A brief overview/history of the HIV-related work I've done since 2004, for a panel discussion on HIV in the USA and abroad for the 24th Annual Minority Health Conference of the student organization Public Health Students of African Descent (PHSAD). Conference title - "Health, Poverty, and Inequality: Innovative Approaches to Improving Global Health". Presented 23 March 2010.

1. HIV in Our Community/ies Carrie Rheingans Social Work Intern HIV/AIDS Resource Center PHSAD Global Health Conference 23 March 2010

3. Some Epidemiology

4. Outreach

5. HIV Testing, Counseling, and Referral

6. Policy

7. Future WorkProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

9. 2006: HARC Volunteering

10. 2007-2008: HARC Staff

11. 2008, 2009, 2010: Campaign to End AIDS, Youth action Institute

12. 2008-2009: Public Health/AmeriCorps

13. 2009: VíaLibre

14. 2009 – Present: Social Work Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

16. Course facilitator

17. Volunteer at HARC

18. Staffed the testing clinic

19. Later state-certified to do HIV test counselingProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

21. Special events – dinners, silent auction, wine tasting, AIDS Walk

22. Community coalitions

23. SHOC, WAW

24. Attended trainings & conferencesProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

25. C2EA/Youth Action Institute (2008-2010) Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

27. Peace Corps

28. Teach for America

29. Served 1800+ hours, 11 months

30. Living stipend, education award

31. TeamProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

32. AmeriCorps Projects Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

34. Community education, guest lectures, outreach

35. Volunteer coordination

36. Social media support

37. Community coalitions

39. Serves most of Peru

40. Outreach/testing trip

41. Training with staff

42. Trainings with youth

45. Interview board, staff

46. Grant writing

47. Present at conferences

48. Sex::Tech (Feb 2010)

49. NASW-MI (April 2010)

50. Community coalitions

52. November 2009

53. 100+ attendees

56. 52% of known transmission mode among men who have sex with men (MSM)

57. 17% among injecting drug users

58. Fastest rising rates among African-American MSM, African-American women, especially young (13-24)Data from Michigan Department of Community Health 2008 Epidemiological Profile: http://www.michigan.gov/documents/mdch/2008_HIV_Epi_Profile_251292_7.pdf Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

60. 21among MSM

61. 1among IDU

62. 6among “low-risk” heterosexual

63. 25 among men

64. 5among women (4 were co-diagnosed with AIDS)

65. 16 among African-American

66. 13 among Whites

67. 16 among youth (15-29)Data from Washtenaw County 2008 Profile: https://www.ewashtenaw.org/government/departments/public_health/phcontent/hiv-aids_trends2008.pdf Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

69. Where people congregate

70. Mobile unit to high-prevalence zip codes

71. Education

72. HIV 101 presentations

73. Part of HIV testing

74. During outreach

75. HIV Testing, Counseling, Referral

76. In clinics

77. Health departments

78. Mobile unit

79. Rapid, traditional

80. Anonymous, ConfidentialProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

82. Discrimination against those living with HIV

83. Compulsory HIV testing (jobs, apartments)

84. Confidentiality issues

85. Violence

86. Intersecting stigmas include:

87. Race

88. Gender

89. Socio-economic Status

90. Sexuality

91. Drug useProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

93. Blood

94. Semen (including pre-ejaculate)

95. Vaginal Secretions

96. Breast Milk

97. Cerebrospinal fluid

98. Barrier Methods

99. Condoms

100. Internal Condoms (“female”, “Reality”)

101. Dental Dams

102. Risk Reduction

103. Lubricants

104. Outercourse

105. Syringe exchange

106. Less risky behaviorProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

108. HIV testing

109. Hand out supplies

110. Syringe exchange

111. Hepatitis C testing

112. Referrals

113. Volunteers help a lot!Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

115. Hand out supplies

116. Referrals

117. Promote HIV Testing

118. Volunteers help a lot!Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

120. Testing = obtain consent, collect sample

121. Referral = give info about other services of interestProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

123. Initiated 2003, renewed 2008

124. Treatment available to many

125. Largest bilateral agreement in world

126. Focused on ABC model

127. US Visas/Entry

128. Difficulty of getting visas

129. Recently overturned long-standing no-entry policy

130. Syringe Exchange Programs

131. Ban on federal funding

132. Must get exemption from drug paraphernalia laws for programs Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

134. One is not required to participate, but it is encouraged that those living with HIV notify their past partners. County can do it anonymously

135. Discrimination Law

136. No one can discriminate against a person infected with HIV (work, housing especially)

137. Disclosure Law

138. HIV infected persons are required to disclose status to future partners before sexual penetration

139. Cannot disclose someone else’s status, + or –

140. Consent

141. Clients must consent to be tested for HIV

142. Current proposal to remove required consentProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

144. Aizhixing Institute conference for social workers & HIV workers

145. Forge connections for future exchanges

146. Summer 2010: Bangladesh

147. Shakti Foundation for Disadvantaged Women

148. PhotoVoice as community health assessment

149. Evaluate HIV-related additions to health programsProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

151. Shreveport, Louisiana

152. More international than ever – China, Kenya, Australia, Canada, Puerto Rico

153. Summer 2010: International AIDS Conference

154. Vienna, Austria

155. Working with C2EA about youth and housing issuesProviding HIV related services to our community through compassionate direct care, prevention and outreach activities.

158. Comments?

159. Corrections?Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.

160. Carrie Rheinganscrheinga@umich.edu www.hivaidsresource.org www.americorps.gov www.sph.umich.edu www.ssw.umich.edu http://vialibre.org.pe www.umichsph.wordpress.com www.nafblogger.blogspot.com Providing HIV related services to our community through compassionate direct care, prevention and outreach activities.