Knowledge, Attitudes and Beliefs of the HIV/AIDS Workforce

414 views

Published on

Rebekah Israel of the Black AIDS Institute discusses health literacy among the HIV/AIDS workforce and the implications for moving people with HIV along the continuum of care.

This presentation was given at the Under the Baobab African Diaspora Networking Zone at the International AIDS Conference, AIDS 2014.


Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
414
On SlideShare
0
From Embeds
0
Number of Embeds
8
Actions
Shares
0
Downloads
4
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Founded in May of 1999, the Black AIDS Institute is the only national HIV/AIDS think tank focused exclusively on Black people. The Institute's Mission is to stop the AIDS pandemic in Black communities by engaging and mobilizing Black institutions and individuals in efforts to confront HIV. The Institute interprets public and private sector HIV policies, conducts trainings, offers technical assistance, disseminates information and provides advocacy mobilization from a uniquely and unapologetically Black point of view.
  • Education 10
    College Degree 6.5
    Tenure in the Field 15+ years 7.0
    Tenure in the Field 10-14 years 4.5
    Government employee 6.3
    Hispanic/Latino -6.3
    Black -6.2
    LGBT 5.5
    HIV + 4.8
    Small org. -4.0
    Director/Manager 3.2
    Supportive Services -2.7
    Volunteer -2.4
    Deep south -2.3
    Mal -1.8
    Age -.1 w/ every year
  • Hi risk testing
    Linkage to care
    Adherence
    ART
    Viral suppression
    Understanding biomedical interventions
    AAHU STC…. And their fellows will be charged with developing and sustaining local BTAN
    Each BTAN with 4 programmatic areas, treatment education, patient navi, disclosure, advocacy
  • r
  • Over 50 training days total in 11-months
    Training 1: August 3-30, 2013
    Training 2: November 10-15, 2013
    Training 3: March 16-21, 2014
    Training 4: May 18-23, 2014
    Graduation & Symposium: July 10-13, 2014
    For the purpose of this time, I’m going to talk about Training 1, Int 1, Internship 2 and overall impact.
  • Most Valuable Aspects of the 30-Day Science Academy
    The following four aspects were most mentioned as being the most valuable in the evaluation
  • Internship 1 Requirements:
    upload a weekly blog sharing their experiences as an AAHU Fellow
    present a one of the Science Academy Modules; at least 4 hours of training
    Coordinate and attend face-to-face meetings to form partnerships and initiate collaboration on the AAHU project
    develop a draft CitySheet
    attend between 3-5 webinars hosted by the Black AIDS Institute and AAHU Faculty
    Internship 1 Report
  • Internship 2 Requirements:
    upload a weekly blog sharing AAHU experiences on the Black AIDS Institute webpage
    engage in activities and gain access to local data; to aid in assessing community needs
    attend and/or join a local planning committee
    launch Black Treatment Advocate Network (BTAN) and conduct a 3-day training
    attend between 3-5 webinars hosted by the Black AIDS Institute and AAHU Faculty
    Internship 2 Report including a needs assessment
    Example: John Curry, Melbourne FL
    Leaders of 2 of the largest Black churches attended
    Secured partnerships with Gilead, Bristol Myers Squibb, and ViiV
    BTAN members who hadn’t registered for an insurance plan could register during the training. There was a Marketplace Coordinator onsite!!!
    There were speakers who were HIV positive that spoke at adherence (positive and negative examples). The participants got a chance to meet someone who was resistant to all the meds and has been given 12 months to live.
    The Florida Faces of HIV 18 wheeler truck was on display to promote HIV testing
    The HIV/AIDS Program Coordinator, the highest HIV position in the area was on site for Day 3
    HIV staff from Orange County (Orlando) and Brevard (Melbourne)
    I would estimate that the food and rental space cost between $1,000-$1,500 and it was all covered by the pharmaceutical companies
  • What were some successes from the events?
    Participants commented that the PREP information sheets were thorough and simple enough that someone with no previous knowledge of PREP could easily comprehend.
    Increased amount of clergy participation
    We were able to have various community leaders in attendance; Black elected officials, Black clergy, Black media personalities, minority agency administrators, and consumers.
    Gaining new partnership for future events.
    Attendance; diversity of group; speed dating set-up; Phill; sponsors
    How PrEP works; the location where PrEP is being implemented; and how a person can enroll in PrEP.
    Great turn out!! The community came together to make the event a success The word got out successfully about the event
     
