My HIV Work History - PHSAD Conference 2010 03 23

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A brief overview/history of the HIV-related work I've done since 2004, for a panel discussion on HIV in the USA and abroad for the 24th Annual Minority Health Conference of the student organization Public Health Students of African Descent (PHSAD). Conference title - "Health, Poverty, and Inequality: Innovative Approaches to Improving Global Health". Presented 23 March 2010.

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My HIV Work History - PHSAD Conference 2010 03 23

  1. 1. HIV in Our Community/ies<br />Carrie Rheingans<br />Social Work Intern<br />HIV/AIDS Resource Center<br />PHSAD Global Health Conference<br />23 March 2010<br />
  2. 2. Outline<br /><ul><li>Timeline/Past Work
  3. 3. Some Epidemiology
  4. 4. Outreach
  5. 5. HIV Testing, Counseling, and Referral
  6. 6. Policy
  7. 7. Future Work</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  8. 8. Timeline/Past Work<br /><ul><li>2004-2005: Project Community
  9. 9. 2006: HARC Volunteering
  10. 10. 2007-2008: HARC Staff
  11. 11. 2008, 2009, 2010: Campaign to End AIDS, Youth action Institute
  12. 12. 2008-2009: Public Health/AmeriCorps
  13. 13. 2009: VíaLibre
  14. 14. 2009 – Present: Social Work </li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  15. 15. Project Community/HARC<br /><ul><li>Sociology course based on Freire’sconcientization pedagogy
  16. 16. Course facilitator
  17. 17. Volunteer at HARC
  18. 18. Staffed the testing clinic
  19. 19. Later state-certified to do HIV test counseling</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  20. 20. Fund Development Coordinator<br /><ul><li>Fundraising for general budget
  21. 21. Special events – dinners, silent auction, wine tasting, AIDS Walk
  22. 22. Community coalitions
  23. 23. SHOC, WAW
  24. 24. Attended trainings & conferences</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  25. 25. C2EA/Youth Action Institute (2008-2010)<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  26. 26. AmeriCorps<br /><ul><li>National service program
  27. 27. Peace Corps
  28. 28. Teach for America
  29. 29. Served 1800+ hours, 11 months
  30. 30. Living stipend, education award
  31. 31. Team</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  32. 32. AmeriCorps Projects<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  33. 33. Public Health Internship<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br /><ul><li>HIV testing, counseling, & referral (including in Spanish)
  34. 34. Community education, guest lectures, outreach
  35. 35. Volunteer coordination
  36. 36. Social media support
  37. 37. Community coalitions
  38. 38. SHOC, WAW, MiCASH, C2EA</li></li></ul><li>VíaLibre<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br /><ul><li>ASO in Lima, Peru
  39. 39. Serves most of Peru
  40. 40. Outreach/testing trip
  41. 41. Training with staff
  42. 42. Trainings with youth
  43. 43. Website development with youth voices</li></li></ul><li>VíaLibre<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  44. 44. Social Work Internship<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br /><ul><li>Social media guidelines
  45. 45. Interview board, staff
  46. 46. Grant writing
  47. 47. Present at conferences
  48. 48. Sex::Tech (Feb 2010)
  49. 49. NASW-MI (April 2010)
  50. 50. Community coalitions
  51. 51. SexLab research</li></li></ul><li>Social Work Internship<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br /><ul><li>C2EA Community Conversation with the White House Office for National AIDS Policy
  52. 52. November 2009
  53. 53. 100+ attendees
  54. 54. Feedback to ONAP about HIV in Michigan</li></li></ul><li>Social Work Internship<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  55. 55. Epidemiology - Michigan<br /><ul><li>18,000 estimated living with HIV
  56. 56. 52% of known transmission mode among men who have sex with men (MSM)
  57. 57. 17% among injecting drug users
  58. 58. Fastest rising rates among African-American MSM, African-American women, especially young (13-24)</li></ul>Data from Michigan Department of Community Health 2008 Epidemiological Profile:<br />http://www.michigan.gov/documents/mdch/2008_HIV_Epi_Profile_251292_7.pdf<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  59. 59. Epidemiology – Washtenaw County<br /><ul><li>30new infections in 2008
  60. 60. 21among MSM
  61. 61. 1among IDU
  62. 62. 6among “low-risk” heterosexual
  63. 63. 25 among men
  64. 64. 5among women (4 were co-diagnosed with AIDS)
  65. 65. 16 among African-American
  66. 66. 13 among Whites
  67. 67. 16 among youth (15-29)</li></ul>Data from Washtenaw County 2008 Profile: https://www.ewashtenaw.org/government/departments/public_health/phcontent/hiv-aids_trends2008.pdf<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  68. 68. HARC Prevention Overview<br /><ul><li>Outreach
