified or intact materials already
developed by others. Whenever feasible, CDC funded
community -based organizations are encouraged to use a program
review panel established by a health department or an other
CDC -funded organization rather than establish, their own
panel. The Surgeon General's Report on Acquired Immune
Deficiency Syndrome (October 1986) and CDC -developed
materials do not need to be reviewed by the panel unless such
review is deemed appropriate by the recipient. Members of a
program review panel should:
(1) Understand how HIV is and is not transmitted; and
(2) Understand the epidemiology and extent of the HIV/AIDS
problem in the local- population and the specific
audiences for which materials are intended.
b. The Program Review Panel will be guided by the CDC Basic
Principles (in the previous section) in conducting such
reviews. The panel is authorized to review materials only
and is not empowered either to evaluate the proposal as a
whole or to replace any other internal review panel or
procedure of the recipient organization or local governmental
jurisdiction.
c. Applicants for CDC assistance will be required to include in
the applications the following:
(1) Identification of a panel of no less than five persons
which represent a reasonable cross-section of the general
population. Since Program Review Panels review materials
for many intended audiences, no single intended audience
shall predominate the composition of the Program Review
Panel, except as provided in subsection (c) below. In
addition:
(a) Panels which review materials intended for a specific
audience should draw upon the expertise of individuals
who can represent cultural sensitivities and.languages
of the intended audience, either through representation
on the panels or as consultants to the panels.
(b) Panels which review materials for use with school age
populations should .'include representatives of groups
such as teachers, school administrators, parents, and
students;
(c) For panels reviewing materials intended for racial and
ethnic minority populations, membership of the Program
Review Panel may be drawn predominantly from such
racial and ethnic populations.
(2) A letter or memorandum from the proposed project
director, countersigned by a responsible business
official, which includes:
(a) Concurrence with this guidance and assurance that its
provisions will be observed;
(b) The identity of proposed members of the program review
panel, including their names, occupations, and any
organizational affiliations that were considered in
their selection for the panel;
d. CDC -funded organizations that undertake program plans which
are national, regional (multistate), or statewide in scope,
or that plan to distribute materials as described above to
other organizations on a national, regional, or statewide
basis, may establish a single Program Review Panel to fulfill
this requirement. Materials reviewed by such a single
(national, regional, or State) Program Review Panel do not
need to be reviewed locally unless such review is deemed
appropriate by the recipient. The Program Review Panel will
also be guided by the CDC Basic Principles. Such
national/regional/State organization reviews should adopt a
national/regional/statewide standard when applying Basic
Principles 1(a) and 1(b) to the respective concepts of
"intended audience" and "majority of adults outside the
intended audience."
e. when a cooperative agreement/grant is awarded, the recipient
will:
(1) Convene the Program Review Panel and present for its
assessment copies of written aaterials, pictorials, and
audiovisuals proposed to be used;
(2) Provide for assessment by the Program Review Panel text,
scripts, or detailed descriptions for written materials,
pictorials, or audiovisuals which are under development;
(3) Prior to expenditure of funds related to the ultimate
program use of these materials, assure that its project
files contain a statement(s) signed by the Program Review
Panel specifying the vote for approval or disapproval for
each proposed item submitted to the panel;
(4) Provide to CDC in regular progress reports signed
statements) of the chairperson of the Program Review Panel
specifying the vote for approval or disapproval for each
proposed item that is subject to this guidance.
' Preface to the CDC Guidelines on Program Materials Review
HIV Division, Texas Department of Health
June 1990
The fallowing statements apply to all HIV programs funded through the Texas Depart-
ment of Health, whether state or federal in source. These guidelines apply to materials
purchased or disseminated with TDH grant/contract funds only.
1) As part of the cooperative agreement between TDH and the CDC, TDH is required to
maintain a rogram materials review panel (PMRP) just as are TDH contractors. The
TDH HIV AIDS Materials Review Panel does not accept local materials for review
unless such a piece is under consideration for statewide use.
2) TDH contractors are exempted from reviewing materials produced by TDH, the SUr-
Ueon General's Report can AccUirecl Immune Deficiency Syndrome, (October, 1988). as
well as anv CDC -developed materials. (A list of TDH-produced materials and CDC
materials available from the TDH warehouse is attached. Other CDC materials may be
obtained from the National AIDS Information Clearinghouse.)
3) TDH contractors are exempted from reviewing other materials already approved by the
TDH Materials Review Panel. (A list of these materials is attached and will be updated
annually.)
4) TDH contractors are exempted from reviewing materials approved by the Texas Educa-
tion Agencv (TEA) HIV/AIDS Materials Review Panel for use with school -age youth. (A
list of these approved materials may be obtained from Carole Jordan, TDH, (512-455-
7405 ).
5) TDH contractors are not required to review CDC, TDH, TEA -approved, or TDH-
approved materials.. However, you are advised to preview any and all materials for appro-
priateness to your target audience and to your community before such materials are
disseminated or used in any way.
6) Except as noted above, any written materials, pictorials, audiovisuals, questionnaires.
survev instruments, and educational sessions must be reviewed and approved by a local
PMRP.
7) The local PMRP must be convened at least annually to present for its assessment actual
copies of draft texts. scripts, detailed descriptions for written materials, pictorials, and/or
audiovisuals it plans to use.
S) TDH contractors must retain in their project tiles a statement of all PMRP votes, signed
by the PMRP members that was obtained prior to use/expenditures. The statement of
votes must contain the vote of each PMRP member on each item voted on. A majority
vote is necessary to use/ an item. A list of the majority votes on each item
,(pass/fail) must be submitted to the HIV Division in quarterly reports.
9) TDH contractors will conform with all reasonable requests of the local PMRP.
10) TDH contractors whose programs are funded with general revenue grant funds
through the competitive RFP process (contract year September 1 to August 31) are re-
quired to submit to the department copies of all material the organization has printed or
distributed relating to HIV infection.
11) One member of the PMRP must be a representative from the local public health
department, or in communities without a local health department, a representative from
the TDH Regional office for that community.
II) TDH contractors must provide to TDH in regular progress reports signed statement(s)
of the chairperson of the PMRP specifying the vote for approval or disapproval for each
item that is subject to this guidance.
Attachments
TEXAS DEPARTMENT OF HEALTH
HIV DIVISION
• AIDS PROGRAM MATERIALS REVIEW PANEL
APPROVED MATERIALS 1987-DECEMBER 1990
Disclaimer: These materials have been approved by the TDH HIV/AIDS Materials
Review Panel. The role of the panel is advisory only. These and all educational materials
should be previewed for appropriateness before using with a particular audience. Also
note that some material formerly approved may now be out of date due to new knowledge
about the disease.