    What were some of the challenges?
    The primary challenge for me was the fact that the event almost seemed like a Department of Health event instead of a BTAN event.
    Access to community.
    Communication and Institute support
    There were no Challenges
    We were not prepared for the influx of people that we had. We were expecting only 300 but we had over 500 and we had to keep going out to get extra food. We didn't have enough volunteers to serve food and coordinate activities.
  • Summary of Pre/post test results and community impact
  • AAHU is just one of the methods that we use to in crease health literacy among the HIV work workforce. To help move Black people along the Continuum of care
  • Knowledge, Attitudes and Beliefs of the HIV/AIDS Workforce

    1. 1. Knowledge, Attitudes and Beliefs of the HIV/AIDS Workforce Health Literacy Amongst the HIV/AIDS workforce and implications for moving PLWHA along the continuum of care Rebekah Israel Training and Evaluation Coordinator Black AIDS Institute www.BlackAIDS.org
    2. 2. Black AIDS Institute Founded in May of 1999, the Black AIDS Institute is the only national HIV/AIDS think tank focused exclusively on Black people. The Institute's Mission is to stop the AIDS pandemic in Black communities by engaging and mobilizing Black institutions and individuals in efforts to confront HIV. The Institute interprets public and private sector HIV policies, conducts trainings, offers technical assistance, disseminates information and provides advocacy mobilization from a uniquely and unapologetically Black point of view.
    3. 3. Why Aren’t We There Yet? But We haven’t been exactly sure of where we’re at to know where we want to go or what to do with the information. We are failing in retention in care, utilization of ARVS, and achieving viral suppression. There is lack of knowledge around and resistance to PrEP. 4 We Know 1.Anecdotal experience highlights lack of knowledge and skills among many in the HIV workforce 2.Early care and treatment brings better clinical outcomes & Viral suppression reduces transmission of HIV 3.PrEP dramatically reduces acquisition of HIV
    4. 4. Continuum of Care http://www.cdc.gov/nchhstp/newsroom/docs/2012/Stages-of-CareFactSheet-508.pdf
    5. 5. Continuum of Care by Race http://www.cdc.gov/nchhstp/newsroom/docs/2012/Stages-of-CareFactSheet-508.pdf African Americans are least likely to be in ongoing care or to have their virus under control
    6. 6. The Need to Assess Health Literacy  Lack of science literacy, stigma, conspiracy beliefs, etc. reduce the likelihood that communities will access HIV prevention and medical treatment  AIDS Service Organizations and community based organizations will play a different and more integral role in HIV prevention and treatment KNOWLEDGEKNOWLEDGE STIGMASTIGMA
    7. 7. Goal of KAB Survey Better understand what treatment educators, prevention workers, and outreach workers, client services managers, local and state health department employees know and don’t know about the science of HIV/AIDS.
    8. 8. Research Questions  Is the current AIDS workforce equipped to respond to a post healthcare reform world where bio- medical interventions are integrated into current prevention and treatment models; equipped in both knowledge and attitude capacities?  Is the current AIDS workforce up-to-date and informed about biomedical interventions?  Are there gaps in knowledge, beliefs and attitudes that continue to reinforce programmatic limitations in fight against AIDS, specifically in communities of color?
    9. 9. Project Details  All respondents had to meet the following requirements: – Worked or volunteered in HIV – Age 18 or older – Work in ASO, State/local health department, or other CBO – Work focused in US and its territories  All respondents received incentives – USCA 2012: $15 Amazon Gift Card and raffle for KindleFire Tablet – National Roll-Out: $5 Amazon Gift Card
    10. 10. Topline Results 07.11.2013 11
    11. 11. Average Score by Question Category 07.11.2013 12 Letter gradesLetter grades CC FF FF DD
