1. Washington D.C., USA, 22-27 July 2012www.aids2012.org Henry Luyombya July 23, 2012

2. Washington D.C., USA, 22-27 July 2012www.aids2012.org Acknowledgement Alan Li (CAAT & Regent Park Community Centre) Ciann Wilson (York University) Funding partners Maureen Owino (CAAT) San Patten, African Black Diaspora Global Network on HIV Valerie Pierre (ACCHO) Youth & Community members who participate in our projects

3. Washington D.C., USA, 22-27 July 2012www.aids2012.org Outline of presentation Background and Social Context ABD Youth: Key Challenges The Inequities and Oppressions Successful Strategies Future Opportunities Recommendations

4. Washington D.C., USA, 22-27 July 2012www.aids2012.org Committee for Accessible AIDS Treatment (CAAT) CAAT was formed in 1999 to reduce barriers faced by people living with HIV/AIDS (PHAs) who are immigrants, refugees or people without status living with HIV/AIDS in Canada Coalition of over 45 health, legal and social service organizations plus community advocates Since its inception, CAAT has been at the forefront of education, research, service-coordination and advocacy on issues related to HIV, Immigration and access CAAT’s efforts are underpinned by principles of social justice, collective empowerment, and MEIPA (meaningful engagement & involvement of people living with and affected by HIV/AIDS)

5. Washington D.C., USA, 22-27 July 2012www.aids2012.org Social Context: Cycle of Social & Internalized HIV Stigma/Discrimination & Racism Societal Stigma & Discrimination Unsafe social environment for HIV disclosure Black Youth PLWHIV non- disclosure  ‘invisibility’  community emotional disconnection Lack of Youth PLWHIV and Black community leaders to champion HIV issues Denial & ‘Othering’ undermine HIV prevention/support efforts S TIGMA 5 www.hivimmigration.ca

6. Washington D.C., USA, 22-27 July 2012www.aids2012.org Key C hallenges M IGRATION R ELATED : - Pre/post migration trauma & loss - Settlement/integration - Access to determinants of health (e.g., employment, trade and professions) - Legal barriers S TIGMA & D ISCRIMINATION : - Racism - Sexism - Homophobia, - Transphobia - Xenophobia - HIV stigma and AIDS Phobia - Etc. A CCESS B ARRIERS : - Language barriers - Cultural & social inclusion /competency - Migration status related eligibility  affecting health care and service access - Stigma related barriers 6CAAT 2012

7. Washington D.C., USA, 22-27 July 2012www.aids2012.org Sexism Transphobia Racism Ableism Classism Heterosexism/ Homo/transphobia Other Oppressions Ageism Inequities. Josephine P. Wong © 2012 7 Barriers to Disclosure- Stigma

8. Washington D.C., USA, 22-27 July 2012www.aids2012.org YPLWHIV ASOs In/Out of school Youth Academic / Community Researchers Research KTE Action CAAT 2012 8

9. Washington D.C., USA, 22-27 July 2012www.aids2012.org Turning the Tide: Future Opportunities SuccessFailure Mutual trust Shared values Shared power Shared leadership Shared resources Shared knowledge Transparency Equity & Fairness Pragmatism Mutual trust Shared values Shared power Shared leadership Shared resources Shared knowledge Transparency Equity & Fairness Pragmatism www.hivimmigration.ca9

10. Washington D.C., USA, 22-27 July 2012www.aids2012.org Recommendations to ‘turn the tide’ PLWHIV: Adults & Youth Non-PLWHIV: Adults & Youth Media/Faith Leaders Policies for Diverse Youth Needs SDOH Researchers / Service Providers National & International networks www.hivimmigration.ca

11. Washington D.C., USA, 22-27 July 2012www.aids2012.org Contact Information Henry Luyombya Research Project Coordinator, CHAMP Study Office: +1.416.642.6486 ext 2265 Cell: +1.647.718.5634 hluyombya@ohtn.on.ca champ@hivimmigration.ca www.HIVimmigration.ca HIVimmigration @HIVimmigration

12. Washington D.C., USA, 22-27 July 2012www.aids2012.org