Videotapes Approved
1. The Subject is AIDS '
?. Issues for Health Care Workers
3. AIDS: On the Front Line
4. AIDS: Protect Yourself
5. Black People Get AIDS Too
6. -The AIDS Movie
7. A is for AIDS
8. Everyone Can Avoid AIDS
9. One of Our Own
10. Working Beyond Fear
11. AIDS: Taking Action
12. AIDS: Let's Talk
13. The Best Defense
14. Deaf Mosaic: Living with AIDS
15. HIV Blood Test Counseling (AMA)
16. Teen AIDS in Focus
17. Seriously Fresh
18. VIDA
19. AIDS: What Evervone Needs to Know (1990)
'U. Flashback: An AIDS Video Drama for Teens
21. Ojos Que No Ven
22. ' Thumbs Up For Kids
23. AIDS -Answers for Young People
24. AIDS/HIV-Answers for Young People (Revised)
25. AIDS: A Different Kind of Germ
26. Women and AIDS: A Survival Kit
27. Sexually Transmitted Diseases &. AIDS
23. What is AIDS?
Other Materials Approved
1. Safe Sex (Brochure)
I. What a Woman Needs to Know (Brochure)
3. Safe Sex Guidelines (Wallet Card)
4. Making Sex Safer (Brochure)
5. Taxicab Poster (AFH)
6. Safe Sex Skills Acquisition Campaign (Oaklawn Counseling Center)
7. AIDS: A Guide for Survival (Booklet)
8. AIDS News Comic
1
9. AIDS Kills Women, Men & Babies (Brochure)
10. AIDS --What Mean? (deaf brochure)
11. Aunt Rita's Patient (student workbook)
12. Aunt Rita's Patient (teacher's guide)
13. AIDS Comic Book (Cole)
14. TDH Media Campaign scripts, 1989
15. MHMR AIDS Posters
16. Someone at School Has AIDS (guidelines)
17. A is for AIDS (Brochure)
18. Answers to Teenagers' Questions (TDH booklet for teachers)
19. American Red Cross HIV/AIDS Education Instructor's Manual
20. Should You Get an AIDS Test Before Getting Married? (TDH brochure)
21. Debe Hacerse la Prueba del SIDA (AIDS) Antes de Casarse? (TDH brochure)
?) Lo Que Todos Deben Saber Acerca del AIDS v el HIV (TDH Brochure)
23. AIDS Y Mujeres (TDH Brochure)
24. AIDS and Women (TDH Brochure).
25. El SIDA/AIDS Y Los Drogadictos Intravenosos (TDH brochure)
26. AaDS and IV Drug Users (TDH brochure)
27. AIDS & The Workplace (TDH brochure)
28. AIDS and the Black Community (TDH brochure)
19. Dolls: A Play by Jerome McDonough
30. TDH Media Campaign scripts. 1990
AIDS PAMPHLETS
Revised January 1991
FREE FROM THE TEXAS DEPARTMENT OF HEALTH
Write: T.D.H., Literature and Forms
1100 West 49th Street
Austin. Texas 75756-3199
(512)458-7761
STOCK #: TITLE
4-113 Texas AIDS Community Resource Directory
4-141- What Everyone Should Know About AIDS and HIV
4-141a Lo que todos deben saber acerca del AIDS y el HIV
4-143 AIDS and the Black Community
4-145 AIDS and IV Drug Users
4-145a EL SIDS/AIDS y los Drogadictos Intravenosos
4-146 AIDS and Women
4-146a AIDS y Mujeres
4-147 You Can't Get AIDS.... (Red Cross Poster)
4-148 AIDS &. The Workplace
4-158 Should you get an AIDS Test Before Getting Married?
4-154a Debe Hacerse la prueba del SIDA (AIDS) antes de casarse?
4-161 Understanding AIDS*
4-161a Entendiendo el SIDA*
4-162 If You Have Had Two Sex Partners (Poster)
4-162a Si to has tenido sexo con dos personas (Poster)
4-163 TDD AIDS Information Line (Poster for deaf)
4-164 What about AIDS Testing?*
4-165 AIDS What Mean (For deaf sexually active adults)
4-166 Guidelines for Prevention of HIV and HBV to Health -Care
and Public -Safety Workers*
6-22 Surgeon General's Report on AIDS*
6-22a Informe del Jefe del Servicio de Salud Publica de los Estados
Unidos sobre el AIDS*
* CDC Publication
i
t
HIV/AIDS MODEL WORKPLACE GUIDELINES
PROVIDERS OF DIRECT CARE, SERVICES, OR PROGRAMS
AMENDED FINAL RULES
TEXAS BOARD OF HEALTH
JANUARY 27, 1990
REVISION OF EMERGENCY AND PROPOSED RULES
APPROVED DECEMBER 9, 1989
BACKGROUND
The 71st Texas Legislature has determined that the creation of
workplace guidelines is necessary to assure that individuals infected
with the Human Immunodeficiency Virus (HIV) are provided -the same
rights and privileges as other individuals with communicable diseases.
These rights include accessing medical care, confidentiality and
nondiscrimination. Individuals who are physically or mentally
impaired and individuals confined to correctional or residential
facilities have the right to adequate services. Agencies are
prohibited from denying services to HIV -infected individuals or
inappropriately using HIV status to determine program or service
delivery. In this context, all individuals receiving direct services
or programs will be referred to as clients.
The Legislature has mandated that state agencies which provide direct
client contact, care or programs must develop and implement HIV
workplace guidelines, confidentiality guidelines, and HIV/AIDS
education programs for employees and clients. These agencies include:
Commission on Alcohol and Drug Abuse
Commission for the Blind
Commission for the Deaf
Adult Probation
Juvenile Probation
Department of Criminal Justice
Youth Commission
Board of Pardons and Paroles
Department of Health
Department of Human Services
Department of Mental Health/Mental Retardation
Rehabilitation Commission
Any entity that has a contract with or is funded by any of the 12
referenced state agencies shall develop workplace and confidentiality
guidelines for employees and clients being served by that entity. The
entity shall also provide*HIV/AIDS employee education programs.
Any entity that receives funds from a state agency for residential or,
direct client services or programs shall develop and implement
guidelines regarding confidentiality for HIV/AIDS-related medical
information for employees and clients being served by that entity.
Any such entity that fails to adopt confidentiality guidelines is not
eligible to receive state funds until the guidelines are developed and
implemented.
1
Any health care facility licensed by the Texas Department of Health,
the Texas Department of Mental Health and Mental Retardation, or the
Texas Department of Human Services shall require -its employees to
complete an educational course about HIV infection based on the model
education program included in the workplace guidelines.
The purpose of the model guidelines is to provide a foundation for a
uniform approach to dealing with HIV and its related conditions,
including AIDS, in the workplace. It is anticipated that this model
will be adapted to accommodate the particular needs of each
agency/organization, the work force, and the types of clients served.
Based on the model guidelines as a minimum, the Texas Legislature has
indicated its hope that every Texas employer will establish
policies, procedures, protocols, and education programs. The intent
of the Legislature is to help the residents of Texas better
understand and cope with the multiple aspects of HIV/AIDS and to
better care for those affected.
F.1V destroys a person's defenses against infections. These defenses
are known as the immune system. Once infected with HIV, a person may
remain without symptoms for a long period of time, but is able to
infect others through sexual or direct blood contact. As the disease
progresses, the immune system may become so weakened that a person
might eventually develop life -threatening infections and cancers.
AIDS (Acquired Immunodeficiency Syndrome) is the final stage of HIV
infection.
current scientific and medical technology has determined that there is
no risk of HTV/AIDS transmission in the normal work setting. Routine
daily encounters with cc -workers and agency clients pose no risk of
transmitting the fragile blood -borne virus.
Because modes of transmitting HIV do not involve environmental
factors, but rather particular behaviors, HIV/AID-infected
individuals should not only be allowed, but encouraged to remain
contributing members of the work force. As long as they are
reasonably able to function in the job duties assigned, their right
to continue working is protected by law.
