States: Connecticut, Massachusetts, Maine, New Hampshire, Rhode Island, Vermont
Client(s): CDC - Centers for Disease Control and Prevention, DHHS Office of Population Affairs
Services: Health Care & Public Health Planning, Training & Technical Assistance
Technical Expertise: Family Planning & Reproductive Health
The prevention of all Sexually Transmitted Infections (STIs) is a key component of sexual and reproductive health. Chlamydia, is the most common bacterial STD in the U.S. with over one million cases reported to the CDC each year, and gonorrhea is the second most common with approximately 300,000 cases reported to CDC per year in the U.S. If left untreated, Chlamydia and Gonorrhea can cause serious sequelae in women, such as pelvic inflammatory disease, infertility, and ectopic pregnancy.
Since 1995, JSI has received funds from CDC to be the infrastructure of the Region I Infertility Prevention Project (IPP). The goal of IPP is to reduce preventable infertility in women through support for Chlamydia and Gonorrhea screening activities that help reduce STI-related infertility. IPP works to assess and reduce the prevalence of Chlamydia and Gonorrhea and their related complications in populations at risk through the collaborative efforts of state STD and family planning programs and public health laboratories. As part of this project, JSI provides: 1) centralized project management and coordination of regional IPP activities, including the management of a regional data system; 2) support for region-wide collaboration among all six Region I states to improve program performance; and 3) coordination of the Advisory Board, comprised of representatives from the region’s STD prevention programs, family planning programs, public health laboratories, and other partners and 4) liaison between CDC and the regional advisory board.
JSI has produced quarterly and annual chlamydia screening and positivity reports, coordinated a bi-annual meeting, and maintained the Region I IPP website. As part of special project funding JSI created an e-course called "Chlamydia and Gonorrhea: What You and Your Clients Need to Know" and provider materials to promote screening. We have worked closely with the IPP Advisory Board to target chlamydia screening to those most at risk for contracting it. As a result of our partnership in the last three years, three states have passed expedited partner therapy (EPT) laws and five of the six states have improved upon goals to target Chlamydia screening for those most at risk.