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African American Women and HIV/AIDS USCA  October 2009
Welcome NASTAD Midwest Forum 2007 Team Members Developed an Action Plan Implementation Accomplishments Successes and Challenges Next Steps
The best time to plant a tree is twenty years ago The next best time is now - African Proverb
African Proverb “In Africa if there is a lion in the village everyone begins to beat the drum to warn everyone until the lion leaves the village”     AIDS is our lion in the African American community
In Iowa….. Despite the seemingly low number of African Americans diagnosed when compared to diagnoses among whites, diagnoses among African Americans are hugely disproportionate when the size of the black population is taken into account.
Prevalence by Race and Ethnicity Compared to Iowa’s Population 2006 Estimated Population 2007 HIV/AIDS Prevalence 20%
Persons Living with HIV/AIDS by Race and Gender on December 31, 2007:Persons per 100,000 population
HIV diagnosis rate in 2007 33.8 cases per 100,000 population for black, non-Hispanic persons; Black persons were over ten times more likely to have been diagnosed with HIV than white persons in Iowa;
HIV diagnosis rate in 2007 9.2 cases per 100,000 for Hispanics; and 3.3 cases per 100,000 for white, non-Hispanic persons in Iowa; and Hispanic persons were over three-and-one-half times more likely to have been diagnosed with HIV than white persons in 2007.
Iowa’s HIV/AIDS Statistics for African Americans Relatively small minority populations in the state result in low numbers of cases when compared to the much larger white, non-Hispanic population.  Despite the low numbers of cases, the impact of high infection rates within a small population can be devastating to that population.
The best way to predict the future is to invent it. — Alan Kay
Action Plan Research activities and programs for African American women that are being implemented in Iowa; Identify African American women leaders; and Identify collaboration and resources for capacity building.
After the Forum Reported to the CPG; became a CPG ad hoc committee Presented at the 2007 Iowa African American Women’s Leadership Conference
After the Forum Instrumental in a statewide effort to engage the African American faith community
And then…. Meetings were held every month via conference call. 4 of the original 6 members have stayed engaged and involved.  One of the members selected to join the CPG – 3 others were already members. Developed committee goals & tasks – (collaboration with another state).  REHD Committee (Communities of Color) – Ad hoc CPG
Accomplishments Instrumental in Priority Setting– social determinants – discussion and reprioritization (3 members-PS). Interventions targeting African Americans and Hispanic/Latinos – nationwide search (2 members-SPICE). Needs assessment – Provider Survey (1member-NARC).
Accomplishments Representation on the CPG – 1 member-chair of the MOB Squad. Instrumental on plenary and track development at the Iowa HIV Conference in 2008; Unity and Diversity: the Challenge for Change.
Challenges Ongoing engagement…… Meeting times; in person vs. calls?  Met the goals – now what? Expansion of committee? Where , what do we do now?
Next Steps Received TA from NASTAD – June 2009 Focus Groups Strategic Planning Developed Vision and Mission
Vision and Mission  Vision: Empowered women of color building healthy communities. Mission: Increase awareness and education about HIV and its impact among women of color in Iowa.
Next Steps Added members Anti-stigma campaign participation Tangible goals work best for us Iowa 2010 HIV conference….. Intergenerational Panel of Women of Color (plenary and a concurrent session) Market to the larger community Increase awareness Recruit new members
REHD Committee Members Colleen Bornmueller Linnea Fletcher, Chair Betty Johnson Virginia Jorden Jaycee Selwood Roma Taylor Rhea Van Brocklin Kathy Weiss Patricia Young, HD
USCA Conference San Francisco 10 09
USCA Conference San Francisco 10 09

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USCA Conference San Francisco 10 09

  • 1. African American Women and HIV/AIDS USCA October 2009
  • 2. Welcome NASTAD Midwest Forum 2007 Team Members Developed an Action Plan Implementation Accomplishments Successes and Challenges Next Steps
  • 3. The best time to plant a tree is twenty years ago The next best time is now - African Proverb
  • 4. African Proverb “In Africa if there is a lion in the village everyone begins to beat the drum to warn everyone until the lion leaves the village”     AIDS is our lion in the African American community
  • 5. In Iowa….. Despite the seemingly low number of African Americans diagnosed when compared to diagnoses among whites, diagnoses among African Americans are hugely disproportionate when the size of the black population is taken into account.
