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HIV Intervention Plan
Obumneke Amadi
Kaplan University
Dr Mary Foley
Introduction
The vital statistics of mortality and morbidity cause in the
population are reported in the epidemiological profile of the
government health department. The lead cause of morbidity
and mortality in Prince George’s County is Pediatric HIV.
Source:(PHPA, 2011):
Problem By Variation
Problem:
Pediatric HIV death Cases by Current Age: HIV cases from
the year 1984 of 4 cases to the 94 cases in the year 2010
Pediatric HIV race / ethnicity Cases by <13 Age group:
Male: The total number by age group is by population- 74,544,
cases-16, rate-21.5- and ratio-5,120
Female: The total number by age group is by population- 71,690,
cases-14, rate-19.5- and ratio-4,659.
Source:(PHPA, 2011):
Problem by variation
Pediatric CD4 Diagnosis Cases by <13 Age group: Of the total 87,670
population reported HIV diagnosis, the first CD4 diagnoses test result
has only 1 number, 0.3%age total and occurred at the rate of 1.1.
Pediatric AIDS Diagnosis Cases by <13 Age group: Of the total 87,670
population reported HIV diagnosis, the first CD4 diagnoses test result
has only 0 numbers, 0.0 %age total and occurred at the rate of 0.0.
Pediatric HIV Cases by ZIP code at <13 Age group: Number and
Percent of Total of Pediatric Reported HIV Cases, Age <13 at HIV
Diagnosis, with or without an AIDS Diagnosis by ZIP Code of Residence
has a total number 0f 94 and 100.0% cases.
Source:(PHPA, 2011):
Goals(Activities)
Focus Group to Interview Participants on Pediatric HIV Prevention
Program
focus groups of high school and college students of both male and female
between the ages of 18 yrs. and 25 yrs old.
Staff and resources:
facilitator, note taker, and technician.
conducted in person or via teleconference
Interview at 60 to 90 minutes discussion
questions will vary based on individual status such as age, gender
session will be transcribed and the response analyzed
Questionnaire will also be developed
analysis of the evaluation will be reviewed by the program planners(
Source:(Watson, 2011; CDC, 2008)
Program Development(Outputs)
Program goals and objectives for each goal of the risk factors :
Blood transfusion:
Goal: To educate participants on blood safety and how to obtain
safe blood
Objectives: 1: participants would understand blood safety issues
Sharing drug-use equipment with an infected person:
Goal: To educate participants on effects of sharing needles
sticks.
Objectives: In 3 month following the outcome of the program
participant will stop sharing drug use equipment with infected
person.
Program Development(Outputs)- cont;
Sexual risk behaviors:
Goal: To increase the number of participant using safe sex methods and
teach participants how to be protect from STI’s
Objectives: By 5 months follow up participant will report absence of sexual
risk behaviors.
Alcohol and illegal drug use:
Goal: To assist participants on practicing better habits and withdrawal
Objectives: 3months following the program participants will report that they
have practices nonsmoking habits.
Engage in unprotected sex:
Goal: To teach participants of condom uses and the consequences of
unprotected sex
Objectives: in a 2 month follow up participants will understand condom
use. I will use community organization intervention.
Source:(Watson, 2011, p.57).
Impact And Outcome
Short and Long term outcomes:
 Evaluation 1: Interventions should focus on well characterized, specific target audiences.
 Evaluation 2: HIV/AIDS prevention interventions and messages must be motivational for
possible behavior change.
 At-risk individuals must be provided with both skills and supplies to prevent HIV.
 Evaluation 4: A supportive environment needs to be created for HIV prevention.
 Evaluation 5: maintaining and sustaining tools need to be formed to HIV prevention
behaviors and activities.
 Evaluation 6: program planners should identify and use opportunities to work
collaboratively.
Source:(Rehle, Saidel, Mills, & Magnani, n.d)
Potential Leaders Of The Health
Promotion
Target population as high school student(male and female)
Choice of leaders:
female students
Source:(Community Tool Box, 2013).
HIV Facts
What Does HIV Stand For?
H “Human” - This particular virus can only infect human beings.
I- “Immunodeficiency” – HIV weaken your immune system by destroying
important cells that fight disease and infection.
V “Virus” - reproduces itself by taking over the cells in the body. What does it
do?