Employees of agencies which provide direct client contact face the
possibility of occupational exposure if direct contact with blood,
semen, or vaginal secretions of an HIV -infected individual occurs.
Such agencies should carefully and expeditiously implement
comprehensive -policies and protocols and employee education
programs based on universal precautions. These precautions have
proven to be effective techniques for preventing the spread of
infections for health care providers and clients accessing care. The
initiation of HIV education programs for employees, clients, inmates
and residents are necessary to reduce fear and misconceptions about
HIV/AIDS. Careful planning by the employer will reflect a
commitment to the health and well-being of the workforce and the
community being served.
2
DEVELOPMENT OF HIV/AIDS POLICIES
AND EDUCATION PROGRAMS
FOR DIRECT CARE PROVIDERS AND CLIENTS
SAFE WORKING ENVIRONMENT
Most state agencies and health care providers have established
health and safety standards by which employees are expected to
function. Any specified agency without- such written guidelines must
now implement actions which address HIV issues in the workplace,
clearly stating that there is no risk of normal workplace
exposure to HIV/AIDS. Agencies that provide the delivery of care or
programs funded by state monies must also devise and implement an HIV
policy and education program for staff and clients being served.
EMPLOYEE MANAGEMENT
The approach and resolution of HIV issues confronted in the workplace
will vary according to individual agencies. In dealing with these
complex issues, careful attention should be given to:
- existing leave policies for management of chronic conditions,
- assessment of'employee and agency needs,
- current scientific information about HIV and its related
conditions, and
- current laws and regulations regarding HIV/AIDS .
Health status of the HIV -infected individual varies from an apparently
healthy, normally functioning individual to a critically ill person.
In the work setting, the major concern will ultimately be whether or
not the employee is able to perform job duties in a manner that
satisfies organizational job expectations.
Most HIV -infected individuals will be able to perform job duties for
an extended period before their illnesses interfere with job -related
performance. During the asymptomatic period, the employee is not
obligated to provide information about his/her HIV status to the
employer. An employee may want to share information about his/her
HIV -infected status with the employer so that responsible management
decisions may be made about:
(1) making assignments or reassignments of job duties,
(2) evaluating leave policies to assure leave time comparable to
other medical conditions,
(3) making determinations of possible qualification for
disability entitlements, and
(4) monitoring the insurance status of the HIV -infected employee
to assure continuation of coverage.
As with other illnesses, once HIV -related symptoms occur, it is the
employee's responsibility to provide medically verified information
relating to the ability to be available for or to perform job duties.
3
Based on the federal Privacy Act, the Texas Commission on Human Rights
Act,, and the Texas Communicable Disease Prevention and Control Act,
any medical documentation or information provided by an HIV -infected
employee to medical or management personnel must be considered
confidential and private information. As such, employers are
forbidden by law to disclose this information without the employee's
knowledge and consent, except as provided by law [Communicable Disease
Prevention And Control Act, Section 9.03, as amended by SB959].
With consent of the HIV -infected employee, appropriate agency
officials such as medical staff, personnel representatives, and/or
direct supervisors may be informed. Anyone who has access to
confidential information is charged with maintaining strict
confidentiality and privacy. .It must be emphasized that any
individual within an organization who breaches the HIV -infected
employee's rights has committed a serious offense. This breach may
be cause for litigation which could result in civil and criminal
penalties and disciplinary action against the person who violates
confidentiality.
Agency officials will also need to carefully assess the agency's
personnel policies and procedures which deal with. specific employee
conduct. Refusal to work with HIV -infected co-workers or clients
should be carefully monitored and documented, according to agency
standards. Appropriate corrective or disciplinary measures may
be implemented. Employees should be advised of the consequences of
refusing to work with or provide services to an HIV -infected
individual before this circumstance occurs. New employees and
contractors should be informed of such policies, procedures, and
protocols as part of the orientation or licensing process.
Providing accurate HIV information to all employees and contract
personnel can serve as a basis for a positive work environment.
Management is encouraged to document all HIV -related education and
training in employee personnel files and to consider incorporating
demonstration of the Centers of Disease Control universal
precautions** as part of employee/contractor performance evaluations.
TRAINING OF MANAG-=41NT/SUPERVISORY-PERSONNEL
To effectively address management concerns in the workplace, it is
necessary to prepare key staff to deal with HIV -infected employees and
general employee concerns about HIV. Therefore, the development and
implementation of an HIV training program for managers is
encouraged and should include:
- current medical information about HIV transmission and
prevention,
- confidentiality and related laws,
- personnel management, including relevant policies,
- development of staff problem -solving skills, and
- a plan for scheduled periodic training.
**"Recommendations for Prevention of HIV Transmission in Health -Care Settings," MMWR, Morbidity and Mortality Weekly
Report, August 21, 1987JVol. 36JNo.2S, Supplement, U.S. Department of Health And Human Services, Public Health Services. Free.
Contains extansive bibliography. Call: National AIDS Clearinghouse, 1-8W-468-6231.
4
The possibility that management staff may be fearful, misinformed, or
have widely varying knowledge about HIV should not be overlooked.
In addition to the above information, management should also
participate in HIV educationefforts geared for all employees.
EMPLOYEE ASSISTANCE PROGRAMS
Larger agencies may provide or participate in employee assistance
programs. Such existing programs may be utilized to:
- make referrals for confidential testing/counseling services,
- make referrals to local medical and psychosocial services,,
- provide HIV/AIDS workplace training for managerial/supervisory
staff,
- serve as a liaison between management and the agency's medical
and occupational health programs,
- provide the opportunity for counseling for employees who remain
fearful of co-workers or clients who may be HIV -positive or who
are perceived to be high -risk individuals.
Agencies that do not have a formal employee assistance program might
give consideration to working with local health departments, social
service agencies, Chambers of Commerce and other related providers in
order to establish an effective community -based resource/referral
system. In many communities, local services are available for
people wanting confidential testing/counseling services, for
assistance for HIV -infected individuals, and. for persons who are
fearful of HIV/AIDS (See Texas AIDS Community Resource Directory).
EMPLOYEE EDUCATION
The model workplace guidelines and model education program developed
by the department are considered to be the minimum for the development
of guidelines and education plans for all. state agencies, contractors
of the 12 designated state agencies, entities funded by the 12
designated state agencies, and health care facilities licensed by the
Texas Department of Health, the Texas Department of Mental Health and
Mental Retardation, and the Texas Department of Human Services, as
stated in SB959. Therefore, education plans should contain a minimum
of five elements: modes of transmission, methods of prevention, high
risk behaviors, occupational precautions and behaviors in violation of
current Texas laws. Each entity is encouraged to include any other
relevant scientifically accurate information, methodology, training,
or activities which the entity deems appropriate or necessary.
Because of the general lack of understanding about HIV/AIDS and its
implications in the workplace, employee/contractor/client
education, both written and verbal, should:
provide basic and accurate information regarding the modes of
transmission and prevention of HIV,
reduce fear and misinformation,
5
- help people recognize and avoid personal behaviors that might
cause them to become infected,
- encourage nondiscrimination, which enables the HIV -infected
individual to remain employed as long as physically possible,
- help maintain productivity and lawful behavior in the
workplace, and
provide continuing education about HIV.
