The mobile testing unit will include free condoms, birth control shots, Gonorrhea testing, Chlamydia testing, HIV testing, counseling, access to other resources, and information about HIV/AIDS and STDs. The mobile testing unit will provide free condoms for anyone that needs them. Condoms help prevent pregnancy and protect against sexually transmitted infections, including HIV, Gonorrhea and Chlamydia when used correctly.[7] According to Consumer Reports, Durex brand condoms, particularly Extra Sensitive Lubricated Latex and Performax Lubricated, received the excellent scores in reliability and strength.[8] The average cost mentioned by consumer reports was $0.83 per condom and buying just 1000 condoms would cost $830.00. Since these condoms have excellent strength are so reliable, I will provide these on my testing unit. To cut costs here, I would buy these Durex brand condoms in bulk for $160.00 per 1000 condoms.[9]

http://www.uncrate.com/men/body/health-fitness/durex-condom-variety-pack/

Durex Condoms

One of the most effective ways to prevent birth control is to use condoms but my mobile testing unit will also provide birth control shots to further minimize the risk of pregnancy occurring. The Shot is a shot that when taken once can prevent pregnancy for only 12 weeks.[10] It will be up to the people that take this shot, to continue to come back to the unit for further treatment. The overall cost will be $235 - $585, an average of $410 per person. It would be more costly to take care of a baby born with AIDS, than to provide this shot. Since there was high correlation of AIDS and STDs in St. Louis, I wanted to offer Chlamydia and Gonorrhea testing as well as treatment on my van. Gonorrhea, Syphilis and Chlamydia testing costs an average of $72, 800 per year.[11] Gonorrhea and Chlamydia, together, will be tested using urine specimens.[12]

THE SHOT

http://www.plannedparenthood.org/birth-control-pregnancy/birth-control/the-shot.htm

The most effective way to know if you have a viral disease or not, is to use a blood test which takes a long time for results but only costs $5 - $6,[13] but the negative aspect is that people fail to return after testing for post-test counseling where their results are told.[14] OraQuick is generally used, but blood tests are needed if OraQuick results come back positive. OraQuick is very effective for programs such as this.[15] Generally, most people prefer OraQuick to the traditional blood tests because of the quick results. For example, in a study conducted by Liang et al, 64.5% of people preferred OraQuick to the traditional method. Also, African Americans were more likely to choose this method over the traditional method.[16] Particularly, OraQuick appealed to those that had less social stability were less likely to return for results of the traditional test.[17] OraQuick’s advantages are fast and reliable results, easy storage and the ability to do effective post-counsel testing with results present.[18] QraQuick is quick and ready in 20 minutes or less with reliable results.[19] The test is conducted by using the individual’s oral fluid[20] and the total cost is about $11.20 per test.[21] Although on the expensive side, because it would cost $11,200 to treat 1,000 people, this test is very importanat because it has quick, reliable results and allows time for post- counseling. Post-counsel during same visit for those receiving OraQuick very important to do.[22]

OraQuick

http://www.orasure.com/products/default.asp?sec=2&subx=2&cid=2&prd=138

  The staff on the testing unit will consist of 2 – 3 highly trained people. One will be a registered nurse and the other will be a counselor. Both will know how to drive and the third person will be a volunteer that drives and recruits people from the street when needed[25] The total cost in man-power will be $103, 464 per year, according to average pay detailed by Monster.com.[26] The van will operate every day of the week during and after business hours. It will also function during the weekend and at health fairs to accommodate more people.[27] Target will be low income areas who may not be able to get to clinics for regular doctor visits or who may not have the means to pay for various tests. It will test between 7-12 people each day equivalent to 2555 – 4380 people each year, and hopefully more people if other organizations promote this program by educating the community on the importance of testing, as well as distributing the schedule of where the testing unit will be each day.

Essentially, the mobile testing unit is accepted by community members.[28] SHOVE will be a testing unit that is stationary at very high risk places within the zip codes. It will stay stationary at the one place, for the same amount of time every day. A schedule would need to be sent out. Overall, the mobile testing unit needs to stay updated and keep up with changing trends in rates. The Mobile Testing Unit will move as needs change.[29] If the AIDS Rate increases in another zip code and decreases in another, the testing unit will move to the new area. SHOVE will also go into local businesses and offer free testing. It will also go into health fairs and community functions, to distribute condoms and offer testing and education. To advertise this unit, we will create a yearly schedule and abide by it, stating where the testing unit will be and how long it will be there. Hopefully the church will help advertise this, as it has in instances in the past.[30] It could do this by giving out information on HIV/AIDS and STDs as well as handing out the schedule for the mobile testing unit to its congregation as well as the entire black community, through door-to-door interactions. Perhaps the black church could collaborate with SHOVE, and allow testing to occur inside of the church when it is cold outside or allow the unit to be set up in the Church’s parking lot so that people feel more comfortable with the testing unit.