HIV and the African-American Community More of What’s Working and Less of What’s Not Jacqueline Coleman, M.Ed, MSM Vision Que!, LLC Washington, DC.

Slides:



Advertisements
Similar presentations
Making Healthy Decisions
Advertisements

No one left behind: Increased coverage, better programmes and maximum impact for key populations WHO Consolidated Guidelines on HIV Prevention, Diagnosis,
PSHE education in the Secondary Curriculum An overview of the subject.
Cultural Competency and Diversity Training. Child & Family Services is committed to: Recruiting a diverse staff that reflects the communities we serve;
Gender, Sexuality & Advocacy © 2014 Public Health Institute.
POSITIVE PREVENTION Key to stemming HIV transmission Ms. Lovette Byfield Prevention Coordinator National HIV/STI Control Program.
Building Prevention: Sexual Violence, Youth, and Drinking Holly Johnson, PhD Department of Criminology.
© Aahung 2004 Millennium Development Goals Expanding the Agenda:
Socio-cultural drivers of the HIV/AIDS epidemic in sub- Saharan Africa Prof Geoffrey Setswe DrPH 8 May 2010.
Lessons learned from Nairobi, and experiences from Serbia Mr.sci.prim.dr Dragan Ilić epidemiologist Република Србија МИНИСТАРСТВО ЗДРАВЉА 1.
Cultural Competency Issues: Sexual History Taking with Men who Have Sex with Men Chris Hall, MD Tim Vincent, MFT California STD/HIV Prevention Training.
Gerontology: Sexuality Chapter 7. The majority of elders lead active lives. –Benefit of more education and better health care practices As one ages, it.
New Directions: Multimedia Connect Professor Susan Witte & Debbie Marcus.
SEPA Session 4: Ways To Improve Communication With Our Partners
HIV testing and HIV knowledge among sexually active young Chinese, Korean, and Vietnamese women Hyeouk Chris Hahm, Ph.D, LCSW Julie Peterson Mario Feranil.
Targeting Families to Reduce Adolescent Risk? Geri R. Donenberg, PhD Associate Dean for Research Professor of Psychology in Psychiatry Director, Healthy.
Global Awareness Program Women’s Health. What sets women’s health apart from men’s? Two big themes: 1)Women generally need more health care than men because.
Cultural Competence “Whenever people of different races come together in groups, leaders can assume that race is an issue, but not necessarily a problem.”
Healthy Love Training of Facilitators National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention.
SIHLE Intervention Sisters Informing Healing Living and Empowering
Peer Support Services For Abused Women OFFERING PEER BASED SUPPORT TO INDIVIDUALS WHO ARE AT RISK OF OR HAVE BEEN ABUSED, (AND THEIR CHILDREN)
Gender and AIDS UNDP Focal Points Meeting June 2007.
ADOLESCENTS & HIV RELATED STIGMA Workshop on reduction of HIV related stigma & discrimination Musanze, October 2011 Presenter: Grace MURIISA, Pediatric.
Washington D.C., USA, July 2012www.aids2012.org “We Walk With Fear” Experiences of HIV Criminalization and Disclosure Amongst African and Caribbean.
Bheki Sithole 30 Nov Sibayeni Lodge Most at Risk Behavior Populations (MSM): Feedback, Challenges and Experiences.
“A VISION OF HOPE” EXPERIENCE OF SENEGAL IN THE FIGHT AGAINST AIDS AND REDUCING WOMEN’S VULNERABILITY Dr Khoudia Sow, CRCF, UMI 233 Dakar Sénégal.
Milwaukee Partnership to Respond to 2009 EPI AID Study in Milwaukee Brenda Coley Diverse and Resilient, Inc.
Addressing Health Disparities Among Young Men Who Have Sex With Men (YMSM) in Los Angeles County By Craig Pulsipher.
TOWARDS AN AIDS-FREE GENERATION Promoting community-based strategies for and with children and adolescents with disabilities.
SEXUALITY RIVERVALE PRIMARY SCHOOL. Sexuality Education is an important programme in our schools. It aims to help our young understand the.
SANDRA A. LOPEZ, LCSW, ACSW, DCSW CLINICAL ASSOCIATE PROFESSOR UNIVERSITY OF HOUSTON GRADUATE COLLEGE OF SOCIAL WORK CELEBRATING DIVERSITY OF CHILDREN.