HIV invades the body and attacks your immune system (T-cells or CD4
cells) that fight infections and disease, and ultimately destroys them.
How Is HIV Transmitted?
HIV is transmitted from one person to another when the following infected
fluids enter the bloodstream of another person: Blood, Semen and pre-
ejaculation fluid, vaginal fluids, Breast milk
Ways You Can Get Infected With HIV:
Sex - having anal, vaginal or oral sex without a condom
Needles - sharing needles, perform body piercing, tattoos
 Mother to child - through pregnancy, birth or breast feeding.
Ways That HIV Is NOT Transmitted
Hugging, kissing, shaking hands, Swimming ,Coughing or sneezing, Being bitt
en by an insect
Sharing food or drink with someone who has HIV or that they prepared.
Source: ( HIV/AIDS, 2013; HIV/AIDS Basics, 2012).
HIV Facts (cont;)
What are the Symptoms?
Before diagnosis:
 No feelings of illness or Signs of a fever, headaches, sore throat, or develop a rash.
 After Diagnosis:
 Years later, people feel sick with infections (like colds, pneumonias);Sores in mouth;
Shingles; Rashes or skin infections; Headaches; Diarrhea; Fever, weight loss night
sweating and weakness.
Risk Factors
 Behaviors and conditions such as: having unprotected anal or vaginal sex;
having another sexually transmitted infection; sharing contaminated needle;
blood transfusions.
What Should I do if I am at Risk?
Get help: Talk to your primary physician and GET TESTED; Take the Test,
Protect Our People
Prevention
Testing and counselling for HIV and STIs; use male and female condom use;
Treatment
 Use antiretroviral therapy (ART) drugs
Source: ( HIV/AIDS, 2013; HIV/AIDS Basics, 2012).
Coalitions Group
The name for my coalition: The HIV Prevention Coalition
The HIV Coalition (HIVC) is formed by focusing on HIV prevention (e.g., safe
sex methods, use of protection gears, screening & treatment). The program
wants to develop a broad campaign highlighting that “stay safe from STIs and
HIV Infections”.
Members:
1.Chairperson: the spokesperson and will have the authority to sign
letters, give evidence in court matters
2.Facilitator: responsible for conducting the gatherings
 3.Individual Member/Representatives: personal or professional interest in
the subject e.g. teachers, family
4.Lead Agency: resources finders
5.Member Organization: This entity supports the coalition
7.Steering Committee: small subsection of the coalition that takes
principal responsibility for the coalition’s general course.
Source:(Cohe & Satterwhite, n.d; USGBC, 2014)
Conclusion
 HIV prevention programs refers to practices done to prevent
the spread of HIV/AIDS. HIV prevention practices may be
done by individuals to protect their own health and the health
of those in their community, or may be started by
governments or other organizations as public health policies.
Reference
 CDC (2008).Data Collection Methods for Program Evaluation: Focus Groups. Retrieved
fromwww.cdc.gov/healthyyouth/evaluation/pdf/brief13.pdf
 Cohe, L., Baer, N., & Satterwhite, P. (n.d). Developing effective coalitions: An eight step guide. Retrieved from
http://thrive.preventioninstitute.org/pdf/eightstep.pdf
 Community Tool Box (2013). Developing a Plan for Building
 HIV/AIDS Basics (2012). Learn the Basics, Know the Facts, Take Care of Yourself. Retrieved from http://aids.gov/hiv-
aids-basics
 Healey,B .J., & Zimmerman,R.S(2010).The new world of health promotion, new program development, implementation,
and evaluation. Jones and Bartlett Publishers,LLC
 Mplans (2014). Health Fitness Marketing Plan Corporate Fitness. Retrieved from
http://www.mplans.com/health_fitness_marketing_plan/executive_
 PHPA(2011).PrinceGeorge'sCountyHIV/AIDSEpidemiologicalProfile–PHPA.Retrievedfrom
phpa.dhmh.maryland.gov/.../Prince%20Georges%20County%20HIV%2.
