HIV Prevention Program
Reporting
Submit quarterly Affidavits of Expenditures to report on expenditures on budget line items such as salaries, materials, transportation, and indirect costs.
Submit Quarterly Reporting Forms to report on contract activities each quarter.
Collect RESPECT intervention activity data and enter data into data system specified by KDHE.
Enter CDC HIV Test Form data into Evaluation Web for each HIV test conducted using KDHE funds. Test data should be entered into EvaluationWeb no later than 30 days after the date of a conventional test and no later than 72 hours after the date of rapid test.
Submit an Adult Case Report Form for every confirmed HIV-positive test result no later than 7 days after receipt of confirmed positive test results.
Complete and submit Rapid Test Log no later than the 15th of each month.
Program Contacts
Travis Barnhart, HIV Prevention Program Manager
(785) 296-1037
tbarnhart@kdheks.gov
Jamie Anderson, HIV Counseling and Training Program Manager
(785) 296-6545
janderson@kdheks.gov
Forms Required:
Certified Affidavit of Community HIV Prevention Services of Expenditures
Community HIV Prevention Services Quarterly Report
Certified Opt-Out Testing Affidavit of Expenditures
Certified Opt-Out Testing Quarterly Report
RESPECT Data Collection Form (links to RESPECT Data Collection Form 2012)