Employee HIV education programs will need to be tailored for specific
groups:
(1) administrative and dietary personnel may only need to access
general educational information,
(2) housekeeping staff may need more specific information
involving universal precautions, especially when dealing with
blood -borne pathogens,
(3) staff with direct client contact will need more intensive
education and training to keep abreast of current
information demonstrating comprehension of the proper use of
specialized equipment which should be available, and
clarifying proper infection control and universal precaution
protocols.
Contractors and clients of specified state agencies may be offered
the same basic general information offered to those who do not
participate in the direct delivery of services. Because of
the varying levels of comprehension, simplification or
supplementation may need to occur. It should not be assumed that
because a staff member or client may be physically or mentally
impaired, he or she is correspondingly sexually impaired, does not
participate in sexual activities with members of the same sex,
and/or does not use illegal intravenous drugs.
Involving labor groups, employee committees, clients or community
resources in formulating educational guidelines, serving on a
materials review committee, or determining the depth and scope of
program activities should be considered. This collaborative effort
will create an opportunity for employee/client commitment to the HIV
education program and reinforce management's sensitivity to health
concerns.
The manner in which HIV information is provided should vary to help
maintain employee/client interest. Options might include presentations
by staff members (medical, personnel, risk management) or local
speakers. Audio-visual programs, pamphlets, and in-house newsletters
can also provide information in an effective manner. The ideal
education plan would include opportunities for each employee and,
where applicable, each client to attend a program which allows time
for individual concerns to be raised and discussed.
At a minimum the HIV curriculum should include:
(a) Modes of Transmission
Current scientific research indicates that HIV is
transmitted through blood, semen, vaginal fluids, and
possibly breastmilk. HIV is transmitted:
6
1. by -exual contact (anal, vaginal, oral),
2. by sharing needles and syringes, particularly all
paraphernalia involved in the use of illegal intravenous
drugs,
3. from an infected woman to her baby, either before or
during birth, or possibly through breastfeeding, and
4. through contaminated blood or blood products (a very
remote possibility since implementation of screening
procedures in 1985) or occupational exposure to
contaminated blood as the result of spills, sticks,
splashes or other means.
(b) Methods of Prevention
Sexual Behaviors
1. practice sexual abstinence,
2. maintain a long-term relationship with one uninfected sex
partner,
3. practice safer sex techniques (use a condom and
spermicide),
4. avoid male to male sex,
5. avoid sexual contact with people who have sex for money or
drugs,
b. avoid sexual contact with the partners of people who
participate in male to male sex, use illegal IV drugs, or
frequent male or female prostitutes.
(c) Behaviors Related to Substance Abuse
1. abstain from using illegal drugs,
2. seek help to overcome substance addictions,
3. avoid sharing needles and syringes including all
paraphernalia involved in the use of illegal intravenous
drugs, and
4. use proper techniques to clean needles and syringes which
may be shared.
An essential part of the methods of prevention is avoiding
the use of substances which impair judgment. Impaired
judgment can result in any of the high -risk behaviors listed
above. These substances include not only intravenous
illegal drugs, but also alcohol, cocaine, marijuana,
and other substances which diminish the brain's
ability to function normally.
(d) Occupational Precautions
1. provide scientifically accurate information about blood -
borne pathogens, particularly HIV and Hepatitis B,
2. a review of current literature: information issued by the
Centers for Disease Control, professional medical
publications, state health department directives and other
valid sources of information,
3. an opportunity to address issues of perceived
contagiousness and appropriate infection control
techniques,
4. strict adherence to universal precautions and infection
control protocols, especially when dealing with blood
spills and the appropriate handling of sharps, needles,
razors and other invasive equipment,
7
5. training involving the correct use of equipment, such
as latex gloves, goggles, masks, hoods, disposable
ventilation devices, cleaning equipment, if appropriate,
6. demonstrations of techniques for the management of
exposure and decontamination,
7. a discussion of the opportunity for confidential testing
and counseling of state employees (at the state's.expense)
and follow-up care should occupational exposure occur.
(a) Current laws and regulations concerning the rights of an
AIDS/HIV-infected individual:
1. the right to confidential medical and personnel files,
2. the right to privacy: not divulging information about a
person's health or lifestyle without that person's
knowledge and consent, except as provided by law
[Communicable Disease Prevention and Control Act, Section
9.03, as amended in SB959],
3. nondiscrimination: providing all privileges and
opportunities available to any employee/client with a
communicable disease, unless based on accurate scientific
information.
(f) Behaviors associated with HIV transmission which are in
violation of Texas law are:
1. sexual activity between persons of the same sex
(Penal Code 21.06, a person commits a criminal "offense"
if he engages in deviate sexual intercourse with an
individual of the same sex), -
2. participation in the use of illegal IV drugs
(Chapters 481 and 483, Health and Safety Code, the
Communicable Disease Prevention and Control Act, establish
a criminal offense for the delivery or use of controlled
substances and dangerous drugs, including injectable
drugs, without proper medical authorization),
3. participation in sexual activity for money or drugs
(Penal Code 43.02, a person commits a criminal offense if
the person "offers to engage, agrees to engage or engages
in sexual conduct for a fee").
The type of agency and service delivery will be determining factors in
establishing the need, amount, and scope of information to be
presented. One element essential to all policies is the assurance
of confidentiality of HIV status so that medical and personnel
information will be protected to the fullest extent of the law.
POLICY AND EDUCATION DEVELOPMENT/REVIEW
.To provide assistance in developing a workplace policy and/or
education program, many local, state, and national resources are
available. The Occupational Safety and Health Administration (OSHA)
is also making available standards dealing with occupational exposure
to blood -borne pathogens. For further information, refer to the Texas
AIDS.Community Resource Directory or call the Texas Department of
Health, Public.Health Promotion Division, (512) 458-7405.
8
• TEXAS HIV EDUCATION
GRANT PROGRAM
GENERAL PROVISIONS
§91i.61. Introduction. The purpose of this subchapter is to establish a system for the provision of education
programs as authorized by the Human Immunodeficiency Virus Services Act, Texas Civil Statutes, Article
4419b. This subchapter is adopted under the authority of the Ad and the current General Appropriations Ad.
§98.62. Definitions. The following words and terms, when used in these sections shall have the following
meanings, unless the context indicates otherwise.
Act - Human Immunodeficiency Virus Services Act, Texas Civil Statutes, Article 4419b-4 (Chapter
1195, Ads of the 71st Legislature, Regular Session, 1989 (Senate Bill No. 959)).
AIDS - Acquired immune deficiency syndrome as defined by the Centers for Disease Control of the
United States Public Health Service.
Applicant - A non-profit community organization or other entity that applies to the Texas Department
of Health for approval to become a provider.
Board - The Texas Board of Health.
Commissioner - The commissioner of health.
Communicable Disease Prevention and Control Act - Communicable Disease Prevention and
Control Act, Health and Safety Code, Chapter 81.
Department - The Texas Department of Health.
Education - A program to provide AIDS/HIV education, prevention and/or risk reduction
information to individuals or groups.
HIS' - Human immunodeficiency virus, as defined by the Centers for Disease Control of the United
States Public Health Service.
Person An individual, corporation, government or governmental subdivision or agency, business
trust, partnership, association, or any other legal entity.
