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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Division of Epidemiology and Disease Prevention
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Health Issues - STD Program

Projects & Initiatives


Native STAND Exit Disclaimer: You Are Leaving www.ihs.gov
Native STAND (Students Together Against Negative Decisions) is a comprehensive curriculum for training peer educators that promotes healthy decision making among American Indian and Alaska Native (AI/AN) youth. The curriculum was developed by a multi-disciplinary workgroup under the auspices of the National Coalition of STD Directors, Mercer University, the Centers for Disease Control and Prevention, and the Indian Health Service. The curriculum is now available for review and free download online.

Native STAND Informational Webinar Exit Disclaimer: You Are Leaving www.ihs.gov
An overview of the peer education curriculum for healthy decision making among American Indian and Alaska Native (AI/AN) youth. This webinar was developed to share implementation experiences and evaluation findings, and discuss opportunities for implementation. This collaborative event was held in partnership with Cicatelli Associates, Inc. Infertility Prevention Project Region's II & IV, the National Coalition of STD Directors, Oregon Health & Science University Prevention Research Center, and Project Red Talon (Northwest Portland Area Indian Health Board).

Get Yourself Tested (GYT) Exit Disclaimer: You Are Leaving www.ihs.gov
The GYT, or the "Get Yourself Tested", campaign is designed to create a social movement around STD testing. It officially launches every year in April, which is National STD Awareness Month. Through its presence on MTV, the involvement of music and celebrity talent, and special promotions, GYT aims to remove the taboos surrounding STD testing for young people and to encourage them to talk about STDs and STD testing with their sex partners, parents, and health care providers. To help address the high rate of STDs in youth, the IHS National STD Program is collaborating with CDC, MTV Networks, the Kaiser Family Foundation, and Planned Parenthood Foundation to promote the "GYT" campaign to help young people make responsible decisions about their sexual health by talking about sex with their partners, parents, and healthcare providers and getting tested and treated for STDs and HIV. Visit the GYT website for additional information about the campaign, including a special tool-kit for health centers and providers.

Quality Improvement Project (QIP)
The aim of the Quality Improvement Project (QIP) is to improve and promote sexual health and wellness for AI/AN. In partnership with the Northwest Portland Area Indian Health Board (NPAIHB), QIP works with high performing and innovative health care teams to improve access to and the quality and standard delivery of sexual health services including screening for chlamydia and gonorrhea, HIV, and viral hepatitis C (HCV). The QIP Project seeks to strengthen the positive relationships between the health care system/care team by focusing on prevention, screening, and treatment of STIs. To achieve the goals of quality, service and community engagement, QIP focuses on several key strategies to ensure program buy-in and sustainable systems-level change including obtaining community and leadership support; developing and sustaining a successful and productive workforce; improving standard delivery of evidence-based, high quality STD care for AI/AN people; and optimizing clinical information systems.

STD/HIV Performance Measures
IHS national STD and HIV Programs collaborated to develop a number of STD and HIV performance measures that monitor and support national screening recommendations. Performance measure data are captured and reported, through the use of electronic health records (EHR), and evaluated nationally on an annual basis; however, progress can be assessed routinely at a local level to help inform and guide program activities. The measures include:

  • Prenatal HIV screening;
  • Routine HIV screening among persons 13-64 years of age;
  • Annual chlamydia screening among women younger than 26 years of age; and
  • HIV screening of persons newly diagnosed with an STD.