The STI Screening and Education Project at the Douglas County Jail: Do juSTIce, provides health professions students in Omaha a truly unique opportunity to take the knowledge they’re learning in the classroom and implement it in the community in a valuable and meaningful way. With Omaha currently working through what the county health department has deemed an “STI epidemic,” these students are providing an important public health service in educating, screening, and treating a traditionally high-risk population for sexually transmitted infections.
This unique project serves as an exemplary illustration of the power of community engagement and public health.
In 2008, the Douglas County Department of Corrections reached out to UNMC to see what might be done about an escalating epidemic of sexually transmitted diseases in the community. After much research, thought, and conversation, a student-run program to address this issue began to take shape.
Since its inception, this opt-in program has provided education and screening to more than 3000 individuals as of Aug 2014. This rate of infection hovering around five percent is ten times higher than that seen in the general population of Omaha and evidences the value of the work being done by these students – but there is still more to be done.
In July 2011, jail administrators commissioned a project to be done that would screen every single inmate at in-take to get a better grasp of what the true prevalence of STDs may actually be in the jail. Twenty-four hours a day, for an entire week, students made themselves available to provide testing to every individual who walked into the jail. At the end of those seven days, 307 individuals had been tested, with Chlamydia infections being identified in 30 of them and Gonorrhea infections being identified in four. These numbers speak to a vast underutilization of the services that the students are providing through the opt-in program and serve as a great opportunity for program growth and development.
The HIV Screening Pilot Project at the Douglas County Department of Corrections began on February 11, 2013 and ended on March 27, 2013 when the target goal of 300 screenings was reached. Students from UNMC’s College of Medicine, Public Health, and Nursing along with students from Creighton University School of Medicine received a condensed 2-hour training to become a certified HIV counselor with skills to perform rapid HIV testing and to counsel patients on positive and negative results. Students then provided free opt-in HIV screenings and counseling to inmates being released from the Douglas County Department of Corrections. There was one reactive result out of the 300 screenings that were done. The HIV pilot project was part of an effort to support change in policy to incorporate STI and HIV screening at the local jail.
Douglas County Youth Corrections:
In January 2013, the Do juSTIce program was awarded a grant from the MTV Staying Alive Foundation to expand STI and HIV education into the Douglas County Youth Correction Center (DCYC). Students from UNMC’s College of Public Health, Medicine, and Nursing along with students from Creighton University School of Medicine, interact with youth offenders to discuss sexual health, STIs, and related issues. The project was implemented in April 2013 and will continue throughout the year. Do juSTIce is one of only 2 USA programs to be funded by the MTV SAF who funds multiple programs in Asia and Africa. To learn more go to: http://stayingalivefoundation.org/projects/project-map/