Program - The HIV Education, Prevention, Risk Reduction Grant Program, created by the Human
Immunodeficiency Virus Services Act, Texas Civil Statutes, Article 4419b-4 (Chapter 1195, Acts of the 71st
Legislature, Regular Session,1989 (Senate Bill No. 959)).
Provider - A person that has been approved by the department and that has entered into a contract
with the department to deliver education, prevention, and risk reduction programs.
Region - Public health region of the department.
Request for proposal (RFP) - A solicitation providing guidance and instructions issued by the
department to potential providers interested in submitting an application to deliver an education program to
carry out the purposes of Article 2 of the Act.
1
&98.63. Forms. Forms which have been developed by the Texas Department of Health for use in the HIV
Program will be provided to applicants and providers as necessary.
§98.64. Funds. The Texas Board of Health may seek, receive, and expend any funds received through an
appropriation, grant, donation, or reimbursement from any public or private source to administer the Act,
except as provided by other law.
§98.6S. Non -Discrimination. The Texas Department of Health operates in compliance with the Civil Rights
Act of 1964, Public Law 88-352, Title VI, and Title 45, Coda of Federal Regulations, Part 80, so that no person
will be excluded from participation, or otherwise subjected to discrimination on the grounds of race, color,
national origin, or handicapping conditions.
§98.66. General Program Requirements.
(a) As authorized by the Human Immunodeficiency Virus Services Act, Texas Civil Statutes,
Article 4419b-4 (Chapter 1195, Ads of the 71st Legislature, Regular Session, 1989 (Senate Bill No. 959)), the
Texas Board of Health, in these sections, has established the HIV Program in the Texas Department of Health
(department) to provide for the delivery of education programs in local communities.
(b) The department through the grant process shall endeavor to provide for the delivery of HIV
programs to:
(1) coordinate the use of federal, local, and private funds;
(2) encourage community -based service provision;
(3) address needs that are not met by other sources of funding;
(4) provide funding as extensively as possible across regions. of the state in amounts that
reflect regional needs;
(5) encourage cooperation among local providers;
(6) prevent unnecessary duplication of HIV education programs within a community;
(7) complement existing HIV education programs in a community;
(8) provide HIV education programs for populations engaging in behaviors conducive to HIV
transmission;
(9) initiate needed HIV education programs where none exist; and
(10) promote early intervention and treatment of persons with HIV infection.
§98.67. Development and Evaluation of Program.
(a) The Texas Board of Health (board) shall appoint a fifteen member statewide AIDS/HIV
Education, Prevention, and Risk Reduction Advisory Committee which is representative of:
(1) a community -based youth outreach program;
(2) the Texas Youth Commission;
(3) the Windham school district, Windham, Texas;
(4) a community -based drug treatment/outreach program;
2
(S) the planned parenthood/family planning program representative
(6) a local health department;
() a community -based program to reach gay/bisexual men;
(8) the Texas Association of Retarded Citizens;
(9) a member of the religious community (clergy);
(10) a community -based organization for hearing impaired;
(11) a PTA representative;
(12) a parent;
(13) a teacher/principal;
(14) a community -based organization to reach Hispanics; and .
(1.5) a community -based organization to reach blacks.
(b) The advisory committee is created for the purpose of advising and assisting the board and the
Texas Department of Health (department) in planning and administering the development of a comprehensive
system of AIDS/HIV education. Advisory committee responsibilities will include:
(1) evaluation of existing education programs and unmet needs;
(2) review of the goals and targets of the RFP application/renewal packets;
(3) evaluation of ongoing program efforts;
(4) definition of both short-range and long-range goals and objectives for the program; and
(5) development of review criteria and standards for the program.
(c) The department shall consider advisory committee recommendations during the development
of provider contracts, as required in §98.82 of this title (relating to Provider Application - Selection - Contract
Process).
§98.68. HIV Program Review.
(a) HIV Program (program) review activities will be accomplished through monitoring systems
developed to ensure the delivery of appropriate AIDS/HIV education programs.
(b) For economies of scale, and with the consent of the commissioner of health, the program may
contract for concurrent or retrospective program reviews.
(c) The Texas Department of Health (department) will establish a program review system to
evaluate the delivery of education programs. The program review system will allow for technical assistance to
the providers.
3
(d) The department will require providers to report to the department:
a
(1) the number and type of individuals reached'by an education program;
(2) fiscal and financial management reports of expenditures;
(3) program accomplishments;
(4) copies of all materials the organization has printed or distributed related to HIV infection;
(5) a record of the votes of the local program materials review committee on each item; and
(6) a report on the networking and coordination of services with other providers.
(e) The department may require other program related data; however, the provider will be given
60 days advance notice prior to the end of the contract term.
(f) The provider must comply with the most current version of the document entitled 'Content of
HIV/AIDS-Related Written Materials, Pictorials, Audiovisuals, Questionnaires, Survey Instruments, and
Education Sessions in Centers for Disease Control Assistance Programs' and its preface when choosing pro-
gram materials. The department adopts this document by reference. Copies may be reviewed at the Texas
Department of Health, Bureau of HIV and STD Control, Room G-308,1100 W. 49th Street, Austin, Texas.
$98.69. State HIV Education, Prevention and Risk Reduction Advisory Committee..
(a) Purpose. The purpose of the State HIV Education, Prevention and Risk Reduction Advisory
Committee (committee) is to assist the Texas Board of Health (board) and the Texas Department of Health
(department) in the development of procedures and guidelines for the HIV Education Grant Program to
provide HIV education, prevention, and risk reduction services at the community level.
packets;
(b) Committee responsibilities. The responsibilities of the committee include the:
(1) evaluation of existing education programs and unmet needs;
(2) review of the goals and targets of the request for proposal (RFP) application/renewal
(3) evaluation of ongoing program efforts;
(4) definition of both short-range and long-range goals and objectives for the AIDS/HIV
Education Program; and
(S) development of review criteria and standards for AIDS/HIV Education Program.
(c) Membership. Committee members shall be appointed by the board in accordance with the
requirements of the authorizing statute (Texas Civil Statutes, Article 4419b-4).
(1) Attendance. A record of attendance at each meeting shall be made. The board shall be
notified of members who miss two consecutive meetings. A third consecutive absence from a regular meeting
shall be sufficient grounds for membership termination by the board.
(2) Term. The members shall serve staggered three-year terms with five members' terms
expiring each year in January. Initial appointments for one, two, and three year terms will be determined by
lottery. Members may be reappointed by the board to consecutive terms.
4
(d) Officers. The officers of the committee shall consist of a chairperson and a vice -chairperson
and shall be selected at the committee's first regular meeting each year by the committee's membership.
Officers shall serve one-year terms and shall be eligible for re-election for one additional term. The
chairperson shall be the presiding officer of the committee. The vice -chairperson shall assume the authority
and duties of the chairperson in his or her absence.
(e) Subcommittees. The subcommittees of the committee shall be ad hoc, shall be appointed from
the membership by the chairperson, and shall assume such powers and responsibilities as delegated to them by
the chairperson.
(f) Mec
(1) Open meeting requirements. The committee shall post and hold all meetings in
accordance with the Texas Open Meetings Act, Texas Civil Statutes, Article 6252-17.
(2) Regular meetings. The full committee shall meet at least two times per year. Notice of
time, date, place, and purpose of regular meetings shall be provided to the members, by mail or telephone or
both, at least seven days in advance of each meeting.