 Rehle, T., Saidel, T., Mills, S., & Magnani, R. (n.d). Evaluating programs for HIV/AIDS prevention
andcareindevelopingcountries.Retrievedfromhttps://aetcnec.ucsf.edu/sites/aetcnec.ucsf.edu/files/resources/Evaluating
Programs for HIVAIDS Prevention and Care in Developing Countries.pdf
 UNAIDS (2009). Regional consultation on HIV/AIDS prevention, care and support programmes in Latin America and the
Caribbean for men who have sex with men. Retrieved from www.greenstone.org/.../nzdl;...?a...unaids...unaids
 Watson, M. E. (2011). System approach workbook for health education and program planning. Jones & Bartlett Learning
Critique Of My Health Promotion
Program
 Overall I think I did well in the program plan process but I
would figure out how to establish that the maximum message
are passed out to the students.

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Obumneke amadi

  • 1. HIV Intervention Plan Obumneke Amadi Kaplan University Dr Mary Foley
  • 2. Introduction The vital statistics of mortality and morbidity cause in the population are reported in the epidemiological profile of the government health department. The lead cause of morbidity and mortality in Prince George’s County is Pediatric HIV. Source:(PHPA, 2011):
  • 3. Problem By Variation Problem: Pediatric HIV death Cases by Current Age: HIV cases from the year 1984 of 4 cases to the 94 cases in the year 2010 Pediatric HIV race / ethnicity Cases by <13 Age group: Male: The total number by age group is by population- 74,544, cases-16, rate-21.5- and ratio-5,120 Female: The total number by age group is by population- 71,690, cases-14, rate-19.5- and ratio-4,659. Source:(PHPA, 2011):
  • 4. Problem by variation Pediatric CD4 Diagnosis Cases by <13 Age group: Of the total 87,670 population reported HIV diagnosis, the first CD4 diagnoses test result has only 1 number, 0.3%age total and occurred at the rate of 1.1. Pediatric AIDS Diagnosis Cases by <13 Age group: Of the total 87,670 population reported HIV diagnosis, the first CD4 diagnoses test result has only 0 numbers, 0.0 %age total and occurred at the rate of 0.0. Pediatric HIV Cases by ZIP code at <13 Age group: Number and Percent of Total of Pediatric Reported HIV Cases, Age <13 at HIV Diagnosis, with or without an AIDS Diagnosis by ZIP Code of Residence has a total number 0f 94 and 100.0% cases. Source:(PHPA, 2011):
  • 5. Goals(Activities) Focus Group to Interview Participants on Pediatric HIV Prevention Program focus groups of high school and college students of both male and female between the ages of 18 yrs. and 25 yrs old. Staff and resources: facilitator, note taker, and technician. conducted in person or via teleconference Interview at 60 to 90 minutes discussion questions will vary based on individual status such as age, gender session will be transcribed and the response analyzed Questionnaire will also be developed analysis of the evaluation will be reviewed by the program planners( Source:(Watson, 2011; CDC, 2008)
  • 6. Program Development(Outputs) Program goals and objectives for each goal of the risk factors : Blood transfusion: Goal: To educate participants on blood safety and how to obtain safe blood Objectives: 1: participants would understand blood safety issues Sharing drug-use equipment with an infected person: Goal: To educate participants on effects of sharing needles sticks. Objectives: In 3 month following the outcome of the program participant will stop sharing drug use equipment with infected person.
  • 7. Program Development(Outputs)- cont; Sexual risk behaviors: Goal: To increase the number of participant using safe sex methods and teach participants how to be protect from STI’s Objectives: By 5 months follow up participant will report absence of sexual risk behaviors. Alcohol and illegal drug use: Goal: To assist participants on practicing better habits and withdrawal Objectives: 3months following the program participants will report that they have practices nonsmoking habits. Engage in unprotected sex: Goal: To teach participants of condom uses and the consequences of unprotected sex Objectives: in a 2 month follow up participants will understand condom use. I will use community organization intervention. Source:(Watson, 2011, p.57).
  • 8. Impact And Outcome Short and Long term outcomes:  Evaluation 1: Interventions should focus on well characterized, specific target audiences.  Evaluation 2: HIV/AIDS prevention interventions and messages must be motivational for possible behavior change.  At-risk individuals must be provided with both skills and supplies to prevent HIV.  Evaluation 4: A supportive environment needs to be created for HIV prevention.  Evaluation 5: maintaining and sustaining tools need to be formed to HIV prevention behaviors and activities.  Evaluation 6: program planners should identify and use opportunities to work collaboratively. Source:(Rehle, Saidel, Mills, & Magnani, n.d)
  • 9. Potential Leaders Of The Health Promotion Target population as high school student(male and female) Choice of leaders: female students Source:(Community Tool Box, 2013).
  • 10. HIV Facts What Does HIV Stand For? H “Human” - This particular virus can only infect human beings. I- “Immunodeficiency” – HIV weaken your immune system by destroying important cells that fight disease and infection. V “Virus” - reproduces itself by taking over the cells in the body. What does it do? HIV invades the body and attacks your immune system (T-cells or CD4 cells) that fight infections and disease, and ultimately destroys them. How Is HIV Transmitted? HIV is transmitted from one person to another when the following infected fluids enter the bloodstream of another person: Blood, Semen and pre- ejaculation fluid, vaginal fluids, Breast milk Ways You Can Get Infected With HIV: Sex - having anal, vaginal or oral sex without a condom Needles - sharing needles, perform body piercing, tattoos  Mother to child - through pregnancy, birth or breast feeding. Ways That HIV Is NOT Transmitted Hugging, kissing, shaking hands, Swimming ,Coughing or sneezing, Being bitt en by an insect Sharing food or drink with someone who has HIV or that they prepared. Source: ( HIV/AIDS, 2013; HIV/AIDS Basics, 2012).
  • 11. HIV Facts (cont;) What are the Symptoms? Before diagnosis:  No feelings of illness or Signs of a fever, headaches, sore throat, or develop a rash.  After Diagnosis:  Years later, people feel sick with infections (like colds, pneumonias);Sores in mouth; Shingles; Rashes or skin infections; Headaches; Diarrhea; Fever, weight loss night sweating and weakness. Risk Factors  Behaviors and conditions such as: having unprotected anal or vaginal sex; having another sexually transmitted infection; sharing contaminated needle; blood transfusions. What Should I do if I am at Risk? Get help: Talk to your primary physician and GET TESTED; Take the Test, Protect Our People Prevention Testing and counselling for HIV and STIs; use male and female condom use; Treatment  Use antiretroviral therapy (ART) drugs Source: ( HIV/AIDS, 2013; HIV/AIDS Basics, 2012).
  • 12. Coalitions Group The name for my coalition: The HIV Prevention Coalition The HIV Coalition (HIVC) is formed by focusing on HIV prevention (e.g., safe sex methods, use of protection gears, screening & treatment). The program wants to develop a broad campaign highlighting that “stay safe from STIs and HIV Infections”. Members: 1.Chairperson: the spokesperson and will have the authority to sign letters, give evidence in court matters 2.Facilitator: responsible for conducting the gatherings  3.Individual Member/Representatives: personal or professional interest in the subject e.g. teachers, family 4.Lead Agency: resources finders 5.Member Organization: This entity supports the coalition 7.Steering Committee: small subsection of the coalition that takes principal responsibility for the coalition’s general course. Source:(Cohe & Satterwhite, n.d; USGBC, 2014)
  • 13. Conclusion  HIV prevention programs refers to practices done to prevent the spread of HIV/AIDS. HIV prevention practices may be done by individuals to protect their own health and the health of those in their community, or may be started by governments or other organizations as public health policies.
  • 14. Reference  CDC (2008).Data Collection Methods for Program Evaluation: Focus Groups. Retrieved fromwww.cdc.gov/healthyyouth/evaluation/pdf/brief13.pdf  Cohe, L., Baer, N., & Satterwhite, P. (n.d). Developing effective coalitions: An eight step guide. Retrieved from http://thrive.preventioninstitute.org/pdf/eightstep.pdf  Community Tool Box (2013). Developing a Plan for Building  HIV/AIDS Basics (2012). Learn the Basics, Know the Facts, Take Care of Yourself. Retrieved from http://aids.gov/hiv- aids-basics  Healey,B .J., & Zimmerman,R.S(2010).The new world of health promotion, new program development, implementation, and evaluation. Jones and Bartlett Publishers,LLC  Mplans (2014). Health Fitness Marketing Plan Corporate Fitness. Retrieved from http://www.mplans.com/health_fitness_marketing_plan/executive_  PHPA(2011).PrinceGeorge'sCountyHIV/AIDSEpidemiologicalProfile–PHPA.Retrievedfrom phpa.dhmh.maryland.gov/.../Prince%20Georges%20County%20HIV%2.  Rehle, T., Saidel, T., Mills, S., & Magnani, R. (n.d). Evaluating programs for HIV/AIDS prevention andcareindevelopingcountries.Retrievedfromhttps://aetcnec.ucsf.edu/sites/aetcnec.ucsf.edu/files/resources/Evaluating Programs for HIVAIDS Prevention and Care in Developing Countries.pdf  UNAIDS (2009). Regional consultation on HIV/AIDS prevention, care and support programmes in Latin America and the Caribbean for men who have sex with men. Retrieved from www.greenstone.org/.../nzdl;...?a...unaids...unaids  Watson, M. E. (2011). System approach workbook for health education and program planning. Jones & Bartlett Learning
  • 15. Critique Of My Health Promotion Program  Overall I think I did well in the program plan process but I would figure out how to establish that the maximum message are passed out to the students.

Editor's Notes

  1. This is the summarization of the trends in pediatric HIV cases in Prince George’s County HIV/AIDS Epidemiological Profile Fourth Quarter 2011 among the age group <13yrs old, the report include HIV Diagnosis, with or without an AIDS Diagnosis by Year of Birth, by Year of HIV Diagnosis, by Year of AIDS Diagnosis, and by Year of Death Due to Any Cause, and Pediatric Total Living HIV Cases. These are the general summary by the different pediatric HIV case caption (PHPA, 2011):
  2. The highest cases occurred at zip code 20743, 20748 and 20785 at number 8 and 8.5% age while the least occurred at zip code 20607, 20707, 20710, 10716, at numbers 1 and 1.1%age
  3. In order to plan a prevention program to help stop the problem a focus group of small group of people who are asked to respond to new ideas on their views on the issues was imitated to gather information for that would help in the need assessment to bring about a solution of the problem in the community. The type of program I will be doing will use focus group to interview participants on pediatric HIV prevention program. The data’s collected from those groups will be used to create a program, to get more in-depth information on perceptions, insights, attitudes, experiences, or beliefs relating to pediatric HIV, subjective perspectives informations from the Focus groups will be gathered. Data will be collected on the students’ perceptions about how well informed they are about pediatric HIV, it effects/impacts and how pediatric HIV affects their plan of having unprotected sex with casual dates. A quantitative data collection method is used in the focus group in providing interpretations of data collected which is numeric and measureable (Watson, 2011; CDC, 2008)
  4. The health promotion behavioral theory I would base my program on is the health behavior model (HBM) because it is a model that has a value expectancy theory which can be used to help explain health-related behaviors, such that it has a well understanding of the targeted health behaviors and their environmental background thereby helping to identify influence points for change. In order to develop a health prevention program for all my cases it is important that complexity of behavior is understand, with the Health Belief Model the person’s perceptions of the risk of a health problem and the associated assessment of a suggested behavior for preventing or handling the problem will be utilized in the prevention strategies for each of the goals and objectives e.g. if a person fears he is a substance addict, he wool likely want to act on it (a person that drink alcohol, will want to quit drinking)(Watson, 2011, p.57).
  5. The purpose of the process is to conclude whether impact and outcome are happening according to the plan in the program so as to help create where changes need to be made if otherwise, it involves key stakeholders, such as project managers, beneficiaries, organization staff, and donors. The Questions asked during this process reflect the activities of the program. The Process evaluation for HIV prevention program includes: (Rehle, Saidel, Mills, & Magnani, n.d)
  6. The reason why I choose female students as my potential leaders is because my program is sex orientated issues and males are always very shy to discuss sex on the open while females are always up front to share and discuss sex matters, however we often don't consider quiet or shy individuals to be potential leaders. Again female have very strong sense when it comes to sex health prevention of diseases because they are the ones that are more vulnerable to sexually transmitted diseases and they would do whatever they can to help in the prevention (Community Tool Box, 2013).
  7. A coalition is a group of people or individuals and organizations that work to encourage outcomes on a particular problemThey are beneficial for realizing a wide variety of objectives beyond the ability of an individual organization. These goals range from information sharing to coordination of services, from community education to advocacy for major environmental or program changes. For the targeted high school students HIV program, the coalition will work to ensure the availability of information, support groups, counseling and treatment referrals and materials for HIV preventions(Cohe & Satterwhite, n.d; USGBC, 2014)