uhip partnership apha 2013
DESCRIPTION
TRANSCRIPT
Building Research Capacity in AIDS Service
Organizations to Enhance HIV Prevention
Efforts for Young MSM
Jimena Loveluck, MSW
President/CEO
HIV/AIDS Resource Center
Emily Pingel, MPH
Managing Director
University of Michigan Sex Lab
Conflict of Interest Statement
• We have no conflicts to disclose or report
Learning Objectives
1. Review CBPR principles.
2. Discuss the Goals & Objectives of UHIP.
3. Identify the mutual benefits of a community-academic partnership to refine HIV/STI prevention services.
4. Recognize challenges created by joint research between a large academic institution and small community-based organization.
5. Identify strategies for disseminating research findings and impact on services for young MSM and the community at large.
6. Assess opportunities to strengthen community-academic partnerships.
Principles of CBPR
• Recognizes community as a unit of identity.
• Builds on strengths and resources within the community.
• Facilitates collaborative, equitable involvement of all partners in all phases of the research.
• Integrates knowledge and intervention for mutual benefit of all partners.
Israel B, Schulz A, Parker E and Becker A. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, pp. 173-202
Principles of CBPR
• Promotes a co-learning and empowering process that attends to social inequalities.
• Involves a cyclical and iterative process.
• Addresses health from both positive and ecological perspectives.
• Disseminates findings and knowledge gained to all partners.
• Involves long-term commitment by all partners.
Israel B, Schulz A, Parker E and Becker A. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, pp. 173-202
UNITED FOR HIV INTEGRATION AND POLICY (UHIP)
Putting CBPR Into Practice - UHIP
• Focuses on Issues of Concern to Community ▫ Addressing structural vulnerability among BLYMSM.
▫ Use of data by community to advocate for change.
• Directs & Improves the Research ▫ Adequate research formulation, data collection and
dissemination.
UHIP Goals • Conduct a policy assessment to identify key
stakeholders and policy opportunities. • Survey BLYMSM in the DMA about their social
experiences and HIV/AIDS risk behaviors.
• Analyze and integrate data into policy recommendations.
• Refine our policy advocacy skills and partnerships. • Disseminate our recommendations to local, state, and
national stakeholders invested in advocating for the rights of racial/ethnic minorities and YMSM.
Methods
• Policy Diagnosis (Year 1)
▫ Stakeholder identification and interview (N = 50)
▫ Web-survey of YMSM in DMA (N = 429)
Top Structural Factors Shaping HIV Risk
0 10 20 30 40
Economic Disadvantage
Weak Social Networks/Social Support
Homophobia
HIV/AIDS Stigma
Education
Unemployment
Housing Issues and Homelessness
Barriers to HIV Services
• BLYMSM Access
• Cost
• Transportation/Location of services
• Age related barriers
• Beliefs and risk perceptions
• Provider credibility/competence
• Medical mistrust
• Navigating services
• Discrimination
Dissemination and Implementation
• Sharing research findings with CBO staff, Board of Directors and client groups.
• Presenting research findings to other relevant groups, such as CABs, planning councils, and funders.
• Targeting specific areas of HIV education in outreach and testing efforts.
• Informing areas of focus during testing sessions.
• Assessing social network strategy.
FROM DATA TO PROGRAMS
Action Steps
• Increase in certain types of services: ▫ Peer-led programs (StatusSexy.com) ▫ LGBT and youth specific clinical services ▫ Consolidated, interagency collaborations
• LGBT training (C2P) ▫ Providers & Curriculum in health schools
• Create a guide to open and accepting services and
providers ▫ Development of a HIV/STI testing navigation tool
(GetConnected)
StatusSexy.com
•Increasing HIV Testing
•Decreasing Stigma
•Tailored to young gay and bi-attracted African American men
•Knowing your status is always sexy
StatusSexy Campaign Features
• Low-cost
• User-friendly marketing
• Youth-directed
• Posters, palm cards • • Peer educators
• Paid outreach workers
• Website
StatusSexy Keys to Success
• Joint testing and outreach events
• Planning and advisory groups
• The peer Sexy Team
• StatusSexy models
• Innovative use of social media
• Ongoing evaluation
http://www.statussexy.com/index.php/
avatars-home
Other HARC Initiatives
• New mobile unit with expanded services that include STI screening and insurance enrollment.
• Implementation of Healthy Relationships intervention for HIV+ MSM.
• New collaborations for HIV testing with LGBTQ and youth focused organizations.
• Ongoing knowledge sharing with collaborative partners, community groups and professional networks.
Lessons Learned Strengths & Challenges
Strengths of Our Collaboration
•Energetic Members
•Diverse populations and stakeholders
•Freedom to do advocacy
•Passion and Commitment
•Research capacity
•UM Affiliation
•HIV Expertise & Programming
Challenges of Our Collaboration
• Funding
• Organizational Capacity
• Taking national directives into practical programming
• Leadership Development
• Time
• UM Affiliation
• Biomedical Focus in Prevention
FORGING AHEAD…
New Directions
• Mixed-Methods Evaluation of StatusSexy
• Get Connected • Pilot testing of AIDS Stigma Index in SE-MI
• CBO offering technical assistance in CBPR work
• Addressing the challenges and opportunities of
PrEP among Health Department and ASO providers
Future of Sex Lab Collaboration
• Expansion of community partners?
• Broader sharing of research data
• Decision-making process for responding to new funding opportunities
• Agreeing on priorities for future initiatives
Acknowledgments