Effective psycho social support programme for msm in Malaysia by Kevin Baker

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1) PT Foundation runs various HIV prevention, care, and support programs in Malaysia, including for MSM and people living with HIV. 2) Their MSM Poz program provides peer-led psycho-social support for HIV-positive MSM, including a support group, buddy system, and trainings. 3) In 2011, the MSM Poz program reached over 600 clients through outreach and supported over 100 through trainings, while their monthly gatherings had over 25 participants.

Health & Medicine

Running an effective psycho-social support
programme for positive MSM in Malaysia

Kevin Baker
Programme Director MSM Poz

Agenda

PT Foundation history and service delivery

MSM PLHIV in Malaysia – the reality

MSM Poz explained

About PT Foundation
Community Based, Non-Profit, Voluntary NGO
set up in 1987

HIV Prevention, Care & Support Programmes

Gender & Sexuality Programmes

PT Foundation

Drug Users
IKHLAS
PLHIV Sex Workers
POSITIVE WOMEN”S
LIVING PROG
PT
Foundation

MSM Transgender
PINK MAKNYAH
TRIANGLE

PLHIV – Positive Living
Drop-In Center Outreach
• Support Group for People • Befriend, empower and enroll
Living with HIV (PLWHIVs) • Assistance to Hospitals
• Medical Referral and HAART • HIV/AIDS prevention, support
Treatment and care
• Counseling, Empowerment, • Counseling & Referrals
Social & Psychological Support • Welfare & Legal Aid
• Lobbying, Advocacy & • Media Advocacy and
Networking collaboration with human
• Islamic Religious Classes rights groups and academia
• Sub-groups for transsexuals
and drug users

MSM
Men who have Sex with Men
Drop-In Center Outreach

• Support Group Sessions • Outreach to:
• Telephone Counseling • clubs
• Safe Sex Awareness & • cruising parks
Behavioural Change • saunas
Programmes • massage parlors
• Anonymous HIV Screening & • Website & Internet Outreach
Counseling
• Counseling & Referrals
• Welfare & Legal Aid
• Media Advocacy and
collaboration with human
rights groups and academia

MSM Poz
• Volunteer peer led monthly support group set
up in 2009
• Self funded and directed
• Supported by Positive Living and VCT services
at PT Foundation
• 20 members per month
• Applied for MAC AIDS Fund funding in 2010

MSM Poz
• Currently we have 1 fulltime and 3 part-time
staff and 8 volunteer facilitators
• Have 3 clients groups:
– New Diagnosed
– Newly medicated
– Long term PLHIV
• Continue to be be peer directed but
established an advisory board in 2011

MSM Poz Programmes
• Outreach in 3 clinical settings – HSB, UMMC
and Safe Clinic
• Monthly Support Group
• Buddy system
• Trainings –
– Newly diagnosed
– Treatment Literacy
– Disclosure
– Facilitator

MSM Poz Programmes
• Communication elements:
– Brochures in hospitals promoting the service
– Closed Yahoo Group
– Closed Facebook group with 4 facilitators and 200
active members
– Dedicated website in 3 language
• Social events and retreats

MSM Poz Results
• In 2011 we will have reached out to 630
clients with an average of 16 clients per week
being supported face to face.
• Over 100 clients will have been trained in 5
trainings
• Website and BCC materials developed in 3
languages
• Over 25 participants at our monthly
gatherings

MSM Poz Challenges
• Confidentiality and Trust

• Resources – staff, finance

• Consistency of service – reach

• Expertise – drug use, legal support, positive
prevention, access to tests and medicines.

MSM Poz next steps
• Funding secured for 2012 from MAC AIDS
Fund
• Participating in national and international
forums and advocacy
• Providing technical assistance to launch MSM
Poz in 2 other locations in Malaysia.

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Clare Ntinda - The Salvation Army Chikankata Mission Hospital, Zambia

Poster for Symposium Feb 2015 FINAL_BerniceLopez (2)

Pastor Networks in HIV Treatment and Prevention in Mozambique

20150422 slides for vanguard kick off

Role of FBOs in HIV Care in Cameroon

COMMUNITY MENTAL HEALTH PROGRAM.pptx

Integration Pioneers workshop 3 December 2013

#Caring4NHSPeople - virtual wellbeing session 12 May 2020

Keynote: Transforming primary care - Karen Kirkham

#Caring4NHSPeople - virtual wellbeing session 24 June 2020

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Explore the network

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This document discusses the author's career journey working in various IT roles from 1997 to present. It then poses questions about why a WiFi network may be slow, whether an internet connection is slow, and if certification such as CCNA is needed. It suggests alternatives to CCNA certification such as pursuing micro certifications on platforms like Udemy, Cybrary and Coursera. The document also mentions Cumulus Linux and Mikrotik as potential areas of future focus.