Specific Aims  Revise the REMAS intervention to be more culturally relevant to African American and Hispanic Men (Phase 1).  Conduct a pilot feasibility.
Session 6 Objectives By the time we finish today, you will be able to: Name at least three ways HIV and other sexually transmitted diseases can be prevented.
HIV/AIDS VACCINE AWARENESS Vaccine 101 Jeremiah Brewer Health and Training Educator African – Americans Reach and Teach Health Ministry.
A new look at Safer Sex and Harm Reduction.. 1. Please break into small groups of 2-3 per group. 2. Introduce yourself to each other and get comfortable.
HOPE- An Adolescent Pregnancy Prevention Program Dominique Brown MPH 515 Principles of Health Behavior Dr. Brodie December 20, 2013.
2008 Minnesota HIV/AIDS Surveillance Report - Key Trends Lorraine Teel- Executive Director.
HIV Prevention Programs That Work Centers for Disease Control and Prevention (CDC)
Mainstreaming Gender issues into HIV/AIDS An Overview!! Tilder Kumichii NDICHIA CONSULTANT – GeED, Cameroon JEW workshop, Limbe 15 th – 18 th March 2010.
+ Chapter 1 Self, Family, and Community © 2013 McGraw-Hill Education. All Rights Reserved. 1.
 It refers to the widely shared expectations and norms within a society about appropriate male and female behaviour, characteristics, and roles.  It.
Project WORTH Women on the Road to Health Flipcharts Women on the Road to Health (WORTH)
S. Sutherland, L. Byfield, N. Cooper National HIV/STI Programme, Ministry of Health Jamaica, West Indies.
Overview of Project Worth (Women on the Road to Health) Beverly W. Holmes, MSW Beatrice Koon, MSW Candidate.
A Healthy Foundation. Understanding Health and Wellness Health – The combination of physical, mental/emotional, and social well-being. What power does.
Increasing Women’s Contraceptive Use in Myanmar Using Empowerment & Social Marketing Strategies By: Michelle Santos MPH 655 Dr. Rhonda Sarnoff May 2, 2013.
Many Men, Many Voices Many Men, Many Voices n Target Population –MSM gay/bisexual some non-gay identified –Black African American,
© 2009 McGraw-Hill Higher Education. All rights reserved. McGraw-Hill Diversity and Your Relationships with Others Chapter 12.
HIV/AIDS and Gender: South African Women and the Spread of Infection.
LGBTQA YOUTH & HEALTH School Based Clinic. School Clinic  Services  Cost  Location  Registration.
YONECO SRHR POLICY. SHAREFRAME CONFERENCE Salima - Malawi Mr. Samuel Bota Board Member.
Andrea Moore Information Specialist MANILA Consulting Group, Inc. American Evaluation Association Annual Meeting November 11, 2010 The Community-based.
Sexual Risk Communication between African American Fathers and Adolescent Sons Jillian Lucas Baker, DrPH, EdM Assistant Professor of Public Health La Salle.
PROMOTING THE HEALTH OF MEN WHO HAVE SEX WITH MEN WORLDWIDE A training curriculum for providers.
Safe Sex Communication, Practices and Risks of Married Women to HIV/AIDS in the Evangelical Churches of Addis Ababa, Ethiopia By Aelaf Habte.
Using Photovoice to Tell the Story of HIV Positive Women Deborah Craig MPH 2009.
Claudia L. Moreno, Ph.D., MSW
School Outreach Program
Before we begin, a little about our format…
XVII International AIDS Conference
COMBINATION PREVENTION
MOAD0103 Empowering Sex Workers in Muslim communities: Some Evidence from a Community-level HIV Prevention Programme in Northern Nigeria N.M.Ibrahim,
Adolescent Sexuality Sexual ______, _____________, and ___________
Chapter 12 Diversity and Your Relationships with Others
Tearing Down Fences HIV/STD Prevention in Rural America
Healthy Relationships Plus Program Information
Healthy Relationship Plus Program Fourth R Parent Information
Approaches to Multicultural Group Work Chapter 5
Sexuality Sexuality is a central aspect of being human throughout life and encompasses sex, gender identities and roles, sexual orientation, eroticism,
Why Peer Ed? Sexual Health and Healthy Relationships by the Numbers
Presentation transcript:

