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HEHS-00-194R 1 (2000-09-20)

handle is hein.gao/gaocrptalrs0001 and id is 1 raw text is: I GAO Accountability * Integrity * Reliability United States General Accounting Office Health, Education, and Washington, DC 20548 Human Services Division B-286071 September 20, 2000 The Honorable Ernest J. Istook, Jr. Chairman, Subcommittee on the District of Columbia Committee on Appropriations House of Representatives Subject: District of Columbia: Adolescent AIDS Prevention Program Dear Mr. Chairman: In response to your request, we have reviewed the District of Columbia's Adolescent AIDS Prevention Program, which makes condoms available to students in the D.C. Public Schools. Specifically, you asked us to obtain (1) statistics on the specific schools that are participating in this program; (2) information about how the schools were selected to participate in the program; (3) the source and amount of funding identified in the D.C. government budget; (4) statistics on sexually transmitted diseases, human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), and pregnancies among D.C. public school students;' (5) the policies that govern the distribution of all forms of contraception devices to students in the D.C. Public Schools; and (6) information on policies governing sex education in the D.C. Public Schools. In summary, the Adolescent AIDS Prevention Program is administered by school nurses in all 17 of the District's currently operating public senior high schools, at the discretion of the Mayor, the D.C. Public Schools Superintendent, and the D.C. Health and Hospitals Public Benefit Corporation. Although the program is not a separate item in the D.C. budget, a D.C. Department of Health (DOH) official reported that the condoms distributed by school nurses in the 1999-2000 school year cost $2,625 and were purchased through a grant from the Centers for Disease Control and Prevention (CDC). Information on the incidence of sexually transmitted diseases and HIV/AIDS among D.C. public high school students is not available. However, there were 1,862 reported cases of sexually transmitted diseases (about 55 per 1,000 teenagers) and fewer than 5 newly reported AIDS cases among all D.C. teenagers in 1999. For the 1998-99 school year, school nurses were aware of and monitoring 249 student 1HIV/AIDS can be contracted through means other than sexual contact and is counted separately from other sexually transmitted diseases. In addition to sexual transmission, HIV may be contracted in a number of ways, including contaminated needles, mother-to-child transmission through birth or breastfeeding, or transfusions of infected blood. GAO/HEHS-00-194R D.C. Adolescent AIDS Prevention Program

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