Research-based Initiatives on the
Interactions between HIV and Disability:
Evidence linked to Operationalisation
Dr Toyin ...
“We learnt also from the skills building workshop on the
inclusion of disability in national strategic plans that
despite ...
Disability and HIV in East and Southern
Africa
Hanass-Hancock, Regondi, & Naidoo, 2013
HIV Prevalence of Most-at-Risk
Populations in South Africa
Source: South African National HIV Prevalence, Incidence, Behav...
Interrelationship of Disability,
Mental Health and HIV
People with
disabilities
• increased risky
behaviour
• increased ri...
HIV, Disability and Caregiving in Southern Africa
Hanass-Hancock & Casale, In Press
Currently Discussed Approaches
People with
disabilities

PLHIV who develop
HIV-related disabilities

Access to health serv...
Next steps
• Operationalization of available evidence by:

•
•
•
•
•

HIV programmers
Development partners
Governments
Dis...
Acknowledgement
Jill Hanass-Hancock for invaluable
contents/inputs and guidance
Thank You!
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Research-based Initiatives on the Interactions between HIV and Disability: Evidence linked to Operationalisation

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Presented by Dr Toyin Aderemi at the 17th International Conference on AIDS and STIs in AFrica.
Symposium – Disability and HIV in Africa: Leadership, Capacity and Strategies

Published in: Health & Medicine
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Research-based Initiatives on the Interactions between HIV and Disability: Evidence linked to Operationalisation

  1. 1. Research-based Initiatives on the Interactions between HIV and Disability: Evidence linked to Operationalisation Dr Toyin Aderemi Symposium – Disability and HIV in Africa: Leadership, Capacity and Strategies ICASA 2013 7-11 December 2013
  2. 2. “We learnt also from the skills building workshop on the inclusion of disability in national strategic plans that despite the ratification of the CRPD many countries have not addressed the issues of this group which accounts for 15% of the world’s population…We were told to tell you that universal access, zero infections, zero AIDS-related death and zero discrimination cannot be achieved without including the world’s largest minority: the disabled” Volderine Hacket (Leadership and Accountability Programme Rapporteur Report, XIX IAC, Washington, 2012). Available from: http://globalhealth.kff.org/AIDS2012/July-27/Rapporteur-Session.aspx
  3. 3. Disability and HIV in East and Southern Africa Hanass-Hancock, Regondi, & Naidoo, 2013
  4. 4. HIV Prevalence of Most-at-Risk Populations in South Africa Source: South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2008: 35 30 25 20 15 10 5 0
  5. 5. Interrelationship of Disability, Mental Health and HIV People with disabilities • increased risky behaviour • increased risk of sexual abuse and less access to justice PLHIV who develop disabilities • mental health disorders e.g. depression, schizophrenia, anxiety, substance abuse • access problems • impairments such as e.g. reduced neuro-cognitive functioning, blindness, deafness , skin problems, digestive problems … • influences adherence • episodic disabilities • negative attitudes from health care staff People who care for PLHIV especially young carers • AIDS-related activity limitation is associated with increased child caregiving tasks, less school attendance, food insecurity and poor educational outcomes
  6. 6. HIV, Disability and Caregiving in Southern Africa Hanass-Hancock & Casale, In Press
  7. 7. Currently Discussed Approaches People with disabilities PLHIV who develop HIV-related disabilities Access to health services and education • Disability-specific sexuality and HIV education • Accessible HIV information • Psychological support for people with intellectual disabilities in abuse cases • Integration of mental health & disability into training of healthcare staff • Inclusion of disability in NSPs Screening and rehabilitation Mental health • screening and diagnostic • Interpersonal therapy (IPT), cognitive behavior therapy (CBT), medication Rehabilitation • Change in ART • Clinics/hospitals screening • HBC, CBR, block therapy • Adaptation at work CBR – Community Based Rehabilitation HBC – Home Based Care NSPs – National Strategic Plans for HIV response People who care for PLHIV especially young carers Support and care • CRPD concepts of universal access and reasonable accommodation for people with disabilities • Work placement adjustments for PLHIV • Care support grants • Psycho-social support • New CBR guidelines
  8. 8. Next steps • Operationalization of available evidence by: • • • • • HIV programmers Development partners Governments Disabled People’s Organisations Service providers (e.g., health, protection, legal) • More research to address current gaps in knowledge • Improved collaborations between researchers and other stakeholders e.g., implementers, policymakers, service providers, service users
  9. 9. Acknowledgement Jill Hanass-Hancock for invaluable contents/inputs and guidance
  10. 10. Thank You!

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