(3) Special meetings. Special meetings of the committee shall be held as needed and called by
the chairperson. Notice of the time, date, place, and purpose of special meetings shall be provided to the
members, by mail or telephone or both, at least seven days in advance of each meeting
(4) Quorum. A majority of the committee's members constitutes a quorum for the
transaction of business at any meeting. A majority is defined as more than one-half of the committee's
membership. The committee may act only by majority vote of its members present and voting. Each member
shall be entitled to one vote.
(5) Parliamentary procedures. Parliamentary procedures for all committee or subcommittee
meetings are conducted in accordance with the latest edition of Roberts Rules of Order, except that the
chairperson may vote on any action as any other member of the committee.
(6) ' Conflict of interest. Any committee member having a potential conflict of interest between
his/her professional affiliations and subject matter presented to the committee shall refrain from chairing the
discussion and/or voting on the issue.
(7) Minutes. Minutes of all committee meetings will be prepared and transmitted to the
membership for their review prior to subsequent meetings.
(8) PubIic participation. All requests from the public to participate in the committee
meetings shall be submitted to the committee chairperson. The agenda for each committee meeting shall
include one or more items providing for public participation. The chairperson may limit, as necessary, the
time for each spokesperson appearing before the committee. Written comments are encouraged and may be
submitted to the committee for their consideration. The committee on its initiative may ask for public
participation as needed and requested. Designation of time for public participation will be included as as
agenda item.
AIDS/HIV EDUCATION - PROVIDERS
§9UL Who May Apply to Become a Provider.
(a) To become a provider, a person must be a governmental, public, or private non-profit entity
located within the state of Texas, including-
(1) city or county health departments or districts;
5
(2) community -based organizations; and
(3) public or private hospitals.
(b) An individual may not become a provider.
$9&82. Provider Applkatioa • Selection - Contract Process.
(a) To administer the HIV Program (program) effectively and to receive the maximum benefits
from available funds, the Texas Department of Health (department) shall contract for education programs on
a request for proposal (RFP).
(b) The department shall publish a public notice of the RFP in the Texas Register at least 30 days
prior to the date on which the application is due. Tlie department also will utilize local published notices or
direct contact with potential applicants.
(c) After public notice has-been given, the department will forward the application packet within
three working days of a request being received in the department's HIV Division.
(d) Complete applications at a minimum must include:
(1) a description of the objectives established by the applicant for the conduct of the program
during the contract period;
(2) documentation that the applicant has consulted with appropriate local health department
or public health district officials, health authority, community groups, and individuals with expertise in HIV
education and a knowledge of the needs of the population to be served or as specified in the RFP or renewal
documents;
(3) a description of the methods the applicant will use to evaluate the activities conducted
under the program to determine if the objectives are met; and
(4) any other information required by this subchapter or requested by the department in the
application package.
(e) The department shall conduct public hearings in the region in which the applicant(s) is located
before awarding an initial grant or grants totaling in excess of $25,000 annually.
(1) At least 10 days before such a public hearing, the department shall give notice to each
state representative and state senator who represents any part of the region in which any part of the contracted
funds will be expended.
(2) Public hearings will not be be required for the renewal of a contract.
(f) Complete applications for funding will initially be reviewed by the program and other
departmental staff, and by a review panel composed in such a manner that individual panel members:
(1) are involved with education programs but are not employees of the department; and
(2) are not members of, employed by or otherwise associated with, a particular application
under review by a particular panel.
(g) After the review described in subsection (0 of this section, the program will make the final
selection of providers; special consideration will be given to non-profit community organizations whose
primary purpose is serving persons under 18 years of age.
6
(h) Applicants approved by the program must execute contracts with the department. Applicants
` that are not selected will receive written notification to that effect from the department within 30 days after the
awards have been approved and will be given the opportunity for an informal reconsideration conducted under
the provisions of f98.87 of this title (relating to Denial of an Application to Provide AIDSJHIV Services -
Procedure).
(i) A provider must agree to deliver education programs to the number and type of individuals or
groups during the contract period designated and accepted by the department.
6) The program may expedite the renewal of contracts with providers so that education programs
may be provided without gaps in service.
(I) An abbreviated application format will be used to the extent deemed possible by the
department.
(2) Applications for funding may be reviewed and approved by the department based upon
the applicant's prior history of compliance with the applicable law and rules, its satisfactory performance of
contract provisions and the quality of the services being provided The quality of education programs provided
will be verified by evaluations by the department.
(k) Contracts executed between the department and providers under this section are governed by
the requiremewz in the Uniform Grant and Contract Management Standards (UGCMS), 1 Texas
Administrative Code H5.141- 5.167.
(1) A provider must give assurances in the contract that the provider will abide by the
requirements of the Act, the UGCMS, and this subchapter.
(m) Amendments to this subchapter adopted during the term of the contract will be sent to each
contractor at the time the amandment's are adopted by the Board of Health. Each contractor must
acknowledge in writing the receipt of the amendments and provide an assurance that they have read and
understand the content of the amendments and will comply with them as part of their contractual obligation.
§98.83. Confidentiality.
(a) Confidentiality of all records is essential. All information obtained in connection with the
examination, care, or services provided to any client under a HIV Program (program), which is carried out
through a contract under this subchapter, shall not, without the client's consent, be disclosed, except as may be
necessary to provide services to the client, or as may be required by law. Information derived from any
program may be disclosed:
(1) in statistical or other summary form; or
(2) in case reports, but only if the identity of the individuals diagnosed or provided care as
described in the report is not disclosed and cannot be discerned.
(b) To obtain and continue provider status, all applicants or providers must have a polity in place
to protect client confidentiality and must assure the Texas Department of Health that each individual
participating in the provider's activities has been informed of the policy and the fact that civil and criminal
penalties exist in the Communicable Disease Prevention and Control Act for a person who commits the
offense of violating the confidentiality of persons, as protected under the provisions of the Human
Immunodeficiency Virus Services Act, Texas Civil Statutes, Article 4419b-4, Article 2
(c) Failure of an applicant or a provider to have a confidentiality policy and procedure in place is
grounds for denial of an application or termination of the provider's approval and contract cancellation.
7
§A84. Model Workplace Guidelines
(a) To obtain and continue provider status, all applicants or providers must have a policy in place
that is consistent and at least as comprehensive as the model guidelines for HIV/AIDS policies and education
programs adopted by the Texas Board of Health (board) in &97.19 of this title (relating to Model HIV/AIDS
Workplace Guidelines). Copies of the board's guidelines may be obtained from the Texas Department of
Health, Public Health Promotion Division, 1100 West 49th Street, Austin, Texas 78756.
(b) Failure of an applicant or a provider to have workplace guidelines and procedures in place is
grounds for denial of an application or termination of the provider's approval and cancellation of the contract.
§98.95. Payment for Services.
(a) Reimbursement by the Texas Department of Health (department) to providers for services
delivered will be contingent upon a valid signed contract between the provider and the department.
(b) The department will reimburse the provider for services rendered in accordance with the
contract between the provider and the department. The department will only be obligated to pay those funds
as specified and expended in accordance with the contract.
(c) The department will require documentation of the delivery of services by the provider, as
follows.
(1) A request for payment will be denied if the request is incomplete, submitted on an
improper form, contains inaccurate information, or is not submitted within 90 days from the date services were
delivered.
