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  • Positive Interventions Vital to HIV Prevention

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    eramossoto
    29 vues35 pages
    AIDS is arguably the most dangerous infectious disease known in the history of humans on this planet. Like a tortoise HIV continues to slowly, but inexorably, invade populations in virtually every corner of the globe. Even though living with HIV may be difficult, and side effects from medications can be severe, the fact remains that AIDS deaths have plummeted in California. It is sometimes easy to forget that AIDS has an almost 100 percent mortality rate. However, as decades pass, and HIV infections continue to increase, we are reminded: The virus is chameleon-like, able to change shape and structure to ultimately resist even the cleverest of therapies and vaccine methodologies. The virus remains hidden for years before announcing itself in symptoms. Through stealth and subterfuge, the virus infects many others without even its host’s knowledge. Some diseases may be more violent in their assault, swifter in their race, but perhaps, in the end, none will be as victorious as the cunning, unrelenting, tortoise-like HIV/AIDS. In our society, that greatly values instant results, fast cures, and immediate gratification, prevention is a hard sell. But against HIV, prevention – specifically transmission prevention – is our best, long-term hope. We may not see a dramatic, immediate change as a result of prevention with positives programs, but, with time, change will occur. Small changes that magnify and multiply over time can change the outcome of the epidemic.

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    AIDS is arguably the most dangerous infectious disease known in the history of humans on this planet. Like a tortoise HIV continues to slowly, but inexorably, invade populations in virtually every corner of the globe. Even though living with HIV may be difficult, and side effects from medications can be severe, the fact remains that AIDS deaths have plummeted in California. It is sometimes easy to forget that AIDS has an almost 100 percent mortality rate. However, as decades pass, and HIV infections continue to increase, we are reminded: The virus is chameleon-like, able to change shape and structure to ultimately resist even the cleverest of therapies and vaccine methodologies. The virus remains hidden for years before announcing itself in symptoms. Through stealth and subterfuge, the virus infects many others without even its host’s knowledge. Some diseases may be more violent in their assault, swifter in their race, but perhaps, in the end, none will be as victorious as the cunning, unrelenting, tortoise-like HIV/AIDS. In our society, that greatly values instant results, fast cures, and immediate gratification, prevention is a hard sell. But against HIV, prevention – specifically transmission prevention – is our best, long-term hope. We may not see a dramatic, immediate change as a result of prevention with positives programs, but, with time, change will occur. Small changes that magnify and multiply over time can change the outcome of the epidemic.

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    29 vues35 pages

    Positive Interventions Vital to HIV Prevention

    Transféré par

    eramossoto
    AIDS is arguably the most dangerous infectious disease known in the history of humans on this planet. Like a tortoise HIV continues to slowly, but inexorably, invade populations in virtually every corner of the globe. Even though living with HIV may be difficult, and side effects from medications can be severe, the fact remains that AIDS deaths have plummeted in California. It is sometimes easy to forget that AIDS has an almost 100 percent mortality rate. However, as decades pass, and HIV infections continue to increase, we are reminded: The virus is chameleon-like, able to change shape and structure to ultimately resist even the cleverest of therapies and vaccine methodologies. The virus remains hidden for years before announcing itself in symptoms. Through stealth and subterfuge, the virus infects many others without even its host’s knowledge. Some diseases may be more violent in their assault, swifter in their race, but perhaps, in the end, none will be as victorious as the cunning, unrelenting, tortoise-like HIV/AIDS. In our society, that greatly values instant results, fast cures, and immediate gratification, prevention is a hard sell. But against HIV, prevention – specifically transmission prevention – is our best, long-term hope. We may not see a dramatic, immediate change as a result of prevention with positives programs, but, with time, change will occur. Small changes that magnify and multiply over time can change the outcome of the epidemic.

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    Positive Interventions:

    Vital to HIV Prevention

    Successful HIV Prevention Programming for PLWHA

    Edwin Ramos-Soto

    March 31st, 2009

    Dedicated to:
    The HIV-Positive Individuals Of Orange County, CA Who Throughout The Epidemic Have Taken Extraordinary Steps To Protect Others, thereby Preventing The Spread of HIV

    Presentation Summary

    Positive Preventions Community Needs Assessment Successful prevention program with (MSM) PLWHA Measure of success Closing Thoughts

    Objectives
    At the completion of this session Scholars will:
    Explain

    how the needs of PLWHA were assessed

    Describe

    how AIDS Services Foundation (ASF) has conducted a successful program with PLWHA how the success of ASF HIV prevention program with PLWHA is measured

    Discuss

    Positive Preventions Backdrop

    Prevention efforts focused on HIV-negative


    Emphasis on care/support services to PLWHA Many factors point to the need for interventions designed for PLWHA

    Positive Preventions Backdrop - Factors

    Need for interventions for PLWHA


    Increasing

    number of PLWHA

    High

    rates of infection in communities of color; resurgence of HIV in some populations


    HAART impact

    The

    Positive Preventions Backdrop - Factors


    Maintenance

    challenge

    of low-risk behavior

    HIV

    transmission prevention environment is increasingly complex number of PLWHA are living and coping well with disease challenges lapse into unsafe behaviors

    Increasing

    Occasional

    Positive Preventions Logic of Preventions for PLWHA


    New New

    infections involve an HIV-infected individual

    infection can be prevented by intensive efforts directed toward population capable of transmission truth, complicated repercussions

    Simple

    Prevention

    efforts directed toward PLWHA need to encourage responsibility, support lifestyle, and support relationships.

