Implications for the Front Lines / Implications pour les premières lignes 1 - CATIE
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Implications for the Front Lines / Implications pour les premières lignes Programming Highlights from the CAHR 2021 Virtual Conference Faits saillants sur la création de programmes de la Conférence virtuelle 2021 de l’ACRV 1> June 28th, 2021 catie.ca
Interpretation / Interprétation English-French simultaneous interpretation is Durant le webinaire, des services d’interprétation available during the webinar. simultanée anglais-français sont disponibles. Attendees should choose their preferred language Les participants au webinaire devront opter pour from the Interpretation tab at the bottom of the la langue de leur choix à partir de l’onglet screen. Interprétation au bas de l’écran. 2> catie.ca
Q&A / Q. et R. All attendees will be muted during the webinar. Tous les participants resteront en sourdine durant le webinaire. Submit your questions in English or French through Posez vos questions en français ou en anglais par the Q&A tab at the bottom of the screen (not the l’intermédiaire de l’onglet Q. et R. au bas de l’écran Chat tab). (non celui de Converser). 3> catie.ca
Agenda Ordre du jour i. Welcome and introduction (5 min) i. Mot de bienvenue et présentations (5 minutes) ii. Context setting & summary of programs presented at ii. Mise en contexte et sommaire des programmes CAHR (40 min) présentés lors la conférence virtuelle de l’ACRV (40 i. Speakers: Amanda Giacomazzo, Camille Arkell & minutes) Mallory Harrigan i. Conférencières : Amanda Giacomazzo, Camille iii. Presentation on The Care Collective (15 min) Arkell et Mallory Harrigan i. Speaker: Wanjiru Munene, ACCHO iii. Présentation sur le Collectif Bien-être (15 minutes) iv. Presentation on DRUM & SASH (15 min) i. Conférencière : Wanjiru Munene, CACVO i. Speakers: Rachel Landy, Carrielyn Lund, Kandice iv. Présentation de DRUM & SASH (15 minutes Ogilvie & Raye St Denis, DRUM & SASH i. Conférencières : Rachel Landy, Carrielyn Lund, v. Question & answers, closing (15 min) Kandice Ogilvie et Raye St Denis, DRUM & SASH v. Question et réponses, mot de la fin (15 minutes) 4> catie.ca
Goals Objectifs 1. To learn about a selection of evaluated 1. En savoir plus sur une sélection de programmes programs across the HIV cascade évalués dans le continuum de prise en charge (prevention, testing, treatment and care) du VIH (prévention, dépistage, traitement et soins). 2. To provide an opportunity for two Canadian HIV programs to share their 2. Fournir à deux organismes canadiens de lutte programs and work contre le VIH l’occasion de partager leurs programmes et leur travail. 5> catie.ca
Leave no one behind Aucun laissé pour compte What about the 10-10-10? Dans ce cas, que fait-on pour les 10 %-10 %-10 %? McClarty et al., 131 McClarty et al., 131 8> catie.ca
Know your epidemic, Connaître son épidémie, Know your response connaître sa réaction Popovic et al., 114; 116 Popovic et al., 114; 116 9> catie.ca
HIV Testing Dépistage du VIH 11 > catie.ca
Traitement et soins HIV Treatment & Care contre le VIH 12 > catie.ca
The COVID-19 Pandemic Pandémie de la COVID-19 Service users reported: Les utilisateurs.trices des services ont signalé ce qui suit : • Changes in access to HIV testing and sexual health services (Chang et al., 254; • Des changements dans l’accès aux services Pederson et al., 160) de dépistage du VIH et de santé sexuelle (Chang et al., 254; Pederson et al., 160) • PrEP access becoming more episodic (Grace et al., 177; Gaspar et al., 25) • Un accès à la PrEP de plus en plus épisodique (Grace et al., 177; Gaspar et al., 25) • Less disruption to HIV treatment and care services (Copper et al., 60; Grace et al., • Une perturbation moindre des services de 177) traitement et de soins liés au VIH (Copper et al., 60; Grace et al., 177) 13 > catie.ca
The COVID-19 Pandemic Pandémie de la COVID-19 Service providers reported a decrease in their Les prestataires de services signalent une ability to provide STBBI prevention, testing réduction de leur capacité à fournir des and treatment services as well as a decrease services de prévention, de dépistage et de in the demand for these services traitement des ITSS, ainsi qu’une baisse de la (Lybeck et al., 171) demande de ces services (Lybeck et al., 171) 14 > catie.ca
Prevention Programs Programmes de prévention • PrEP • PrEP • Context (Tovillo et al., 156; Brennan et al., 57; • Contexte (Tovillo et al., 156; Brennan et al., 57; Sang Sang et al., 199) et al., 199) • Freddie (Trombetta et al.,139) • Freddie (Trombetta et al.,139) • Prevention education • Éducation sur la prévention • Currents of Knowledge (Roy, 71) • Courants de connaissances (Roy, 71) • Knowledge Into Action (Daniel et al., 76) • Mise en pratique des connaissances (Daniel et al., 76) 15 > catie.ca
Prevention Programs Programmes de prévention • Harm reduction in: • Réduction des méfaits dans les contextes suivants : • Hospitals (Weber et al., 144) • Centres hospitaliers (Weber et al., 144) • Federal prisons (Leonard, 217; Smith et • Prisons fédérales (Leonard, 217; Smith et al., 219) al., 219) • Community (Perri et al., 40; Radchenko • Communautés (Perri et al., 40; Radchenko et al., 200) et al., 200) 16 > catie.ca
Testing Programs Programmes de dépistage • HIV self-testing context (Galli et al., 234, • Contexte de l’autodépistage du VIH (Galli Penny et al., 233) et al., 234, Penny et al., 233) • GetaKit (Winkelman, O’Byrne et al., 212) • GetaKit (Winkelman, O’Byrne et al., 212) • Online STBBI testing context (Dulai et • Contexte du dépistage en ligne des ITSS al., 243) (Dulai et al., 243) • GetCheckedOnline (Montiel et al., 152) • GetCheckedOnline (Montiel et al., 152) 17 > catie.ca