  • 6. Prevalence by Race and Ethnicity Compared to Iowa’s Population 2006 Estimated Population 2007 HIV/AIDS Prevalence 20%
  • 7. Persons Living with HIV/AIDS by Race and Gender on December 31, 2007:Persons per 100,000 population
  • 8. HIV diagnosis rate in 2007 33.8 cases per 100,000 population for black, non-Hispanic persons; Black persons were over ten times more likely to have been diagnosed with HIV than white persons in Iowa;
  • 9. HIV diagnosis rate in 2007 9.2 cases per 100,000 for Hispanics; and 3.3 cases per 100,000 for white, non-Hispanic persons in Iowa; and Hispanic persons were over three-and-one-half times more likely to have been diagnosed with HIV than white persons in 2007.
  • 10. Iowa’s HIV/AIDS Statistics for African Americans Relatively small minority populations in the state result in low numbers of cases when compared to the much larger white, non-Hispanic population. Despite the low numbers of cases, the impact of high infection rates within a small population can be devastating to that population.
  • 11. The best way to predict the future is to invent it. — Alan Kay
  • 12. Action Plan Research activities and programs for African American women that are being implemented in Iowa; Identify African American women leaders; and Identify collaboration and resources for capacity building.
  • 13. After the Forum Reported to the CPG; became a CPG ad hoc committee Presented at the 2007 Iowa African American Women’s Leadership Conference
  • 14. After the Forum Instrumental in a statewide effort to engage the African American faith community
  • 15. And then…. Meetings were held every month via conference call. 4 of the original 6 members have stayed engaged and involved. One of the members selected to join the CPG – 3 others were already members. Developed committee goals & tasks – (collaboration with another state). REHD Committee (Communities of Color) – Ad hoc CPG
  • 16. Accomplishments Instrumental in Priority Setting– social determinants – discussion and reprioritization (3 members-PS). Interventions targeting African Americans and Hispanic/Latinos – nationwide search (2 members-SPICE). Needs assessment – Provider Survey (1member-NARC).
  • 17. Accomplishments Representation on the CPG – 1 member-chair of the MOB Squad. Instrumental on plenary and track development at the Iowa HIV Conference in 2008; Unity and Diversity: the Challenge for Change.
  • 18. Challenges Ongoing engagement…… Meeting times; in person vs. calls? Met the goals – now what? Expansion of committee? Where , what do we do now?
  • 19. Next Steps Received TA from NASTAD – June 2009 Focus Groups Strategic Planning Developed Vision and Mission
  • 20. Vision and Mission Vision: Empowered women of color building healthy communities. Mission: Increase awareness and education about HIV and its impact among women of color in Iowa.
  • 21. Next Steps Added members Anti-stigma campaign participation Tangible goals work best for us Iowa 2010 HIV conference….. Intergenerational Panel of Women of Color (plenary and a concurrent session) Market to the larger community Increase awareness Recruit new members
  • 22. REHD Committee Members Colleen Bornmueller Linnea Fletcher, Chair Betty Johnson Virginia Jorden Jaycee Selwood Roma Taylor Rhea Van Brocklin Kathy Weiss Patricia Young, HD

Editor's Notes

  1. All women helped with developing the session and two actually presented.Laying Claim to our Spirit: 2007 – IA AA Women’s Leadership Conference 2007; all helped with the presentation two members presented. Use AIDS in Black America DVD. Discussion questions included:Describe your initial reaction to the video clip.  What facet(s) of the video impacted you the most? Probe: Do you think African American women in mainstream America related to the issues portrayed? What issues/challenges specific to AA women do you feel were not addressed by the video clip?    Probe: How do we begin addressing them?In addition to funding, what strategies or resources would you identify as necessary for addressing the impact of HIV among AA women at the state/local level? The gift bags distributed during the breakout presentation were also instrumental in engaging participants in conversations about HIV prevention. We found that inter-generationally, the participants asked questions about the gift bag contents to other members of the audience. Granddaughters were teaching their grandmothers about condoms, without embarrassment, and it set the stage for the remainder of the presentation.