    AIDS Services Foundation PLWHA Needs Assessment

    Community Needs Assessment

    Sources:
    PLWHA,

    Consumers and Gate Keepers

    Agency

    staff
    partners

    Community OCHCA

    (local DOH)

    AIDS Services Foundation PLWHA Needs Assessment

    Community Needs Assessment

    Data collection strategies: Informal


    Frequent

    clients

    conversations with colleagues and

    Formal
    Strategic

    Planning meetings Focus Groups

    AIDS Services Foundation PLWHA Needs Assessment

    Community Needs Assessment

    Results: Many HIV-positive persons live with multiple diagnoses


    Health

    care adherence and HIV transmission prevention are not primary concern

    AIDS Services Foundation PLWHA Needs Assessment

    Community Needs Assessment

    High-risk

    behaviors are not exclusive to those who struggle with poverty, stigma, mental illness risk behaviors transcend class, economic status and demographic group

    Some

    AIDS Services Foundation PLWHA Needs Assessment A

    Community Needs Assessment

    comprehensive approach to prevention with positives must include strategies intervene with high-risk behaviors
    strategies for engaging out-of-care HIV-infected persons into care of limited resources means communities can not provide entire range of possible interventions

    Include

    Reality

    AIDS Services Foundation PLWHA Needs Assessment Factors

    Community Needs Assessment

    that place any HIV-positive person at risk for transmitting the virus are often highly individualized
    simply identifying risk behaviors, it is important to gain understanding of the place these behaviors hold within the context of each individuals life

    Beyond

    ASF Mpowerment EBI adaptation for (MSM) PLWHA

    Successful prevention program

    Formative research led to the adaptation and implementation of a Mpowerment EBI for (MSM) PLWHA
    Mpowerment

    intervention

    is a peer-led community level

    Through

    Mpowerment large numbers of PLWHA are reached in a cost-effective manner because it operates on the community level

    ASF Mpowerment EBI adaptation for (MSM) PLWHA Mpowerment

    Successful prevention program

    is designed to be tailored to the characteristics of every community on interrelated Core Elements that each community can adapt

    Based

    ASF Mpowerment EBI adaptation for (MSM) PLWHA Adapted


    Successful prevention program

    for MSM PLWHA, the Mpowerment intervention mobilizes individuals to:


    Shape a healthy community for themselves Build positive social connections Support safer sex

    ASF Mpowerment EBI adaptation for (MSM) PLWHA Two

    Successful prevention program

    programs were implemented:

    Positive Life Force

    English-speaking HIV-positive MSM

    Hombres Por La Vida

    Spanish-speaking HIV-positive MSM

    Successful prevention program with (MSM) PLWHA

    English-speaking

    Spanish-speaking HIV-Positive MSM Program

    HIV-Positive MSM Program

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA Individual
    Allow

    interventions

    the development of a collaborative relationship

    Assist

    clients in making plans for individual behavior change and ongoing appraisals of their own behavior safe space to explore sensitive topics

    Provide
    Making

    appropriate referrals to HIV prevention and other supportive services

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA
    Group-level

    interventions

    Allow for exchange of ideas, experiences, support, resources


    Enhance communication skills and receive feedback Monthly Positive Voice (Core Group) Meeting where PLWH provide input and direction for the program design and implementation of workshops, social activities and community building events. Positive Voice Group members become empowered as they take part as decision makers, help provide input and feedback and assist the program to remain client-centered.

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA

    Health Communication/Public Information


    A Reality Check HIV Disclosure, Who? When? Where? How? Party Smart HIV Meds and Drug Interactions Passionate Living Become your greatest self-advocate Understanding your labs Take all your meds Building Adherence Your new life stage Life after HIV diagnosis, what next? Living Well with HIV Living Happy Managing HIV & Depression

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA Community-level

    intervention

    Allow for community-wide events, which serve as an effective compliment to individual and group-level interventions Seek to change normative community attitudes and behaviors, providing opportunity for the diffusion and support of lower risk behavior

    Successful prevention program


    Levels of Interventions for (MSM) PLWHA

    Individual-Level Intervention Program Evaluation

    Measure of Success

    By June 30, 2009, the HIV-positive MSM programs will conduct a minimum of ninety (90) risk reduction counseling sessions, and make referrals when appropriate, to a minimum of thirty (30) unduplicated English-speaking individuals and a minimum of thirty (30) unduplicated Spanishspeaking individuals
    Evaluation indicator: Health Education/Risk Reduction forms, ILI Risk Assessments, Risk Reduction Plans

    Group-Level Intervention Program Evaluation

    Measure of Success

    After participating in core group meetings, eighty-percent (80%) of individuals will report a decrease in social isolation due to HIV disease
    Evaluation indicator: meeting evaluation reports

    Health Communication Public Info Program Evaluation

    Measure of Success

    By June 30, 2009, the HIV-positive MSM programs will conduct fourteen (14) workshops to increase prevention behavior, improve personal attitudes toward HIV and prevention and increase a sense of personal responsibility. Evaluation indicator: Sign-in sheets, curriculum, prevention materials, pre/post assessment scores

    Health Communication Public Info Program Evaluation

    Measure of Success

    After participating in the workshop, eightypercent (80%) of individuals will demonstrate competency in utilizing items in safe sex kits.
    Evaluation indicator: safer sex competency check sheets

    Community-Level Intervention Program Evaluation

    Measure of Success

    By June 30, 2009, the HIV-positive MSM programs will conduct two (2) community events, one in English and one in Spanish, to empower a minimum of thirty (30) HIVpositive MSM individuals per event, and to increase their awareness of HIV support services and related health issues
    Evaluation indicator: meeting evaluation reports and sign-in sheets

    Closing Thoughts
    ...in one last plea, let me drive home the point that reducing not eliminating transmission is truly our only hope at this stage of the epidemic. To realize this feat is no small endeavor and would be the noblest of accomplishments. But it requires the pragmatic and steadfast efforts of individuals, communities, professionals, and governmental agencies... - Dwayne C. Turner

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