This presentation was given at the conferenced entitled, "15th Annual Rural Multiracial and Multicultural Health Conference" in Memphis, Tennessee on December 9-11, 2009.

Faculty

Needs Statement

South Carolina currently ranks 8th in the nation in cervical cancer mortality.  The rates of incidence and mortality form cervical cancer and HIV infection are disproportionately higher in Orangeburg and several other rural regions across South Carolina.  HIV+ persons and citizens of their communities are learning how to de-stigmatize and live with the virus.  The USC/Claflin EXPORT Center’s community advisory group and researchers discussed the need to develop a map that included the visual stories from groups within the Orangeburg, SC area.  Qualitative data was collected from HIV+ persons, concerned citizens and community stakeholders via focus groups and key informant interviews and led to the eventual development of a final version of a storymap of HIV/AIDS and cervical cancer for Orangeburg County, SC.  Several intermediate outcomes were based on the storymap, leading to enhanced sustainability and community capability to address current and future HPV/cervical cancer, HIV/AIDS and related health issues.

Accessing oral health services can be extremely challenging for Americans who live in rural areas and are HIV+.  Many of the barriers to access are systemic (cost, provider shortage, etc.)  In South Carolina, rate of HIV incidence and mortality in African Americans are disproportionately higher in rural areas than in other regions in the state.  Utilizing an innovative service delivery model, we provide oral health care to persons living with HIV in rural counties in South Carolina.  Data was collected from African American patients via interviews regarding their experiences in seeking oral health care.  The results indicate that if systemic barriers related to access are reduced, using mobile oral health services can be a viable method of providing quality dental care; ultimately increasing quality of life for HIV+ persons. Recommendations include program expansion, continuous patient reassurance activities and building trustworthy patient/provider relationships to facilitate patient compliance.

Target Audience

Designed to benefit those who are dedicated to bringing quality health care and health care services to this underserved and often under-represented portion of the rural population.

Objectives

1. Identify key community and agency stakeholders in eliminating health disparities in rural America
2. Incorporate storymapping as an effective and innovative qualitative research method for community-based participatory research
3. Discuss the lessons learned from the partnership between academic institutions, community groups, and agencies to positively impact chronic disorders
4. Discuss what SOS is and the purpose behind it.
5. Describe the project model, evaluations, lessons learned and sustainability.

Accreditation

CME
The University of Kentucky College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

CPE
The University of Kentucky College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This knowledge-based activity has been assigned ACPE # 022-000-10-023-H01-P and will award 1.00 contact hour (0.1 CEU) of continuing pharmacy education credit in states that recognize ACPE providers.

Statements of credit will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity. Successful completion includes completing the activity, its accompanying evaluation and/or posttest (score 70% or higher) and requesting credit online at the conclusion of the activity. The College complies with the Accreditation Standards for Continuing Pharmacy Education.

CNE

The University of Kentucky, College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).

This educational activity is offered for a maximum of 1.00 ANCC contact hours.

The Kentucky Board of Nursing (KBN) approves The University of Kentucky, College of Nursing (UKCON) as a provider as well. ANCC and KBN approval of a continuing nursing education provider does not constitute endorsement of program content nor commercial sponsors. The University of Kentucky does not approve commercial products. This educational activity is offered for a maximum of 1.2 KBN contact hours. Provider #: 3-0008-01-13- 222. In order to receive credit, participants complete CNE activity, complete the evaluation form and submit a credit application online. Certificates may be printed once the evaluation is completed.

Faculty Disclosure

Minnjuan Flournoy nor Amy Martin have anything to disclose.