Treatment & Care Programs Programmes de traitement et de soins • Pour ceux et celles qui ne sont pas assuré ou dont • For uninsured or underinsured people les assurances offrent une couverture très limitée • Cercle Orange (Keeler, 195) • Cercle Orange (Keeler, 195) • The Blue Door Clinic (Li et al., 102) • The Blue Door Clinic (Li et al., 102) 18 > catie.ca
Treatment & Care Programs Programmes de traitement et de soins • Education for service providers • Formation pour les prestataires de services • Virtual classroom (Kogilwaimath et al., 80) • Cours virtuels (Kogilwaimath et al., 80) 19 > catie.ca
Questions? Des questions? Please enter any questions for our guest Si vous avez des questions pour nos speakers into the question box. conférencières, veuillez les entrer dans la boîte à cet effet. 20 > catie.ca
Thank you! / Merci! Please complete the webinar evaluation that will be provided following this webinar. Veuillez nous faire part de vos commentaires en répondant à l’évaluation qui vous sera envoyée après le webinaire. 21 > catie.ca
IMPLICATIONS FOR THE FRONTLINES: PROGRAMMING HIGHLIGHTS FROM CAHR 2021 MONDAY, JUNE 28TH , 2021
THE CARE COLLECTIVE: A groundbreaking campaign whose objective is to encourage African, Caribbean and Black (ACB) women to know their HIV status by incorporating regular testing into their radical self-care practice. The campaign also increases HIV knowledge and chips away at HIV-related stigma. The campaign is sparking conversations around HIV by accessing self-care spaces (including virtual ones) where ACB women gather, and by bringing certified HIV testers to these self-care spaces to talk about HIV and offer free and confidential testing on site.
RATIONAL: African, Caribbean and Black (ACB) people make up 4.7% of Ontario’s population, yet they account for 27% of first- time HIV diagnoses. HIV testing, rates of infection, engagement and retention in care are all areas in which ACB women are being perilously left behind. 61% of all women newly diagnosed with HIV in Ontario are ACB women, and these numbers are expected to rise (OHESI). ACB women traditionally bear a disproportionate burden as care givers and supporters of their households and families, as backbones of their communities, and as activists speaking up against oppression – hence the stereotype of the ‘strong’ Black woman. For these reasons, the concept of radical self-care resonates loudly with ACB women. The Care Collective is responding to this reality by promoting radical self-care for ACB women, which includes regular HIV testing.
RADICAL SELF-CARE: “When an individual makes the proactive decision to care for oneself by engaging in activities that feed their soul regularly in a manner that changes their lifestyle and allows the individual to prioritize oneself and put self-care needs before others consistently to reduce the impact of stress and combat against stress-related illnesses” (Smith, 2020). Health and well-being of Black women is multifaceted. And the issues of race, gender, and socioeconomic status cannot be treated as distinct categories but rather as interconnected issues in our HIV intervention work. Through The Care Collective we are normalizing HIV conversations and testing among ACB women as part of our radical self-care, because our health outcomes matter too!
LAUNCH: The Care Collective was launched on February 7th, 2020 – ACB HIV/AIDS Awareness Day through The Care Salon – pop up testing sites at two Black owned Toronto hair salons. It was a great success with a lot of media interest. Over 10 million impressions online Promotional video had over 430,000 views Was the headline of 9 media placements in one day 300% increase in HIV tests compared to previous initiatives 94% increase in website visits 24 -35 was the most active age audience
ROLL-OUT: The Care Collective is being implemented through a collection of radical self-care inspired initiatives, bringing HIV testing and conversations to new and existing virtual and in-house spaces where ACB women gather such as: beauty salons, yoga studios, gyms, mindfulness groups, faith group gatherings, professional associations, etc. Some The Care Collective events:
CHALLENGES: • COVID19 Pandemic. • Emotional turmoil by racial injustice cases. • Rise in gender-based violence – Black trans women. • Transition to effective virtual programming. • Concerns for hard-to-reach ACB women being left out of online outreach work.
OPPORTUNITIES: • Through meaningful engagement with community partners on virtual events, we continue to reach even more ACB women. • We continue to create more intimate, welcoming and safe online spaces for ACB women to gather and share their experiences and get the support they need. • Through virtual events, we have been able to invite a variety of notable guest speakers/facilitators to come in, share experiences and offer culturally relevant support. • This summer and into the near future, we are planning a series of exciting culturally relevant events that will engage ACB women even more and encourage HIV testing in a variety of settings.
LEARNINGS: The self-care universe is large and ever-expanding and will inspire more initiatives as this campaign continues to be rolled out. By taking HIV testing and prevention work to where ACB women are, we dismantle some of the systemic barriers that traditionally keep ACB women from accessing services. When we empower ACB women to radicalize their self-care and put their health and well being first, we empower the community to make their overall health a priority. Social support is critical in providing ACB women with opportunities to receive validation about their experiences of gendered racism as part of HIV intervention work. HIV Interventions that consider the unique position of ACB women – through initiatives that bond ACB women together in their intersecting identities – promote long term psychological and physical health.
LEARN MORE ABOUT THE CARE COLLECTIVE: www.thecarecollective.info acch.ontario
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