IT Security Awareness & Hacker

Hidzuan Hashim

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Global policy trend of HIV & NCD leveraging the HIV experience by Satoshi Ezoe

Hidzuan Hashim

This document summarizes two United Nations meetings on global health issues: 1) The 2011 UN High Level Meeting on HIV/AIDS which reaffirmed commitments to fighting HIV/AIDS and set new targets for 2015. 2) The 2011 UN High Level Meeting on non-communicable diseases (NCDs) which recognized NCDs as a major global challenge and their linkages to other diseases like HIV/AIDS. Both meetings stressed the importance of integrating responses to diseases through strengthened health systems.

Role of ng os in promoting mental health for the plhiv in malaysia (ismail baba)

Hidzuan Hashim

The document discusses the role of NGOs in promoting mental health among people living with HIV/AIDS (PLHIVs) in Malaysia. It notes that PLHIVs experience a diverse range of mental health issues. NGOs play important roles as mediators, counselors, and service providers for PLHIVs. However, NGOs also face limitations like a lack of expertise, training, and manpower. There is a need to supplement existing mental health programs for PLHIVs with counseling skills training and mental health facilitation. Collaboration between Universiti Sains Malaysia and international organizations has led to the establishment of mental health facilitation training in Malaysia to help address these needs.

Counselling for newly diagnosed HIV patients in Malaysia challenges & best p...

Hidzuan Hashim

This document discusses counseling challenges and best practices for newly diagnosed HIV patients in Malaysia. It outlines the many psychological hurdles patients face post-diagnosis, from denial and depression to concerns about treatment and disclosure. Effective counseling is crucial for addressing individual barriers, providing support, and ensuring treatment adherence. The ideal counselor has knowledge about HIV as well as counseling skills, a non-judgmental attitude, and understands their own limitations. Several hospitals in Malaysia have implemented successful peer support programs through partnerships between medical staff and community organizations.

HIV, mental health & refugees - Case Studies by Xavier Pereira

Hidzuan Hashim

This document discusses two case studies of refugees in Malaysia dealing with HIV and mental health issues. The first case study is of a Rohingya refugee woman living with HIV who faces difficulties accessing care due to costs and stigma. The second case study describes a refugee man from Africa who experienced psychological distress after an unexplained rectal exam. The document outlines issues these cases raise, such as lack of informed consent during medical exams. It recommends improving refugee healthcare access, mental health screening and support for HIV-positive refugees in Malaysia.

Mental health burden of HIV/AIDS in developing countries by David Ndetei

Hidzuan Hashim

This document summarizes research on the mental health burden of HIV/AIDS in developing countries. It finds: 1) Mental health problems are associated with increased risk of HIV infection and interfere with treatment, while some mental disorders can also result directly from HIV infection. 2) Studies show higher rates of depression, substance use disorders, and risky behaviors among those with HIV compared to the general population. 3) Injection drug use, sharing of needles, lack of condom use, and sex work - which are linked to higher HIV transmission - are more common among those with severe mental illnesses. Therefore, the prevalence of mental illnesses is substantially higher among those with HIV.

Psychiatric disorders in HIV Positive individuals in urban Uganda by Mugerwa ...

Hidzuan Hashim

1) The study found a high prevalence of psychiatric disorders (82.6%) among HIV-positive individuals attending an AIDS support clinic in Uganda based on standardized psychiatric interviews. The most common disorders were major depression (54.3%) and panic disorder (32.6%). 2) AIDS counselors at the clinic estimated a much lower prevalence of mental illness among their patients. Many counselors believed they saw no patients with psychiatric problems. 3) The study examined counselors' training and comfort dealing with mental illness. It found counselors had low awareness of the high burden of psychiatric disorders among their HIV-positive patients.

Addressing hiv infection risks and consequences among elderly Africans by Niy...

Hidzuan Hashim

This document summarizes a presentation given by Professor Niyi Awofeso on addressing HIV infection risks and consequences among elderly (>50 years) sub-Saharan Africans. It provides statistics on HIV prevalence and the physical, mental, and socioeconomic burdens of HIV/AIDS in this population. It also discusses policies and programs that could help reduce infection risks, such as expanding HIV testing and treatment, promoting circumcision, implementing social pensions and healthy aging programs, and reducing stigma through education. Successful models from Botswana and South Africa are presented.

Challenges in delivering mental health services to plhiv in custodial setting...

Hidzuan Hashim

This document discusses healthcare issues for prisoners with HIV/AIDS or substance abuse disorders. It notes that rates of psychiatric illness and HIV are higher in prisons than in the general population. A study examined demographic data and health diagnoses for 200 HIV-positive prisoners and 200 HIV-negative prisoners in Malaysia. It found higher rates of substance use disorders and longer incarceration times among HIV-positive prisoners. The document calls for enhancing health services in prisons, addressing mental illness, and providing intervention programs for prisoners with high-risk behaviors to address issues like recidivism and transmission of diseases like HIV and hepatitis C.

Plhiv & their household impact mitigation by Sukhonta Kongsin

Hidzuan Hashim

The document discusses the socio-economic burdens of HIV/AIDS in developing countries. It focuses on the impact of HIV/AIDS morbidity on households in rural Thailand. The study examines household coping strategies by comparing 150 case households affected by HIV/AIDS to 150 control households. It finds that case households experienced a 69% reduction in total income per capita and increases in loans, debt, and selling of assets to cope. The study models how reductions in health care support for PLWHA would further impact household consumption and coping strategies. It emphasizes the need for strategic policy action to mitigate the socio-economic impacts of HIV/AIDS on households.

Averting economic disaster HIV risk in business product outsourcing in Philip...

Hidzuan Hashim

HIV cases in the Philippines have increased 800% from 2001-2010, with most new cases occurring in the last 3 years. While the increase is driven partly by transmission among men who have sex with men, employment in call centers may also increase risk. Three studies found higher rates of risky sexual behavior and HIV positivity among call center workers, who engage in more casual sex, have more partners, and participate in high-risk activities like paid sex. As undiagnosed HIV infections impact worker productivity and healthcare costs, targeted education in call centers could help address awareness and prevent further transmission.

Mental health issues in HIV/AIDS - Indian Perspective by Kasi Sekar

Hidzuan Hashim

The document discusses mental health aspects of HIV/AIDS in India from the perspective of the National Institute of Mental Health and Neuro Sciences in Bangalore. It provides an overview of HIV in India, including key statistics. It outlines psychiatric manifestations commonly associated with HIV/AIDS such as depression, anxiety, and substance use disorders. It also discusses psychosocial factors like stigma, social isolation, and lack of family support that can negatively impact mental health and disease progression for people living with HIV/AIDS. The document emphasizes the importance of addressing mental health issues in HIV prevention, care, and treatment.

Socio economic burden of hivaids in developing countries - education sector r...

Hidzuan Hashim

The document discusses the socioeconomic burden of HIV/AIDS in developing countries, with a focus on its impact on the education sector. It provides background on the global and sub-Saharan African HIV/AIDS situation. It then examines the factors fueling the epidemic in SSA, the social and economic impacts including on households, agriculture, health, orphans and vulnerable children. Regarding education, it outlines the effects on access, demand, supply, quality and management of education. The response of the education sector is discussed alongside challenges. Education is highlighted as critical to achieving development goals and reducing HIV transmission.

Translating research into policy & practice the way forward by Adeeba Kamar...

Hidzuan Hashim

The document discusses strategies for translating HIV/AIDS research into policy and practice, highlighting the importance of ensuring research evidence is used to inform management, policy, and clinical decision making. It also outlines challenges in HIV prevention for most-at-risk populations and proposes combination prevention approaches that integrate biomedical, behavioral, and structural interventions to effectively address the epidemic. Barriers like stigma, discrimination, access to services, and enabling environments must be overcome to improve HIV prevention efforts.

Willingness to pay for px of mother to-child transmission in ghana by Emmanue...

Hidzuan Hashim

This document summarizes a study investigating pregnant women's willingness to pay for prevention of mother-to-child transmission (PMTCT) of HIV/AIDS in Ghana. The study found that 200 pregnant women surveyed had an average willingness to pay of $2.40 per month for PMTCT services. Income, education, transportation costs, and HIV status were significant determinants of willingness to pay. The study concludes that pregnant women place high value on PMTCT and establishing a PMTCT fund through voluntary contributions could provide economic benefits to support the program. It recommends intensifying PMTCT education, supporting unemployed HIV+ women, increasing access to clinics, and introducing a PMTCT fund.

Protective factors after hiv diagnosis by Mi Echanis Melgar

Hidzuan Hashim

This study examined protective factors that prevent people living with HIV (PLHIV) in the Philippines from committing suicide. The study found that strong faith in God and support from family and peers were the primary protective factors. PLHIV reported adaptive beliefs, rational assessments of their resources, and constructive coping strategies. They had high technology access and moderately high access to peer counseling and antiretroviral treatment. While relationships, purpose, and being loved helped PLHIV want to live, stigma about HIV remained a challenge. The study recommends further research on suicide risk factors and preventive interventions for PLHIV.

Socio economic impact of hivaids & mental health (Syed Aljunid)

Hidzuan Hashim

This document discusses the socioeconomic impact of HIV/AIDS and mental health. It covers common issues between HIV/AIDS and mental health like stigma and social determinants. It provides data on the global burden and costs of HIV/AIDS and mental disorders. It also discusses the roles of communities in supporting people living with HIV/AIDS or mental illness through informal care. The conclusion emphasizes the link between chronic diseases and poverty, the need to increase resources for health systems in developing countries to address HIV/AIDS and mental health, and the importance of community involvement for sustainability.

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