(2) A request for payment which has been denied must be resubmitted in correct form within
30 days from the notice of denial or within the initial 90-day filing deadline, whichever is later.
(3) Corrections must be made on the original request for payment form if possible, and a
copy of the denial notice must accompany the resubmitted request for payment.
(4) If a new request is submitted, the original request must accompany the new request for
payment form.
(d) Overpayments made to providers must be reimbursed to the department by lump sum
payment or, at the department's discretion, deducted from current claims due tj be paid to the provider.
(e) The opportunity for a due process hearing is available for the resolution of conflicts relating to
payment issues between the department and a provider in accordance with §98.88 of this title (relating to
Modification, Suspension, or Termination of Provider Status - Procedure).
§98.3& Denial of Application - Niodification, Suspension, Termination of Provider Approval -Criteria.
(a) The Texas Department of Health (department) may, for the reasons described in subsections
(b) and (c) of this section, deny the application and modify, suspend, or terminate the approval of a provider
after written notice of the proposed action and written notice of an opportunity for an informal reconsideration
or an opportunity for a due process hearing, as speed in this section, has been given to the provider.
(b) An application may be denied if the applicant:
(1) has not submitted a complete application;
(2) . is not an entity listed in §98.81 of this title (relating to Who May Apply to become a
Provider);
8
(3) has not provided the assurances, policies, or procedures required by this subchapter
relating to client confidentiality and workplace guidelines; or
(4) fails or refuses to execute a contract with the department.
(c) Provider status may be modified, suspended, or terminated if the provider.
(1) provides false or misleading information which is material to the approval by the
department to become a provider or continue provider status;
(2) fails to perform in accordance with the requirements of the Human Immunodeficiency
Virus Services Act, Texas Civil Statutes, Article 4419b-4, Article 2, and the applicable provisions of the
General Appropriations Act;
(3) fails to perform in accordance with this subchapter,
(4) fails to perform in accordance with the provisions of the contract; or
(5) fails to perform in accordance with the rules prescribed in the Uniform Contracts and
Grants Management Standards, 1 Texas Administrative Code 05.141- 167.
(d) Tl' department may suspend or cancel payment for services delivered if false or fraudulent
requests for payments are submitted by a provider.
(e) A provider's contract may not be terminated during the pendency of due process hearing.
Payments due to be paid to providers may be withheld during the pendency of a hearing, and payments shall
resume if the final determination is in favor of the provider.
§98.37. Denial of an Application to Provide AIDS/HIV Services - Procedure.
(a) A applicant aggrieved by the HIV Program's (program) decision to deny an application to
become a provider may request an informal reconsideration from the Texas Department of Health
(department)
(b) An applicant must request an informal reconsideration in writing.
(c) The applicant's written request must be received by the department within 20 days from the
receipt of the program's decision letter.
(d) The provider's failure to request reconsideration and to notify the department within the 20-
day period will be deemed a waiver of the opportunity for an informal reconsideration and the proposed action
will become finaL
(e) An impartial panel of three members appointed by the commissioner of health will conduct the
informal reconsideration. The members may not have participated in the program's decision to deny the
application.
(0 The informal reconsideration will consist primarily of a review of the applicant's and
department's documentation relevant to the department's decision, the Texas Board of Health's relevant rules,
the authorizing statute, and the current General Appropriations Act; however, the panel may permit the
applicant requesting the reconsideration and/or the department's representative to appear before the panel or
submit information in writing, if desired.
(g) The, panel will affirm, reverse, or modify the program's decision. The panel's decision will be
binding on the program and the applicant.
9
§98.88. Modification, Suspension, or Termination of Provider Status - Procedure.
(a) Before the Texas Department of Health (department) may modify, suspend, or terminate a
provider's status, the department must offer the provider the opportunity for a due process hearing.
(b) The Administrative Procedure and Texas Register Act, Texas Civil Statutes, Article 6252-13a,
§§12 - 20, do not apply to the modification, suspension, or termination of provider status under this
subchapter. The department shall conduct due process hearings in accordance with the Texas Board of
Health's (board) informal hearing procedures, §§1.51 -1.55 of this title (relating to Informal Hearing
Procedures). Copies of the board's informal hearing procedures may be obtained from the department's
.Office of General Counsel, 1100 West 49th Street, Austin Texas 78756.
§98.89. Exceptions from Appeals Procedure. The Texas Department of Health (department) is not required
to offer an informal reconsideration or an informal hearing for the denial, modification, suspension, or termi-
nation of provider status, if the department's actions result from the exhaustion of funds appropriated to the
department for the administration of Article 2 of the Act.
§98.90. Public Complaints.
(a) Filing of complaints.
. (1) Anyone may complain to the Texas Department of Health (department) alleging that a
provider has violated a statute or one of the rules of this subchapter. A person wishing to complain about an
alleged violation of the rules shall notify the director of the HIV Division.
(2) The notification of a complaint must be in writing and mailed to the Director, HIV
Division, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3199.
(3) Upon receipt of a complaint, the director shall send an acknowledgement letter to the
complainant within 15 days, if the complainant is identified to the director.
(b) Investigation of complaints.
(1) The department shall not investigate complaints which lack sufficient information. The
department reserves the right to request additional, verifiable information from the complainant. If the
additional information is not provided within 30 days, the department may close the complaint file without
further action.
(2) The department will not investigate complaints regarding the personal activities of
employees of a provider.
(3) Anonymous complaints shall be investigated by the department, provided sufficient,
verifiable information is submitted.
(4) Investigations of complaints under this section shall be conducted by the Commissioner or
the Commissioner's designee.
(5) The identity of the person(s) involved in filing the complaint and the person on whose
behalf the complaint is filed will be privileged information of the department, to the extent allowed by law.
10
(c) Actions after investigation. The department shall have 60 days after receipt of complaint (or of
additional information requested) to investigate the complaint. If at the end of this 60 day period the
department has been unable to complete its investigation, the department will so notify the complainant, if
known,, in writing. The department will then have an additional 60 days to complete its investigation After
investigation, the department shall take one of the following actions.
(1) The department may determine that an allegation is groundless and dismiss the complaint.
(2) The department may determine that a provider has violated a statute or one of the rules
of this subchapter and shall issue a written warning to the provider to cease the activity and/or take corrective
action within a specified period of time.
(A) If the provider complies with the written warning, the department shall close the
complaint file.
(B) If the provider fails to comply with the written warning, the department may
modify, suspend, or terminate the provider status in accordance with 1198.29 of this title (relating to
Modification, Suspension, or Termination of Provider Statue; Procedure).
(d) Notification of results of investigation. Whenever the department dismisses a complaint or
closes a complaint file, the department shall give a summary report of the final action to the HIV Education,
Prevention, and Risk Reduction Advisory Committee, the complainant, and the accused party.
March 25,1991
Table 1
Indirect Cost
Computation Table
(1)
Total Project Cost
(Round
to nearest amount
on schedule)
12)
Maximum indirect cost allowable -State
grantor agency funds
(3)
This table is provided for use
when the grantee:
(a) has no cost
allocation
plan, or
(b) has no direct
administrative
costs (salaries, fringe benefits,
etc.) which are
attributed to the grant or
contract.
111
12►
111
12)
111
(2)
111
12)
!
3
s
3
!
!
!
!
