Overview of Demonstration Sites
For the first time in its Demonstration Sites Program, NACCHO funded three individual local health department (LHD) demonstration sites for more than one year. The purpose of this was to understand whether multi-year funding and site-specific capacity building support would benefit sites more than the original one-year model.
Description of Programs
The Palm Beach County Health Department serves a population of nearly 1.3 million residents and 4.4 million annual visitors. Palm Beach County (PBC), Florida, is one of the largest counties in the United States with a population of 1,299,341. According to the 2007 Youth Risk Behavior Surveillance System, 47.8% percent of PBC students indicated they have had sexual intercourse, of which 32.2 percent were under the age of 15.
The City of Houston is the seat of Harris County, the most populous county in Texas and the third most populous county in the United States. In 2004, the jurisdiction’s AIDS case rate of 23.9 (per 100,000 residents) was higher than the national AIDS case rate of 15.0. The City of Houston accounts for more than 95 percent of HIV/AIDS cases within Harris County. Through a recent Community Planning Group activity to identify Behavioral Risk Groups, youth between the ages of 13–24 years were identified as one of the priority populations.
The Philadelphia Department of Public Health serves the sixth largest city in the United States, with a population of 1,517,550 persons; 110,701 of which are between 15–19 years of age. Adolescents are a group that remains disproportionately affected by STDs in Philadelphia. Annually, the highest case rates of gonorrhea and Chlamydia occur in adolescents, ages 15–19. In 2002, the Chlamydia case rate among females ages 15–19 was more than 8,000 per 100,000.