Skip to main content
  • Poster presentation
  • Open access
  • Published:

Cadillac care for the poor... addressing local health emergency around STDs and HIV in an urban community-based medical home


NHSC, an urban community-based health center in Plainfield, Union County, NJ, USA, provides services to 25,000 uninsured/minority/impoverished patients. Plainfield consistently ranks first and second among the 29 Union County municipalities for Syphilis, Gonorrhea and Chlamydia. Plainfield ranks second for the numbers of HIV/AIDS. There is, therefore, a dire need to address the existing health emergency around STDs and its correlation with HIV.


NHSC incorporates a coordinated, proactive, patient-centered approach to integrating STD screening/prevention with primary care in a medical home environment. Risk assessments/screenings are done by clinicians. Those identified suspicious for STD or with STD symptoms/diagnosis receive on-the-spot HIV counseling and Rapid testing. Patients receive immediate treatment intervention for suspected STDs. There are on-going prevention efforts including development of Risk Reduction Plans agreed upon/signed by patients.


Resulting from the integrated STD/HIV prevention approach: 100% of patients presenting with symptoms/suspicion for STDs received HIV counseling/Rapid testing; 100% received prevention education and free condoms; 100% had Risk Reduction Plans developed and agreed upon; 19 persons were identified STD and HIV positive and were immediately linked to care.


Integration of STD/HIV prevention with outpatient care under the umbrella of Early Intervention Services allowed to: identify extend of STD/HIV correlation; allow for a seamless one-stop shop prevention-treatment service delivery model; improve patient awareness of on-site prevention/treatment resources.

Author information

Authors and Affiliations


Corresponding author

Correspondence to Larisa Kudryashova-Hernandez.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and permissions

About this article

Cite this article

Kudryashova-Hernandez, L. Cadillac care for the poor... addressing local health emergency around STDs and HIV in an urban community-based medical home. Retrovirology 9 (Suppl 1), P74 (2012).

Download citation

  • Published:

  • DOI: