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Piloting WILLOW in Ontario


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Piloting WILLOW in Ontario

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Piloting WILLOW in Ontario

  1. 1. David Seekings, PhD – Ontario HIV Treatment Network & REACH Marvelous Muchenje – Women’s Health in Women’s Hands Piloting WILLOW in Ontario
  2. 2. Overview • The WILLOW intervention • Our process • Lesson Learned 2
  3. 3. WILLOW Women Involved in Life Learning from Other Women Target Population: Heterosexual adult women living with HIV, 18-50 years Aim: Reduce HIV and STI transmission risk behaviours Method: Series of 4 facilitated small group educational sessions 3
  4. 4. The process so far • Systematic review – identified several effective interventions • Worked with WHIWH to select best fit to local context • Follow up interviews with others experienced with WILLOW 4
  5. 5. Considerations for Choosing Interventions • WHIWH received summaries of several effective interventions from OHTN, reviewed them and selected two (2) 1) WILLOW program by Wingood • Aligns easily with our existing HIV program and could easily be integrated – We already run a monthly group for HIV-positive women – We have smaller mental health groups • WILLOW could fall under this structure 5
  6. 6. Considerations for Choosing Interventions 2) HIV Prevention Intervention for Low-income African American women by Dancy • WHIWH received a 3 year funding from City of Toronto, and we wanted to incorporate a program that has already been found to be effective • Intervention developed for African American women, could fit in with our priority population *** Plans in place to pilot test the intervention 6
  7. 7. Training • Worked with OHTN to support training for the intervention • OHTN offered the options for training, either go to US or do it in Toronto • Choice to do it in Toronto, so that we could build capacity locally • We invited partner agencies to recruit service providers and peers affiliated with their organizations to participate in the training • A team of 16 facilitators received training 7
  8. 8. Lessons Learned • Intervention is too prescriptive • Difficulties of separating roles of support and information provision by facilitators • It does not cover some of the issues that are relevant to the Canadian context e.g. cultural issues not taken into consideration, language specificity, migration related issues, etc. • Made assumptions about the skill level required for facilitators • Importance of a mental health therapist/counselor to provide support on site 8
  9. 9. Lessons Learned • Can take time, even with proven intervention – Additional capacity-building • Importance of having good understanding of context and capacities at the start • Training on intervention delivery was not enough – Additional capacity-building training 9
  10. 10. Next steps • Pilot the intervention • Evaluate • Adapt (as necessary) • Scale up 10
  11. 11. Thank you