P283 The alberta 2016–2020 STBBI operational strategy and action plan: collective impact to address the provincial STI outbreak
Bibliographic record
Abstract
Background In April of 2016, a provincial sexually transmitted infections (STI) outbreak was declared in Alberta. In response to sharply rising rates, Alberta formed the Alberta Sexually Transmitted and Blood Borne Infection (STBBI) Network (ASN) and developed the 2016–2020 STBBI Operational Strategy and Action Plan (OSAP). The aim of the STBBI OSAP is to transform STBBI care in Alberta by leveraging engagement and commitment from within the ASN to achieve collective impact and develop wrap around shared care models through formalized interagency collaboration. Methods ASN has grown to include over 500 stakeholders representing approximately 200 community-based, provincial and federal organizations including communities most affected by STBBI (Indigenous, LGBTQ2+, immigrants, and street involved clients). The OSAP comprises 74 recommendations that focus on five pillars of client-centred STBBI care: (1) prevention, (2) testing/screening, (3) treatment, (4) linkage to care, and (5) stigma. Seven working groups designed 15 project concepts with endorsement from the Steering Committee to optimize achievement of prioritized recommendations. Results Implementation of STBBI OSAP priority recommendations is still underway in 2019. Some prioritized action items include: PrEP guidelines and training program for designated prescribers; a validation study of self-collected gonorrhea/chlamydia NAAT specimens to improve access to low barrier testing opportunities; expedited partner therapy; expanded Hepatitis C treatment access in Indigenous communities; education for primary care providers to increase access and linkage to STBBI care; and formalizing interagency collaboration through the development of STBBI wrap around shared care model demonstration projects. Conclusion The STBBI OSAP is an innovative, comprehensive, and collaborative intersectoral approach to address the high burden of STBBI in Alberta and to strengthen the provincial outbreak response. The strength of this provincial initiative is the engagement and collaboration amongst ASN stakeholders to achieve long lasting impact and sustainability of both systemic and operational interventions. Disclosure No significant relationships.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.014 | 0.017 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.006 | 0.002 |
| Scholarly communication | 0.007 | 0.001 |
| Open science | 0.004 | 0.006 |
| Research integrity | 0.005 | 0.004 |
| Insufficient payload (model declined to judge) | 0.021 | 0.004 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".