    12. 12. Education Levels Had Greatest Impact % Correct Answers by Level of Education Sample size: 2166; Assoc. degree or below: 595; College degree: 735; Some graduate education or above: 836 Statistically significant differences between comparison groups marked with a letter (95% significance) Overall mean: 62.3% 13
    13. 13. Tenure in HIV Field is a Key Driver of Scores % Correct Answers by Tenure in HIV Field Sample size: 2166; 0-2 years: 485; 3-5 years: 611; 6-10 years: 423; 11-15 years: 269; 16+ years: 378 Statistically significant differences between comparison groups marked with a letter (95% significance) 07.11.2013 14 DD DD DD DD DD
    14. 14. Black and Latino Respondents Scored Lower "Other" consists of respondents identifying themselves primarily as any one of the following: American Indian or Alaskan Native (n=28), Native Hawaiian or other Pacific Islander (n=23), Asian (n=42) or "Other" (n=57) % Correct Answers by Race/Ethnicity Sample size: 2166; African American: 832; Hispanic: 249; White: 935; Other: 150 Statistically significant differences between comparison groups marked with a letter (95% significance) Overall mean: 62.3% 07.11.2013 15 FF FF DD DD
    15. 15. Smaller Organizations Scored Lower % Correct Answers by Organization Size Sample size: 2166; 0-10: 647; 11-20: 490; 21-30: 402; 31-50: 242; 51-100: 185; 101 or more: 200 Statistically significant differences between comparison groups marked with a letter (95% significance) Overall mean: 62.3% 07.11.2013 16
    16. 16. Director/Managers Scored Higher % Correct Answers by Primary Role Sample size: 2166; Prevention & Outreach: 577; Case Mgmt/Social work: 497; Director/Manager: 343; Administrator: 150; Supportive Services: 297; Other: 302 Statistically significant differences between comparison groups marked with a letter (95% significance) Overall mean: 62.3% 07.11.2013 17
    17. 17. Respondents with Positive Attitudes Scored Higher Except for two attitudinal items, respondents with high familiarity /agreement were significantly more likely to have higher scores Sample size: 2166 Statistically significant differences between comparison groups marked with a letter (95% significance) % Correct Answers by Level of Familiarity % Correct Answers by Level of Agreement 07.11.2013
    18. 18. Conclusions  We need to improve the HIV treatment and Science literacy among ASO’s and CBOs, particularly among Blacks, Latinos, and people in the south—given the demographics of the epidemic.  Increasing HIV science and treatment knowledge and familiarity with bio medical interventions might 1. Help improve retention in care, utilization of ARVs, and achieving viral suppression 2. Reduce resistance to ARV therapies and bio medical interventions, particularly amongst Blacks, Latinos, people living in the South 3. Decrease HIV related stigma and discrimination
    19. 19. Next Steps  Expand study  Develop training and capacity building services that fill these gaps  Policy changes  Increase funding and support for training and capacity building  Standardized base of knowledge for HIV workforce 07.11.2013 20
    20. 20. Increasing HIV Science Literacy in the US: AAHU Model African American HIV University Science and Treatment College
    21. 21. AAHU Aimed at strengthening organizational and individual capacity to address the HIV/AIDS epidemic in Black communities, the African American HIV University (AAHU) is a comprehensive training fellowship and scholarship program. The program is designed to decrease stigma and misperception and increase the engagement of the Black community in HIV prevention and treatment services. This is achieved through leadership development and information transfer among key stakeholders.
    22. 22. AAHU Science and Treatment College The STC curriculum prepares community-based, and AIDS service organizations, and Health Departments on how to improve their performance in the treatment cascade. (CBOs/ASOs) to serve as liaisons between people living with HIV/AIDS and the entities that serve them. STC focuses on HIV and its relationship to human biology, virology, pharmacokinetics, epidemiology, and treatment strategies. By the end of AAHU STC, organizations and their Fellows will be stewards of a living, breathing Black Treatment Advocates Network (BTAN).  