1.000
50
31.000
1.285
61,000
2.252
91.000
2.995
2.000
100
32.000
1.320
62.000
2.280
92.000
3.015
3.000
150
33.000
1.355
63.000
2,307
93,000
3.035
4.000
200
34.000
1.390
64,000
2.335
94.000
3,055
5.000
250
35,000
1.425
65,000
2.362
95.000
3.075
6.000
295
38.000
1.460
66,000
2.390
96.000
3,095
7.000
340
37.000
1.495
67.000
2.417
97.000
3.115
8.000
385
38.000
1.530
68.000
2,445
98.000
3.135
9.000
430
39.000
1.565
69.000
2.472
99,000
3.155
10.000
475
40.000
1.600
70.000
2.500
100.000
3.175
11.000
505
41,000
1.632
71,000
2.525
110,000
3.350
12.000
555
42,000
1.665
72.000
2,550
120.000
3.525
13.000
595
43.000
1.697
73.000
2.575
130.000
3.675
14.000
635
44.000
1.730
74.000
2.500
140.000
3.025
15.000
675
45.000
1.762
75.000
2.625
150.000
3.950
16.000
715
46.000
1.795
78,000
2.650
160.000
4.075
17,000
755
47.000
1.827
77.000,
2.675
170.000
4.175
18.000
795-
48.000
1.860
78.000
2.700
180,000
4.275
19,000
835
49.000
1.892
79.000
2,725
190,000
4.350
20.000
875
50.000
1.925
80.000
2.750
200,000
4,425
21.000
912
51,000
1,955
81,000
2.772
210.000
4,475
22.000
950
52.000
1.985
82.000
2.795
220,000
4,525
23,000
987
53.000
1.015
83.000
2,817
230.000
4.575
24.000
1.025
54.000
2.045
84,000
2.840
240.000
4.625
25.000
1.062
55.000
2.075
85.000
2.862
250,000
4,675
26,000
1.100
56.000
2,105
86,000
2.885
200.000
4.725
-27.000
1.137
57.000
2.135
87,000
2.907
270.000
4,775
28.000
1.175
58.000
2.165
88,000
2,930
280.000
4.825
29.000
1.212
59.000
2.195
89.000
2,952
290.000
4.875
30.000
1.250
60.000
2.225
90,000
2,975
300.000
4.925
(Abuvo 3UU.000 equals 4.925
1
o .006 of excess above 300.0001
04/91
r REGIONAL HIV COORDINATORS
Jennifer Smith, MSHP Ron Tomlinson
Public Health Region I Public Health Region 5
2408 South 37th 2561 Matlock Road
Temple, Texas 7650-4 Arlington, Texas 76015
Tx: 820-2201 Tx: 833-9213
(817) 778-6744 (817) 792-7213
Mike Springer
Public Health Region 2
4709 66th Street
Lubbock, Texas 79414
Tx: 842-5299
(806) 797-4331
Sarana Savaize, .v1A
Public Health Region 3
619 West Texas, #300
' Midland, Texas 79701
Tx: 840-1010
(915) 683-9492
Judy Spong, MS
Public Health Region 4
10500 Forum Place, Suite 200
Houston, Texas 77036
Tx: 851-3229
(713) 995-1112
Mary Martinez
Public Health Region 6
P.O. Box 23340
San Antonio, Texas 78223
Tx: 827-8011
(512) 534-8857 x464
Richard Hensley
Public Health Region 7
1517 W. Front Street
Tyler, Texas 75702
Tx: 830-6330
(214) 595-3585 x330
David Cavazos, R.N.
Public Health Region 8
601 W. Sesame Drive
Harlingen, Texas 78550
Tx: 820-4501
(512) 423-1030
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PUBLIC HEALTH REGIONS
'PUBLIC HEALTH REGION 1
Charles R. Webb, Jr., M.D., M.P.H.
Public Health Regional Director
Tom Bever, Asst. Reg. Dir. for Admin.
Regional Office Locations
*Temple - 2408 South 37th St. 116504
817/778-6744 **820-2201 FAX 817/778-4066
Austin 1212 East Anderson Lane 78752
512/834-8673 **248-2600
PUBLIC HEATH REGION I
Anthony Way, M.D.
Acting -Public Health Regional Director
Mike Easley, Asst. Reg. Dir. for Admin.
Regional Office Locations
*Lubbock - 4709 66th Street 79414
806/797-4331 **842-5000 FAX 842-5276
Canyon - P.O. Box 968 WTSU Sta. 79016
806/655-7151 **840-1088
PUBLIC HEALTH REGION 3
Gordon Cox, M.D.
Public Health Regional Director
Tommy Key, Asst. Reg. Dir. for Admin.
Regional Office locations
*El Paso 609G Surety Drive
Suite 115 79905
915/779-7783 **840-1458 FAX 915/774-0854
Midland-619 West Texas. =300 79701-4254
915/683-9492 **840-1009
San Angelo-3131 Executive Drive 76901
915/944-9545 **840-1164
PUBLIC HEALTH REG 4
Robert A. MacLean, M.D.
Acting Public Health Regional Director
Carl Clark, Asst. Reg. Dir. for Admin.
Reoionai Office Locations
*Houston - 10500 Forum Place.
Suite 200 77036-8599
713/995-1112 **851-3000 FAX 851-3242
Beaumont - 4605 Concord Road 77703
409/898-3722 **850-1086
* LOCATION Of REGIONAL DIRECTOR
** TEX-AN NUMBER 06/91
PUBLIC HEALTH REGION 5
C.R. Allen, Jr., M.D., M.P.H.
Public Health Regional Director
Gary Caffee, Asst. Reg. Dir. for Admin.
Regional Office Locations
*Arlington - 2561 Matlock Road 76015
817/460-3032 **833-9011 FAX 833 -9245
Abilene-1290 S. Willis, Suite 100 79608
915/695-7170 **847-7011
Wichita Falls-106 Free -Mar Valley 76301
817/767-8593 **836-4375
PUBLIC HEALTH REGION 6
Henry C. Moritz, Jr., M.D., M.P.H.
Public Health Regional Director
Dick Durbin, Asst. Reg. Dir. for Admin.
Regional Office Locations
*San Antonio-1015 Jackson Keller Rd. 78213
512/342-3300 **254-3300 FAX 254-3261
Uvalde - P.O. Drawer 630 78802-0630
Old Memorial Hospital
Garner Field Road 78801
512/278-7173 **820-1532 FAX 512/278-7170
PUBLIC HEALTH REGION .Z
Marietta Crowder, M.D.
Public Health Regional Director
Fred Tammen, Asst. Reg. Dir. for Admin.
Regional Office Locations
*Tyler - 1517 W. Front St. 75702
903/595-3585 **830-6011 FAX 830-6222
Sulphur Springs-P.O. Box 876 75482
903/885-6573
Nacogdoches - 204 Mims. Ave. 75961
409/564-8356 **854-4904
PUBLIC HEALTH REGION 8
Charles B. Marshall, Jr., M.D., M.P.H.
Public Health Regional Director
Ron Mansolo, Asst. Reg. Dir. for Admin.
Re ion Office Locations
*Harlingen - 601 W. Sesame Dr. 78550
512/423-0130 **820-4501 FAX 820-4505
Corpus Christi-1233 Agnes Street 78401
512/888-7762 **820-1235 FAX 820-1235