JANUARY 1 - DECEMBER 31,
Test Site Name ______________
Instructions: Please fill in the current quarter and year-to-date totals for the Pooled Funds, Other Funds and Total Program Units.
(Quarterly Reports are due 4/14/06, 7/14/06, 10/13/06, 1/12/07)
Report Period: 1st Quarter, 2006
Date of Report : 4/14/2006
| SERVICE UNITS | POOLED HIV/AIDS FUNDS | TOTAL PROGRAM | |||||||||||||
| Goal | Quarterly Totals | YEAR TO DATE | YTD as % of goal | Goal | Quarterly Totals | YEAR TO DATE | YTD as % of goal | ||||||||
| 1st | 2nd | 3rd | 4th | 1st | 2nd | 3rd | 4th | ||||||||
| HIV CONSELING & Testing | |||||||||||||||
| Service Unit: Single Session HIV C/T | 1045 | 817 | 0 | 0 | 0 | 817 | 78% | 1045 | 817 | 0 | 0 | 0 | 817 | 78% | |
| Service Unit: # of HIV positive specimens confirmed by Western blot | 15 | 11 | 0 | 0 | 0 | 11 | 73% | 15 | 11 | 0 | 0 | 0 | 11 | 73% | |
| Service Unit: # of NEWLY-IDENTIFIED HIV positive specimens confirmed by Western blot | 15 | 10 | 0 | 0 | 0 | 10 | 67% | 15 | 10 | 0 | 0 | 0 | 10 | 67% | |
| Service Unit: # of African American | N/A | 244 | 0 | 0 | 0 | 244 | N/A | N/A | 244 | 0 | 0 | 0 | 244 | N/A | |
| Service Unit: # of Latino clients | N/A | 148 | 0 | 0 | 0 | 148 | N/A | N/A | 148 | 0 | 0 | 0 | 148 | N/A | |
| Service Unit: # of MSM Clients | N/A | 21 | 0 | 0 | 0 | 21 | N/A | N/A | 21 | 0 | 0 | 0 | 21 | N/A | |
| Service Unit: # of MSM/IDU clients | N/A | 6 | 0 | 0 | 0 | 6 | N/A | N/A | 6 | 0 | 0 | 0 | 6 | N/A | |
| Service Unit: # of IDU clients | N/A | 226 | 0 | 0 | 0 | 226 | N/A | N/A | 226 | 0 | 0 | 0 | 226 | N/A | |
| Service Unit: # of clients with high risk sex partner | N/A | 314 | 0 | 0 | 0 | 314 | N/A | N/A | 314 | 0 | 0 | 0 | 314 | N/A | |
| Service Unit: # of clients with other risk | N/A | 244 | 0 | 0 | 0 | 244 | N/A | N/A | 244 | 0 | 0 | 0 | 244 | N/A | |