HIV and the African-American Community More of What’s Working and Less of What’s Not Jacqueline Coleman, M.Ed, MSM Vision Que!, LLC Washington, DC

2 "When I dare to be powerful to use my strength in the service of my vision, then it becomes less and less important whether I am afraid" -Audre Lorde

Objectives To increase awareness and understanding of the HIV prevention needs of African Americans [men, women and youth] in the United States To explore a social ecological perspective to uncover potential and promising elements for successful outreach and programming. To increase participants‚ understanding of the need for meaningful participation of African Americans who are HIV+ in prevention for and by positives. 3

Premise of Session Creating and implementing culturally-tailored HIV prevention and treatment/care programs for the African American community could prove advantageous in curving the overall spread of the disease particularly in the Southern region on the United States. 4

Working with African Americans Techniques for Sub-populations: –Men –Women –Youth –Heterosexual –LGBTQ –Other 5

Having Faith! 6

7

Cultural Competency “Having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities.” (National Prevention Information Network, 2007) 8

Social Determinants Social determinants of health can affect an individual's probability of acquiring HIV, through influences on behaviour, limited access to preventive measures, and limited access to healthcare providers or testing sites. 9

Let’s Deal with The Brothas Nia is a six hour, two to four session, video-based, small group level intervention. The goals of this intervention are to educate African American men about HIV/AIDS and its effect on their community, bring groups of men together, increase motivation to reduce risks, and help men learn new skills to protect themselves and others by promoting condom use and increasing intentions to use condoms. 10

Let’s Deal with The Brothas Nia is based on the Information-Motivational-Behavioral Skills (IMB). The IMB model assumes that people need information, motivation, and behavioral skills to adopt preventive behaviors. The target population for Nia is African American men (ages 18 and over) who have sex with women. 11

Let’s Deal with The Brothas A Key Session: Inducing and enhancing motivation to reduce risk for HIV by having men identify themselves and their behavior with the HIV epidemic through: (1) providing Personal Feedback Report on sex behaviors and condom attitudes (2) showing and leading discussion of videos featuring men who have been affected by HIV with whom participants can identify (3)conducting HIV Risk Continuum activity (4) eliciting and exploring personal risky sexual situations. 12

Let’s Deal with The Brothas A Key Session: Building skills for identifying and managing sexual risk situations: (1) eliciting and exploring personal risky sexual situations (2) building trigger-identifying and safer sex decision-making skills (3) facilitating trigger-identification and safer sex decision- making skills using movie clips. 13

14

The Bayard Rustin Project (BRP) The Bayard Rustin Project (BRP) is a concentrated HIV testing initiative for at-risk African-American MSM in Washington, DC. The Project aims to increase their access to and use of HIV prevention and testing services, prevent new HIV infections, address HIV/AIDS stigma and homophobia, and provide a model for controlling the HIV/AIDS epidemic in the nation's capital 15

