13 ferlatte
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1) The document discusses funding for HIV prevention among gay men in British Columbia, noting that while gay men represent the highest number of new HIV infections, they receive the lowest amount of funding and resources for prevention. 2) It examines how funding allocation processes are often not transparent and involve decisions made by bureaucrats and review panels, which some feel can be biased against gay men. 3) Much of the increased funding that has been allocated has supported testing and treatment, as well as interventions not directly serving gay men, rather than prevention focused on reducing risk behaviors.
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13 ferlatte
- 2. “ What gets measured gets done ” Dr. Verle Harrop BC Gay Men’s Health Summit 2009
- 9. What is HIV prevention?
- 13. Who has our back?
- 17. Sex Panic?
Editor's Notes
- Who think there is enough dollars for HIV prevention? Who think there are not enough dollars? This is obviously a topic that we have had discussion for a long time – but I decided to take it as an academic inquiry questions? This is quite preliminary – It is more some of my thinking. And would love an opportunity for more discussions.
- The ideas for this project came up at 2009 gay men’s health summit. In 2009, we had the honor of having Dr. Harrop from the NATIONAL COLLABORATING CENTRE FOR SOCIAL DETERMINANTS as a keynote – she had a message for us – “ What gets measures gets done.” She explained the lack of availability of data about gay men’s health is the major barrier to the improvement of gay men’s services and infrastructure.in other word if we have measures things would get done . She EMPHASIZED: Data = accountability and cannot be ignore!!
- However, Our population may have already proven the MOTTO wrong. Our disparities in terms of HIV has be measured since the onset of the epidemic – We have had the highest INCIDENCE and One of the highest prevalence rates. We have yet seen any scaled up interventions to reduce our disparities. Is there any measures that we don’t get the money? Well, in 2001. RICK MARCHAND did a scan of the environment and at the time he could only found $100.000 being invested in gay men HIV prevention. Despite this the money have been scarce – The lack of dollars have been a discussion we have been having for a long time. We also have had measure on it – in 2001, My colleague Rick Marchand conducte a scan in the province – some marginal initiative existed. However, he could only found 100 000 bucks for gay men. The disconnect between epidemiology and ressources has been well known – even by those within the funding agencies. At our first gay summit - We have already have the data – We have known that gay men face huge disparity in terms of HIV. This statement was made before the closure of Gayway. WE NEED MEASURES THAT ARE CONTEXTUALIZED!!!
- Counting is not enough – An analysis of gay dollars needs to be located within a critical analysis that reveals power and penalties involved for moving forward the issues. We already know that data does not equal accountability and actions – this has never been more true as today, in the context of a Harper conservative government. (Safe njecection site, prisons)
- It has a long history within social science, but it is more recently that health scholars have embraced this theoretical framework to explain health disparities among populations and within groups. It has helped illuminate how ill health is sustained among marginalized groups in many areas such as violence, mental health, diabetes, obesity and HIV. Policy – New field – But may help highligh who are winners and the loosers in the policy field – which are often invisible In analysis.
- This is the questions that help lead my analysis.
- So what did I do? I review some documents available and interview people that were identified askey players in the field locally. This included people from the community who have fought for funding and those within the burreuacrtie.
- Lack of transparency?
- First Issues what Is prevention? CHANGING DEFINITION? Is Primary Care Prevention> is Testing Prevention? What About Treatment As prevention? More importantly, we need to interrogate who’s deciding what is prevention? And who decide what is effective HIV prevention for gay men? (medical field, and more particularly BIG Parma – who are driven by profits) The other issues I had was that there is very actual Dollars – but there’s what we can call – little gay dollars- dollars that are not population specific but that have an impact on the HIV epidemic for gay men – these are mostly for primary care, testing and treatment. Top down approach. This are different from actual gay dollars– that see gay men as citizens, not patients. These gay dollars are for health promotion and population empowerment. These bottom up approach are critical as they encourgae community to take action into their own health they decreases our community dependencies to medical professionals for their own health – and lastly they are thought to have longer and stronger impacts than public health interventions. I went on and count actual gay dollars?
- Counting the actual amount of gay dollars is not easy – Challenges due to a lack of Data about how the money is distributed. ACAP is very good in the sense that it is very transparent – Less than 10% are gay. Provincially – not as transparent. They do not have the data available for review - This questions is more and more controversional – What count as prevention?
- So how the allocations of money is done? Provincially decision are made by people working within the burreaucraty, no process for ensurig some population get a inimum of services – gay men is a priorty population for VCH – but this priority status came at a time when there was no new money. Politics and coercion – although this may have led to some gains – there was a uncomfortable sense of working with a system some referred as corrupt.
- Non-sense if you want to reverse the epidemic – Irresponsable neglect, Oversight. The need to act as watch dog basically – a role that create a lot of tensions – but also that is very tiresome for a community who has a lot of work to get done.
- Elizabeth Pisani!!
- Do we want to win the beauty/ugly contest?
- One of my informant agued that even in other part where HIV prevention is better funded, prevention if failing. When there is more money, what is funded and what gaps are left? Testing and treatment? Is it the optimal strategy for gay men? It is not driven by community? T&T problematic.
- EXAMPLE OF HIM – Project for internet – evidence based – gay guys are withdrawing from physical communities.