Igor Gruna Mocorro MPH, BSN, RN, PHN »


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Igor Gruna Mocorro MPH, BSN, RN, PHN

MPH, BSN, RN, PHN University of San FranciscoSchool of Nursing and Health Professions | Doctor of Nursing Practice (DNP) Program
Home San Francisco CA United States

Biography

Igor is a Doctor of Nursing Practice (DNP) candidate at the University of San Francisco majoring in Family Nurse Practitioner (FNP) and is expected to graduate this Spring 2020. He is an experienced multilingual Advanced Practice Registered Nurse with a demonstrated history of working compassionately with key populations and vulnerable groups. He is skilled in nursing, management, education, community, public health, and long-term care for people with disability and chronic health issues, and primary care of various populations. He graduated Bachelor of Science in Nursing (BSN) at Far Eastern University (FEU) in Manila, Philippines. He holds a Master of Public Health (MPH) degree from San Francisco State University. He is a member of the Philippine Nurses Association of America (PNAA) and currently the Public Relation Officer of the PNAA Northern California Chapter.

Igor previously work and now an intern at the San Francisco Department of Public Health in the Community Health Programs for Youth working on his DNP project, a school-based PrEP (Pre-exposure prophylaxis) for teens and adolescents in San Francisco, California. He also works part time at Peter Claver Community of the Catholic Charities – San Francisco (facility for homeless adults with mental health issues, chronic diseases and HIV, and other disability), and the Heritage on the Marina (skilled nursing and rehabilitation facility for the elderly).

Notes

Research/Clinical Practice Area: Jonas Scholar – Preventive Health

Dissertation: My DNP project, the Adolescent and Young Adult Comprehensive PrEP Education Project (AYA ComPrEP) is a school-based clinic HIV-prevention service project to be implemented at Balboa Teen Health Center of the Community Health Programs for Youth (CHPY) of the San Francisco Department of Public Health (SFDPH). This pilot project focuses on the delivery of a robust pre-exposure prophylaxis program to clients who are most at risk for HIV infection. At quarter of new HIV diagnoses in the U.S. were among adolescents and young adults (AYA) between the ages of 13 and 24. In San Francisco in 2017, 106 young people 13-24 years old are living with HIV with 24 (11%) of them were newly diagnosed. Lack of information and access to HIV-preventive pharmaceuticals reduces opportunities to prevent HIV infection in this population.

Truvada® (tenofovir disoproxil fumarate and emtricitabine in combination), a medication utilized as pre-exposure prophylaxis, has been shown in clinical trials to reduce HIV by as much as 90%. At CHPY clinics, PrEP has been offered since January 2016; however, the lack of knowledge regarding the use of PrEP specifically for AYA, inconsistent clinical staff compliance in routine screening and PrEP prescribing, and the need for standardized practice utilizing PrEP are evidenced by sub-optimal provision of PrEP remains a barrier to optimal utilization of PrEP in this population. At Balboa Teen Health Center, PrEP prescription is not yet available although a PrEP navigator is available once a week in the clinic for any adolescent who maybe interested about PrEP. This project aims to make PrEP available at Balboa Clinic, a first school-based PrEP in California. The project will include an in-depth interviews of staff about PrEP for adolescents, initiate a standardized HIV-risk-screening protocol and algorithm to identify adolescents at Balboa High School and the wider San Francisco and who are at risk for HIV infection and eligible for PrEP in order to increase these preventive services. The project will create an information platform for clinic staff and teachers that include a seminar, an information packet, updated fact sheets, and an online platform for clinicians and staff of Balboa Teen Health Center and CHPY regarding PrEP to increase awareness of HIV and available PrEP services for those most at risk in the San Francisco Bay Area.