  69. 69. Where people congregate
  70. 70. Mobile unit to high-prevalence zip codes
  71. 71. Education
  72. 72. HIV 101 presentations
  73. 73. Part of HIV testing
  74. 74. During outreach
  75. 75. HIV Testing, Counseling, Referral
  76. 76. In clinics
  77. 77. Health departments
  78. 78. Mobile unit
  79. 79. Rapid, traditional
  80. 80. Anonymous, Confidential</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  81. 81. Prevention – Stigma<br /><ul><li>AIDS stigma often works against HIV prevention activities:
  82. 82. Discrimination against those living with HIV
  83. 83. Compulsory HIV testing (jobs, apartments)
  84. 84. Confidentiality issues
  85. 85. Violence
  86. 86. Intersecting stigmas include:
  87. 87. Race
  88. 88. Gender
  89. 89. Socio-economic Status
  90. 90. Sexuality
  91. 91. Drug use</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  92. 92. Preventing Transmission<br /><ul><li>HIV transmitted only via five fluids:
  93. 93. Blood
  94. 94. Semen (including pre-ejaculate)
  95. 95. Vaginal Secretions
  96. 96. Breast Milk
  97. 97. Cerebrospinal fluid
  98. 98. Barrier Methods
  99. 99. Condoms
  100. 100. Internal Condoms (“female”, “Reality”)
  101. 101. Dental Dams
  102. 102. Risk Reduction
  103. 103. Lubricants
  104. 104. Outercourse
  105. 105. Syringe exchange
  106. 106. Less risky behavior</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  107. 107. Outreach<br /><ul><li>Mobile Unit
  108. 108. HIV testing
  109. 109. Hand out supplies
  110. 110. Syringe exchange
  111. 111. Hepatitis C testing
  112. 112. Referrals
  113. 113. Volunteers help a lot!</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  114. 114. Outreach<br /><ul><li>Bar Outreach
  115. 115. Hand out supplies
  116. 116. Referrals
  117. 117. Promote HIV Testing
  118. 118. Volunteers help a lot!</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  119. 119. HIV Counseling, Testing and Referral <br /><ul><li>Counseling = discuss client’s risk behavior, set safer behavior goals
  120. 120. Testing = obtain consent, collect sample
  121. 121. Referral = give info about other services of interest</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  122. 122. U.S. Policy <br /><ul><li>PEPFAR: President’s Emergency Plan for AIDS Relief
  123. 123. Initiated 2003, renewed 2008
  124. 124. Treatment available to many
  125. 125. Largest bilateral agreement in world
  126. 126. Focused on ABC model
  127. 127. US Visas/Entry
  128. 128. Difficulty of getting visas
  129. 129. Recently overturned long-standing no-entry policy
  130. 130. Syringe Exchange Programs
  131. 131. Ban on federal funding
  132. 132. Must get exemption from drug paraphernalia laws for programs </li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  133. 133. Michigan Laws<br /><ul><li>Partner Services
  134. 134. One is not required to participate, but it is encouraged that those living with HIV notify their past partners. County can do it anonymously
  135. 135. Discrimination Law
  136. 136. No one can discriminate against a person infected with HIV (work, housing especially)
  137. 137. Disclosure Law
  138. 138. HIV infected persons are required to disclose status to future partners before sexual penetration
  139. 139. Cannot disclose someone else’s status, + or –
  140. 140. Consent
  141. 141. Clients must consent to be tested for HIV
  142. 142. Current proposal to remove required consent</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  143. 143. Future Work<br /><ul><li>Summer 2010: China
  144. 144. Aizhixing Institute conference for social workers & HIV workers
  145. 145. Forge connections for future exchanges
  146. 146. Summer 2010: Bangladesh
  147. 147. Shakti Foundation for Disadvantaged Women
  148. 148. PhotoVoice as community health assessment
  149. 149. Evaluate HIV-related additions to health programs</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  150. 150. Future Work<br /><ul><li>Summer 2010: Youth Action Institute
  151. 151. Shreveport, Louisiana
  152. 152. More international than ever – China, Kenya, Australia, Canada, Puerto Rico
  153. 153. Summer 2010: International AIDS Conference
  154. 154. Vienna, Austria
  155. 155. Working with C2EA about youth and housing issues</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  156. 156. Future Work<br /><ul><li>Hire me and I’ll tell you  </li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  157. 157. <ul><li>Questions?
  158. 158. Comments?
  159. 159. Corrections?</li></ul>Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />
  160. 160. Carrie Rheinganscrheinga@umich.edu<br />www.hivaidsresource.org<br />www.americorps.gov<br />www.sph.umich.edu<br />www.ssw.umich.edu<br />http://vialibre.org.pe<br />www.umichsph.wordpress.com<br />www.nafblogger.blogspot.com<br />Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.<br />

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