An innovative approach to
preventing HIV transmission and
reducing HIV criminalisation
Enaam Oudih, Practice Manager, PEAC...
Acknowledgment of country
We acknowledge this Land as the Traditional Lands
of the Wurundjeri People and we respect
and su...
Outline
• Provide background information about the
process of developing “ Condom Checklist
Tool”
• Explore how the tool c...
Who are we?
• Relationships Australia (South Australia)
delivers three major programs that interact
and work collaborative...
Background
• 2006 – 2012 we learnt the following:
– Increased overseas acquired HIV notifications,
particularly among the ...
Issues related to use of condom
• Individuals from multicultural backgrounds have
had less exposure using condoms
• Often ...
Response to the issues
• PEACE in collaboration with SA Health developed the Strategic
Document titled: HIV prevention in ...
The Shared Care Model
Involve:
• Sending collective and unified messages
• Measuring collective impact (outcome)
Uses
• Sh...
Process development of the tool
Planning meeting
with highly skilled
cross cultural,
therapeutic and
nursing workers
Trail...
Purpose
• To engage the individual in considering the importance
of using a condom to protect self and others
• To increas...
The principles of tool
Improved
decision
making
Increase of skills
Level of confidence
Level of importance
Barriers and Enabling factors
Cultural factors Behavioural Environmental
• Beliefs and values
• shame
• Gender constructio...
Areas of the tool
Checklist tool
Basics
Decision making
Communication
technical skills
Storage
Legal
Assumed interpersonal skills of the
worker
• Listening skills
• Empathy
• Questioning
• Relationship and rapport building
...
What is the tool?
(Tool distribution)
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An Innovative Approach to Preventing HIV Transmission and Reducing HIV Criminalisation

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This presentation by Enaam Oudih and Goran Jovanov discusses the development of an innovative model for working with African individuals living with HIV, with particular emphasis on the barriers to safe sex, risks of further transmissions and legal implications (criminalisation).

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An Innovative Approach to Preventing HIV Transmission and Reducing HIV Criminalisation

  1. 1. An innovative approach to preventing HIV transmission and reducing HIV criminalisation Enaam Oudih, Practice Manager, PEACE Multicultural Services Goran Jovanov, Team Leader, MOSAIC Services
  2. 2. Acknowledgment of country We acknowledge this Land as the Traditional Lands of the Wurundjeri People and we respect and support their Spiritual, Physical, Economical, Intellectual and Emotional relationship with their Country. We also acknowledge the Wurundjeri people as the custodians of Melbourne and their inherent Cultural and Spiritual beliefs continue to sustain the living Wurundjeri People today.
  3. 3. Outline • Provide background information about the process of developing “ Condom Checklist Tool” • Explore how the tool can be used • Seek feedback
  4. 4. Who are we? • Relationships Australia (South Australia) delivers three major programs that interact and work collaboratively to address issues relating to HIV – PEACE Multicultural Services – MOSAIC Services – Gay Mens Health SA
  5. 5. Background • 2006 – 2012 we learnt the following: – Increased overseas acquired HIV notifications, particularly among the CALD – Increased incidence of HIV criminalisation – Increase in a number of women diagnosed with HIV – Mainstream responses did not meet the needs of CALD communities – Lack of evidence to suggest that individuals were using condoms due to an increase in STI, especially among young CALD men
  6. 6. Issues related to use of condom • Individuals from multicultural backgrounds have had less exposure using condoms • Often CALD individuals need to negotiate two world views (own cultural and mainstream) • The number of African clients being persecuted by criminal justice due to alleged transmission of HIV • Most condom health promotion messages are based on behavioural adherence rather than focus psychosocial determinants
  7. 7. Response to the issues • PEACE in collaboration with SA Health developed the Strategic Document titled: HIV prevention in Culturally and Linguistically Diverse Communities in South Australia 2012 – 2016 • Implementation of the Strategic document was the responsibility of HIV and STI sector in South Australia, under the leadership of PEACE Multicultural Services • Many projects have been created in partnership different agencies involved, one of the them is the development of Shared Care Model between MOSAIC Services, PEACE Services, HIV RDNS Nurses and HIV Women Program
  8. 8. The Shared Care Model Involve: • Sending collective and unified messages • Measuring collective impact (outcome) Uses • Shared tool to ensure use of condom • Shared tool to self management
  9. 9. Process development of the tool Planning meeting with highly skilled cross cultural, therapeutic and nursing workers Trailing of the tool Review and adjustment of the tool
  10. 10. Purpose • To engage the individual in considering the importance of using a condom to protect self and others • To increase individual sense of confidence in using the condom • To elicit and foster individual’s understanding of condom use, health literacy and skills • To explore individuals belief and values that impact on condom use • To assist individuals in making decision to use condom
  11. 11. The principles of tool Improved decision making Increase of skills Level of confidence Level of importance
  12. 12. Barriers and Enabling factors Cultural factors Behavioural Environmental • Beliefs and values • shame • Gender constructions • Understanding of own health status • Health seeking behaviour • Collective vs. individual responsibility in decision making • Balance the rights of self and rights of others • Decision making when and with whom to use the condom • Communication skills • Condom technical skills • Planning skills for safer sex • Health literacy • Access and availability • Relationships with others • Obligations relating to public health • Services are more suited for mainstream population group
  13. 13. Areas of the tool Checklist tool Basics Decision making Communication technical skills Storage Legal
  14. 14. Assumed interpersonal skills of the worker • Listening skills • Empathy • Questioning • Relationship and rapport building • Health literacy • Own level of comfort in discussing sexual behaviours
  15. 15. What is the tool? (Tool distribution)

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