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My HIV Work History - PHSAD Conference 2010 03 23
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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 …

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