David C. Harvey, MSW , Jessica Frasure- Williams, MPH, Stephanie Arnold Pang Reduced U.S. Federal STD Funding Would Force Cutbacks to Core Public Health: A Survey of State and Local STD Directors Abstract #210 | IUSTI 2018 + European Congress | Dublin, Ireland
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Reduced U.S. Federal STD Funding Would Force Cutbacks to ......Abstract #210 | IUSTI 2018 + European Congress | Dublin, Ireland . Presentation Outline •Background •National Survey
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David C. Harvey, MSW, Jessica Frasure-Williams, MPH, Stephanie Arnold Pang
Reduced U.S. Federal STD Funding Would Force Cutbacks to Core Public Health: A Survey of State and Local STD Directors
Abstract #210 | IUSTI 2018 + European Congress | Dublin, Ireland
Presentation Outline
• Background
• National Survey Methods and Results
– State/City STD Programs
– Disease Intervention Specialists
– STD Clinics
• Limitations
• Conclusions
2
Background
3
4
METHODS: National Survey
• Survey link sent to all STD programs funded by CDC Division of STD Prevention
• Up to 3 individual follow up emails sent
• Integrated STD/HIV programs asked to provide best guess for STD-specific proportions of funding
• Budget responses were excluded if the total budget differed from itemized budgets by 10%
• Programs were stratified by quartile for analysis
5
RESULTS
Response Rate:
40/50 States = 80%
5/6 Directly Funded Cities = 83%
6
Nonresponse project areas: Arizona, District of Columbia, Georgia, Maine, Nebraska,
New Mexico, North Carolina, South Carolina, South Dakota, Virginia, West Virginia
Percent of Total STD Program Budgets from Different Funding Sources
7All respondents excluding Chicago, Colorado, Los Angeles, and Missouri. Federal STD funding = Funding from the CDC Division of STD Prevention (STD-AAPPS). Federal HIV = Funding from the CDC Division of HIV/AIDS Prevention.
26%
14%
60%
Federal STD
State/City STD
Other including State/Federal HIV
8
$0.43
$1.50
$0.69
$0.50
$0.13
$0.20
Total
Cities
Very High MorbidityStates
High Morbidity States
Medium Morbidity States
Low Morbidity States
Share of STD Funding: For every $1 of Federal STD Contribution, States/Cities contribute $0.43