16

17 Let’s Deal with The Sistas

Social Determinants Women’s Vulnerability to Contracting HIV Gender stereotypes and double standards Socio-economic disparities Homelessness Income Poverty Health care coverage Dynamics of power in sexual relationships *Factors are prevalent however may not be specific to women. 18

Social Determinants Women’s Vulnerability to Contracting HIV Substance Abuse and its effects on HIV vulnerability Sex Work and its effects on HIV vulnerability and access to care Mental Health* Biological and Physiological make up* Other co-occurring conditions TB, Hepatitis (viral)* Racism (inequalities and discrimination based on race and ethnicity)* Putting family and significant others needs first * 19

Empowerment Theory In order to reverse increasing HIV infection rates for U.S. women, there is an urgent need to: –Empower women and transform the way women and men relate to each other –Recognize empowerment is important for women of color because they are at increased risk of sexually transmitted HIV infection from men –Recognize risks that are further exacerbated by male control of sexual decision-making, male partner violence, and histories of child sexual abuse. 20

21 Gender Analysis Gender blind Gender neutral Gender sensitive Gender specificGender transformative

COMMON THREADS Building a Community of Storytellers to Combat HIV-Related Stigma and Disparities Common Threads is a small group HIV prevention training organized around intense, interactive, skill-building sessions. This training is designed to enhance the ability of women of African descent living with HIV/AIDS who are willing to share their life experiences (including their experiences with HIV/AIDS and other health disparities) with family members, partners, friends, and community members. 22

Effective Prevention Interventions for Women & Girls SISTA SIHLE

Ethnic & Gender Pride Sisters Informing Sisters about Topics on AIDS (SISTA)

Two Key Questions 1.What does it mean to be an African American woman? 2.Who is a strong African American woman in your life? 25

SISTAS Assertiveness Model S – I need to think about SELF first. What do I value? I – I need to use the INFORMATION that I have about sex and HIV/AIDS. What is safe for me to do? S - I need to think about the SITUATION I am in. What trouble does it put me in? 26

SISTAS Assertiveness Model T – I need to state the TROUBLE to my partner. What are my options? What are the consequences? A – I need to tell my partner in an ASSERTIVE manner what I would like to do. S – I need to SUGGEST an alternative. Can I live with he consequences of the alternative? 27

Which Type?  Means standing up for yourself at the expense and possible shame of others; language is threatening and punishing to others; we fail to consider needs of others.  You don’t feel you have the right to be heard or acknowledged; uncomfortable expressing yourself  You are able to stand up for yourself in an honorable manner; without being punishing, threatening, or putting anyone down Assertive Aggressive Non-aggressive 28

SIHLE Sisters Informing Healing Living and Empowering

SIHLE Key Exercises: 1. What do healthy and unhealthy relationships look like? 2. Love & Kisses – participants use cards to determine if behaviors are safe, safer and unsafe. 3. Media Masquerade – pictures are used to discuss how men and women are portrayed in society and media. 30

31 Check out our SIHLE Sister of the Week This 17 year old is inspiring writers young and old with her gift of poetry. She helped make Philadelphia #1 in the world for youth poetry and she is a champion in our eyes. Our SIHLE sister of the week is... Safiya Washington. To find out more about her please CLICK HERE CLICK HERE

Let’s Deal with Generation Y 32

33 Dialogue Between the Sexes

34 The Five LOVE Languages Dr. Gary Chapman If we are to develop an intimate relationship we need to know each other’s desires. If we wish to love each other, we need to know what the other person wants. Words of Affirmation Quality Time Receiving Gifts Acts of Service Physical Touch

The Art of Dialogue Each person has the right to define him/herself without being labeled by others Each person has the right to express his or her beliefs, ideas and feelings Each person has the right to ask questions that help him/her understand what someone else has said Each person has the right not to change or be coerced to change Each person has the right to expect that what is said will be held in confidence 35

Workshop Presenter Jacqueline Coleman, M.Ed, MSM Vision Que! [cell] 36