Planning HIV Prevention Programs in Wisconsin: A Toolkit for American Indian Tribal HIV/AIDS Coordinators Megan Reading project developed for Wisconsin Department of Health Services Division of Public Health AIDS/HIV Program

Background American Indians are disproportionately affected by HIV American Indians are disproportionately affected by HIV HIV programs and resources are minimal HIV programs and resources are minimal 11 federally recognized tribes in Wisconsin 11 federally recognized tribes in Wisconsin

Wisconsin Reservations

Identification of Needs 2007 Statewide Action Planning Group (SAPG) meeting at College of Menominee Nation 2007 Statewide Action Planning Group (SAPG) meeting at College of Menominee Nation Identified need for HIV prevention resources for American Indian HIV Coordinators Identified need for HIV prevention resources for American Indian HIV Coordinators Limited time for HIV programming Limited time for HIV programming Staff turnover Staff turnover Concerns: Concerns: Health disparities Health disparities Stigma Stigma Confidentiality Confidentiality Cultural competency Cultural competency Accuracy of reporting Accuracy of reporting Development of an HIV prevention toolkit for HIV Coordinators Development of an HIV prevention toolkit for HIV Coordinators

Project Planning and Development Toolkit Objectives Toolkit Objectives Provide background information on impact of HIV on American Indian communities Provide background information on impact of HIV on American Indian communities Provide HIV Coordinators with information to develop an HIV prevention program Provide HIV Coordinators with information to develop an HIV prevention program Logic Model Logic Model Planning Model Planning Model Evaluation Implementation Planning Process Assessment

Product HIV/AIDS Prevention Toolkit for American Indian Tribes HIV/AIDS Prevention Toolkit for American Indian Tribes Introduction Introduction General HIV Information General HIV Information Background Information Background Information American Indian Culture American Indian Culture Community Assessment Community Assessment Planning Planning Implementation Implementation Health Services Health Services Evaluation Evaluation Resources Resources Glossary Glossary References References

HIV/AIDS Prevention Toolkit Community Assessment Community Assessment Community Readiness Model Community Readiness Model Focus groups, talking circles, windshield surveys Focus groups, talking circles, windshield surveys Planning Planning Develop goals and objectives Develop goals and objectives Develop materials Develop materials Develop activities Develop activities Implementation Implementation Carry out activities Carry out activities Evaluation Evaluation Data collection Data collection Analysis Analysis Recommendations Recommendations

43 rd Annual Menominee Nation Contest Powwow

Menominee Tribal Clinic HIV/AIDS Table

Conclusion Lessons Learned Lessons Learned Continued need for culturally appropriate programming Continued need for culturally appropriate programming Importance of building relationships with the American Indian community Importance of building relationships with the American Indian community Support for American Indian programs Support for American Indian programs

Next Steps Review by AIDS/HIV program staff and HIV coordinators Review by AIDS/HIV program staff and HIV coordinators Revise toolkit Revise toolkit Disseminate to HIV coordinators Disseminate to HIV coordinators Train HIV coordinators on use of toolkit Train HIV coordinators on use of toolkit Update toolkit Update toolkit

Discussion Limited HIV prevention materials specific to American Indian culture Limited HIV prevention materials specific to American Indian culture Inaccurate reporting of race on HIV testing forms Inaccurate reporting of race on HIV testing forms Increased need for resources and funding Increased need for resources and funding National Native American AIDS Prevention Center National Native American AIDS Prevention Center

Acknowledgments Jim Vergeront, Wisconsin Department of Health Services, AIDS/HIV Program Jim Vergeront, Wisconsin Department of Health Services, AIDS/HIV Program Narra Smith Cox, University of Wisconsin- Madison, Division of Continuing Studies Narra Smith Cox, University of Wisconsin- Madison, Division of Continuing Studies Barb Duerst, University of Wisconsin- Madison, MPH Program Barb Duerst, University of Wisconsin- Madison, MPH Program Karen Johnson, Wisconsin Department of Health Services, AIDS/HIV Program Karen Johnson, Wisconsin Department of Health Services, AIDS/HIV Program Melissa White, Menominee Tribal Clinic Melissa White, Menominee Tribal Clinic Great Lakes Inter-Tribal Council Great Lakes Inter-Tribal Council