  2. Difficult to engage faith communities in Iowa. Alberta Ware, formerly from Balm in Gilead, presented to a small group of influential Black pastors in August 2007 to increase HIV awareness in their congregations. Reverend Sanders presented at the 2008 IA HIV Conference about church involvement in the AIDS epidemic.
  3. This Committee advises the CPG regarding the disproportionate impact of the HIV/AIDS epidemic on the African American and Hispanic communities. Specifically, the Committee shall:Identify culturally competent prevention and care strategies targeting African American and Hispanic communities. Advocate for these strategies within the African American and Hispanic communities. Advise the CPG on cultural and historical antecedents that may affect the planning and outcome of other committee activities, i.e., needs assessment strategies conducted in African American and Hispanic communities, etc. Assist in planning activities for African American and Hispanic HIV/AIDS Awareness Campaigns. Engage in the development of, and provide feedback on, the statewide HIV Comprehensive Prevention and Care Plan, including matching the needs of the African American and Hispanic communities to evidence-based interventions and care systems. Ensure that the CPG has broad representation of the African American and Hispanic communities as well as individuals and/or agencies needed to accomplish the work of the REHD Committee. Increase awareness and understanding of how HIV/AIDS impacts the African American and Hispanic communities.
  4. Mindy Thompson-Fullilove, M.D., was opening plenary speaker at the conference. She is a research psychiatrist at New York State Psychiatric Institute and a professor of clinical psychiatry and public health at Columbia University. Her work in AIDS is featured in Jacob Levenson’s The Secret Epidemic: The Story of AIDS in Black America. Dr. Fullilove helped to set the tone for the conference’s theme. Reverend Edwin Sanders, Founder of the Metropolitan Interdenominational Church in Nashville, TN, presented on AIDS in the Black Church during a plenary lunch and also during one of the breakout sessions.Vanessa Johnson, J.D., Executive Deputy Director, of National Association of People with AIDS(NAPWA) held a breakout session on Common Threads, an HIV prevention intervention which focuses on sharing life experiences through storytelling.Optional Evening Session held by, the Office of Minority Health Resource Center (OMHRC), a unit within the Department of Health and Human Services, conducted several town hall meetings in March 2008 in Iowa on how to address disparities in diagnoses of HIV/AIDS, STDs, and other infectious diseases among AfricanAmericans. Participants got the opportunity to discuss findings and determine next steps.
  5. Primary challenge, as with most committees, is that the group members are multi-tasking and have various scheduling conflicts. Very difficult to get the entire group on one conference call. We find it is best, because the majority of members are also on the CPG, to meet during committee times at or after CPG. We are trying to have monthly calls to touch base on objectives.
  6. NASTAD conducted three focus groups in each jurisdiction with the following participants:Health Department Staff: AIDS Directors, Prevention Directors, contractors, and other identified health department staff working to address HIV and STD’s among black women;Providers: Community based organizations (CBO’s), clinics, shelters, etc currently providing HIV prevention and care and treatment services specifically targeting black women; Consumers/Clients: Black women currently receiving services from and/or participating in a program or intervention provided by a community based organization or other identified service provider, black women currently serving on the CPG/PPG, identified black women perceived as leaders within their communities that are actively working to address HIV/AIDS and other relevant health issues.A strategic planning session was held the day after the focus groups to assist the RHED committee with identifying structural, short and long term objectives. The vision and mission statements of the group were written during this planning session, as well as the decision made to remain an ad-hoc committee of the CPG. Current members were considered the “core” group members, with group membership expansion planned within the next 2 years.
  7. The group decided to maintain focus on women of color in Iowa. It is the plan of the group to expand membership and objectives to include men of color in the future.
  8. Capacity; added minority outreach worker; Infertility Prevention Project Coordinator; Corrections nurse; leader in the community from Iowa’s largest CBO, and a returning CPG member.The group decided to focus efforts at the 2010 Iowa HIV Conference as a way to market, raise awareness, and recruit new members.