The purpose of this survey is to provide an overview of the first goal of Oregon's Viral Hepatitis Elimination Plan, Prevent New Infections, and solicit feedback from a wide variety of partners.
 
For the goal of preventing new infections, we propose two main objectives that represent changes, outcomes and impacts that we want to achieve: 
 
1) Expand availability of harm reduction services; and
2) Increase hepatitis A (HAV) and B (HBV) vaccination rates

We want your opinion on the proposed strategies and to hear about what we are missing.  What strategies does your agency or healthcare facility already employ, and are there additional strategies that you could implement? As you go through the document, we have boxes at the end of each set of strategies where we would love your feedback on each aspect.
 

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* 1. Please select the following groups that you represent. Please select all that apply.

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* 2. Please add your name or email 

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* 3. 1. Expand availability of harm reduction services

A. Expand harm reduction options in healthcare and community settings

o   Expand number of syringe services programs (SSPs) as well as operating days and hours in every county

o   Expand use of peer recovery specialists in the community, healthcare settings, behavioral health, and MOUD/SUD treatment settings to promote harm reduction

o   Improve access to harm reduction supplies in pharmacies, emergency departments, healthcare clinics, SUD and MOUD clinics, as well as community settings such as food pantries, bottle drops, houseless encampments, and through free harm reduction vending machine

o    Increase availability of syringe disposal in pharmacies, emergency departments, schools, and community settings

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* 4. 1. Expand availability of harm reduction services

B. Improve hygiene and sanitation for persons experiencing houselessness (PEH)

o   Increase access to toilets, soap and running water

o   Provide garbage disposal services at houseless camps

o   Increase access to mobile laundry and showers

o   Increase access to surface disinfectants, hand sanitizers, and disposable wipes

o   Connect houseless clients to Behavioral Health Resources Network (BHRN) providers in their community.

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* 5. 1. Expand availability of harm reduction services

C. Increase access to MOUD and SUD treatment in people who use drugs

o   Provide training to primary care providers to deliver MOUD treatment

o   Scale-up implementation of peer supported interventions to increase access to MOUD/SUD treatment

o   Assist people leaving carceral settings to access MOUD and SUD treatment through use of community health workers (CHWs), peer recovery specialists, and coordinated care organizations (CCOs)

o   Increase telemedicine options for MOUD

o   Provide training to primary care and obstetrical providers to conduct provide harm reduction counseling and prescribe naloxone

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* 6. 2. Increase HAV and HBV vaccination rates

A.  Increase vaccination of high-risk adults

o   Recruit and maintain a network of public and private providers to administer

Section 317- and state-funded (if applicable) vaccines to eligible adult populations.

o   Promote routine vaccination for Hep B for all adults 19-59 and adults over 60 with risk factors in clinical settings

o   Increase vaccination rates in carceral settings, adult community-based facilities serving people with psychosocial disabilities, and among PEH

o   Promote educational programs for high-risk adults to increase vaccine confidence

o   Increase vaccination of high-risk adults accessing behavioral health and substance use disorder settings, pharmacies, dentists, health fairs and community outreach settings such as SSPs

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* 7. 2.  Increase HAV and HBV vaccination rates

B. Increase uptake of HBV vaccine birth dose for newborns

o   Train providers on increasing vaccine confidence in pregnant women

o   Develop education for providers and families on importance of newborn dose of HBV vaccine

o   Provide case management of infants born to HBV-infected mothers to ensure appropriately timed doses of vaccination and follow-up testing

o   Monitor HBV vaccine administration data in the state immunization registry to monitor coverage of infants

o    Address system changes to assure birth dose administered at the hospital by increasing the number of birthing hospitals that track HBV birth dose coverage and are enrolled as Vaccines for children (VFC) providers

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* 8. 2. Increase HAV and HBV vaccination rates

C. Support routine vaccination of children

o   Recruit and maintain a network of public and private providers to administer:
  • VFC vaccines to program-eligible populations
  • Section 317- and state-funded (if applicable) vaccines to eligible pediatric populations
o   Promote educational programs for parents to promote vaccine confidence

o   Monitor hepatitis vaccine administration coverage of infants, children, and adolescents in the state immunization registry

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