    23. 23. AAHU STC 2013-2014 Cohort 11 US Cities 10 States Atlanta, GA Baltimore, MD Chicago, IL Jackson, MS Kingston, Jamaica Little Rock, AR Los Angeles, CA Melbourne, FL Oakland, CA Richmond, VA St. Paul, MN Washington, DC Arkansas California District of Columbia Florida Georgia Illinois Maryland Minnesota Mississippi Virginia 16 Fellows representing eleven U.S. Cities, ten States and Jamaica:
    24. 24. AAHU STC Trainings Training 1: Science Academy (30 Days)  Internship 1  Training 2: Community Mobilization (7 Days)  Internship 2  Training 3: Program Planning, Implementation, & Evaluation (7 Days)  Internship 3 Training 4: Advanced Science and Presentation Skills (7 days)  Internship 4
    25. 25. STC Internship Periods  60-90 day internships allow Fellows to apply the skills and knowledge gained during trainings.  Internships allow Fellows to demonstrate proficiency in executing key components of each training, that establishes a (or contributes to an existing) Black Treatment Advocates Network (BTAN).  Fellows have specific assignments during internships such as conducting face-to-face meetings with local ASOs, CBOs, health department staff, research institutions, and other potential BTAN partners.
    26. 26. AAHU STC Training 1 30-day Science Academy
    27. 27. HIV Science & Treatment Knowledge Assessment 30-Day Boot Camp 57%57% 90%90% *Scores over 100% indicate extra credit awarded
    28. 28. Fellows’ Feedback “Having the opportunity to get a firm foundation on basic sciences and the HIV lifecycle and how they both impact HIV treatment.” “Having the actual medical practitioners, researchers and scientists instructing us was like an experience that can't be matched by any other training I have ever experienced.” “The site visits gave tremendous insight into the behind the scenes real-life action of the war against HIV.”
    29. 29. Internship 1: From Boot Camp to the Battlefield 16 STC Fellows trained approximately 500 people in their local areas. Chicago Fellows, facilitated three post-boot camp presentations.  Approximately 70 participants were trained on the following topics: The Origin of HIV &Basic HIV Science  Average pre-test of participants 40.2%  Average post-test of participants 94.2%
    30. 30. The mission of the Black Treatment Advocates Network (BTAN) is to increase patient access to and utilization of treatment and care, strengthen local leadership and advocate for policy change in Black communities. BTAN is guided by the premise that when people understand the science of HIV/AIDS they are:  Less likely to participate in stigmatizing behavior  More likely to access treatment  Better able to adhere to their regimens  Better positioned to influence HIV policy Internship 2: BTAN Responding to the Needs of the Community
    31. 31. Local BTAN Projects
    32. 32. Internship 2: BTAN Responding to the Needs of the Community  13 STC Fellows facilitated trainings on HIV Science and Treatment. Total reach was approximately 450 people in their local areas.  8 BTAN cities hosted National Black HIV/AIDS Awareness Day reaching 925 people.  Internship 2 reach: 1,375 people  Total Fellowship reach: 1,875 people
    33. 33. BTAN National Black HIV Awareness Day PrEP Events The following BTAN cities hosted NBHAAD PrEP themed events: BTAN Little Rock BTAN Bay Area BTAN Atlanta BTAN Los Angeles BTAN Minneapolis BTAN Broward BTAN Jackson BTAN Louisiana Reaching 925 individuals
    34. 34. Training 3: Program Planning, Implementation, and Evaluation  Internship 3 Training 4: Advance Science Skills  Internship 4
    35. 35. Local BTAN Projects
    36. 36. Summary of Quantitative and Qualitative Measures
    37. 37. HIV Science & Treatment Retention 57%57% 90%90% 84%84% 87%87% 92%92%
    38. 38. HIV Science & Treatment Retention 57%57% 92%92%
    39. 39. 7 New BTAN Chapters 6 Re-launched BTAN Chapters 1,875 People Trained 520 People Tested 350 New BTAN Members Community Impact 10 New Community Partnerships
    40. 40. Black AIDS Institute: Strategic Model
    41. 41. THANK YOU! FOR MORE INFORMATION PLEASE VISIT www.BlackAIDS.org OR CONTACT ME Rebekah Israel Training and Evaluation Coordinator Black AIDS Institute rebekahi@BlackAIDS.org

    ×