my hiv work history - phsad conference 2010 03 23

HIV in Our Community/ies

Carrie RheingansSocial Work Intern

HIV/AIDS Resource CenterPHSAD Global Health Conference

23 March 2010

Outline Timeline/Past Work Some Epidemiology Outreach HIV Testing, Counseling,

and Referral Policy Future Work

Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

Timeline/Past Work

2004-2005: Project Community

2006: HARC Volunteering

2007-2008: HARC Staff 2008, 2009, 2010:

Campaign to End AIDS, Youth action Institute

2008-2009: Public Health/AmeriCorps

2009: Vía Libre 2009 – Present: Social

Work


Project Community/HARC

Sociology course based on Freire’s concientization pedagogy

Course facilitator Volunteer at HARC Staffed the testing clinic Later state-certified to

do HIV test counseling


Fund Development Coordinator


Fundraising for general budget

Special events – dinners, silent auction, wine tasting, AIDS Walk

Community coalitions SHOC, WAW

Attended trainings & conferences

C2EA/Youth Action Institute (2008-2010)


AmeriCorps


National service program Peace Corps Teach for America

Served 1800+ hours, 11 monthsLiving stipend, education awardTeam

AmeriCorps Projects


Public Health Internship


HIV testing, counseling, & referral (including in Spanish)

Community education, guest lectures, outreach

Volunteer coordination Social media support Community coalitions

SHOC, WAW, MiCASH, C2EA

Vía Libre


ASO in Lima, Peru Serves most of Peru

Outreach/testing trip Training with staff Trainings with youth Website development

with youth voices

Vía Libre


Social Work Internship


Social media guidelines Interview board, staff Grant writing

Present at conferences Sex::Tech (Feb 2010) NASW-MI (April 2010)

Community coalitions SexLab research



C2EA Community Conversation with the White House Office for National AIDS Policy

November 2009 100+ attendees Feedback to ONAP

about HIV in Michigan

Epidemiology - Michigan

18,000 estimated living with HIV 52% of known transmission mode among men who

have sex with men (MSM) 17% among injecting drug users Fastest rising rates among African-American MSM,

African-American women, especially young (13-24)


Data from Michigan Department of Community Health 2008 Epidemiological Profile:http://www.michigan.gov/documents/mdch/2008_HIV_Epi_Profile_251292_7.pdf

http://www.michigan.gov/documents/mdch/2008_HIV_Epi_Profile_251292_7.pdf

Epidemiology – Washtenaw County

30 new infections in 2008

21 among MSM 1 among IDU 6 among “low-risk”

heterosexual

25 among men 5 among women (4

were co-diagnosed with AIDS)

16 among African-American

13 among Whites 16 among youth (15-29)


Data from Washtenaw County 2008 Profile: https://www.ewashtenaw.org/government/departments/public_health/phcontent/hiv-aids_trends2008.pdf

https://www.ewashtenaw.org/government/departments/public_health/phcontent/hiv-aids_trends2008.pdf



HARC Prevention Overview

Outreach Where people

congregate Mobile unit to high-

prevalence zip codes Education

HIV 101 presentations Part of HIV testing During outreach

HIV Testing, Counseling, Referral In clinics Health departments Mobile unit Rapid, traditional Anonymous,

Confidential


Prevention – Stigma

AIDS stigma often works against HIV prevention activities: Discrimination against

those living with HIV Compulsory HIV testing

(jobs, apartments) Confidentiality issues Violence

Intersecting stigmas include: Race Gender Socio-economic Status Sexuality Drug use


Preventing Transmission

HIV transmitted only via five fluids: Blood Semen (including pre-

ejaculate) Vaginal Secretions Breast Milk Cerebrospinal fluid

Barrier Methods Condoms Internal Condoms

(“female”, “Reality”) Dental Dams

Risk Reduction Lubricants Outercourse Syringe exchange Less risky behavior


Outreach

Mobile Unit HIV testing Hand out supplies Syringe exchange Hepatitis C testing Referrals

Volunteers help a lot!


Outreach

Bar Outreach Hand out supplies Referrals

Promote HIV Testing Volunteers help a

lot!


HIV Counseling, Testing and Referral

Counseling = discuss client’s risk behavior, set safer behavior goals

Testing = obtain consent, collect sample

Referral = give info about other services of interest


U.S. Policy PEPFAR: President’s

Emergency Plan for AIDS Relief Initiated 2003, renewed

2008 Treatment available to

many Largest bilateral

agreement in world Focused on ABC model

US Visas/Entry Difficulty of getting visas Recently overturned

long-standing no-entry policy

Syringe Exchange Programs Ban on federal funding Must get exemption

from drug paraphernalia laws for programs


Michigan Laws Partner Services

One is not required to participate, but it is encouraged that those living with HIV notify their past partners. County can do it anonymously

Discrimination Law No one can discriminate

against a person infected with HIV (work, housing especially)


Disclosure Law HIV infected persons are

required to disclose status to future partners before sexual penetration

Cannot disclose someone else’s status, + or –

Consent Clients must consent to

be tested for HIV Current proposal to

remove required consent

Future Work Summer 2010: China Aizhixing Institute

conference for social workers & HIV workers

Forge connections for future exchanges


Summer 2010: Bangladesh

Shakti Foundation for Disadvantaged Women

PhotoVoice as community health assessment

Evaluate HIV-related additions to health programs

Future Work Summer 2010: Youth

Action Institute Shreveport, Louisiana More international than

ever – China, Kenya, Australia, Canada, Puerto Rico


Summer 2010: International AIDS Conference

Vienna, Austria Working with C2EA

about youth and housing issues

Future Work


Hire me and I’ll tell you

Questions? Comments? Corrections?


Carrie [email protected]

www.hivaidsresource.orgwww.americorps.govwww.sph.umich.eduwww.ssw.umich.edu http://vialibre.org.pe

www.umichsph.wordpress.comwww.nafblogger.blogspot.com


mailto:[email protected]

http://www.hivaidsresource.org/

http://www.americorps.gov/

http://www.sph.umich.edu/

http://www.ssw.umich.edu/

http://vialibre.org.pe/

http://www.umichsph.wordpress.com/

http://www.nafblogger.blogspot.com/

my hiv work history - phsad conference 2010 03 23

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