Introduction The Prevention and Access to Care and Treatment (PACT) program was established in 19971 to improve the health of the most vulnerable HIV and AIDS patients in Boston through the use of community health workers. Unlike many other types of healthcare providers, community health workers are able to form unique bonds with patients based on shared backgrounds, cultures, and languages. These community health workers provide individualized, culturally competent educational interventions in an effort to maximize patients’ usage of available medical and social services.2 Patients are referred into PACT by social services or healthcare providers when other options for care have been tried and were unsuccessful. Vulnerable populations such as racial and ethnic minorities, drug users, and those living below the poverty line tend to be disproportionately affected by HIV and AIDS3. Conventional care for these individuals can be particularly challenging with regards to access to culturally sensitive care, consistency of treatment, and patient understanding of risk factors and of the disease itself. Therefore, there is a great need for comprehensive, targeted programs such as PACT to effectively address these issues. In order to make sure that PACT is adequately addressing the needs of its target population, we will be conducting a program evaluation. This will allow us to assess the importance, value and quality of the program, all of which are important to stakeholders. This
HIV and AIDS is affecting the latino community in a negative way. It’s causing the quality of life in the United States to drop, but why is that. In 2015, Hispanics/Latinos made up about 23% of the countries new HIV diagnoses despite only being 18% of the population. The stigma that comes from the Hispanic/Latino culture, factors being economical or personal are major factors that makes HIV/AIDS thrive in the latino community. The young Hispanic/Latino community are at risk since, they are being deprived from showing their sexuality because of their cultures stigma. The gender power imbalance in these communities, and their stigma against homosexuals. Statistics from new HIV infections, gender ratios, death rates, education and so on.
The best solution is the implementation od an Hiv awareness campaign targeted at African-american women. African-american women as a population have lower rates of awareness about HIV infection, ahich is is perceived to be primarily a homosexual disease that’s inflicts homosexual men (Cleveland, 2008). African-american women also are likely to discount the possibility that their male partners are engaged in homosexual activity ( Hunter & King, 2005). Addressing these erroneous beliefs must be the first step in encouraging African-american women to engage in safe sex practices. Providing access to condoms and testing before an awareness campaign puts the cart before the horse.
HIV/AIDS is a disease with social, psychological and physiological consequences for those impacted by the illness. The impact of HIV and AIDS among African American women has been devastating. The Centers for Disease Control (CDC, 2010) reports that black women represent 29% of the estimated new HIV infections among all adult and adolescent African Americans and HIV/AIDS is the third leading cause of death for black women ages 25?44. Several
Due to gaps in policy oversight, the percentage of minorities living with HIV and AIDS in the United States remains high. It has remained high due in part to policies that were implemented during the early 90’s, emblematically The Ryan White Care Act, along with in policy makers for their failure to recognize the special needs and factors that pertain to minority groups, specifically African Americans and Non-white Hispanics. The racial disparities that have historically plagued these minority groups were initially overlooked in the policy making and implementation process. In turn, it is no disheartening wonder that certain figures and data are now representative of the minority demographic; example:
HIV/AIDS Disparity among African Americans Health disparities are the differences in accessing and receiving quality of health care provided to different populations (book). The multiple causes of disparities may include gender, race, ethnicity, sexual orientation, stigma or socioeconomic status. One of the common disparities in the US is among African American women who are infected by the human immunodeficiency virus (HIV) and its viral successor, acquired immune deficiency syndrome (AIDS). There is no clear answer as to why disparity is an ongoing problem within the population but factors that contribute to this epidemic include race itself, poverty or low income and lack of access to care
Many people are unaware of their health status further increasing transmission of disease in young adult African American(AA) women age 18-24. Human Immunodeficiency Viruses (HIV) infects and also destroy blood cells (i.e. lymphocytes) that the body need to fight off infection (Mays 2011). African American women HIV positive, age 18-24 the magnitude of issue of the health disparity in this particular population will be addressed along with the many factors of social and health determinants. The health concern is towards the increase of transmission among young AA mothers and their children who are the health outcomes in many ways than one. The many social and health determinants that affect the women today are on going cycles that have yet to be broken. African American women make 64% of new infection cases for HIV. African american obtain a vulnerability unlike other minorities. The health population’s culture and stigma has played an important role in the community. The concern for AA women is the increase of new cases and most importantly the spread of the disease to these women’s children. The mortality rate of AA women with HIV is 47.1% as of 2012. (Siddiqi 2015)
HIV/AIDS is a growing social issue in the Hispanic population. Due to the sigma that surrounds HIV/AIDS, individuals living with the disease feels embarrass to admit that they may have it. It can be hard to get these individuals to participate in treatment and prevention methods. To get a better understanding on how to reach Hispanic immigrants we first have to look at the social environment of the population. Hispanic immigrants have inadequate community involvement due to their social economic status, low level of education, inability to speak English, and not acculturated into American culture (Ramirez, Brown, 2003). To help boost morale and reduce stress and stressors that a Hispanic immigrants that has this disease may feel a program
The National Center for Cultural Competence developed a validated assessment tool “at the request of the Bureau of Primary Health Care (BPHC), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Service (DHHS)” (National Center for Cultural Competence (NCCC), 2004). The intent of the assessment tool is to “to enhance the delivery of high quality services to culturally and linguistically diverse individuals and underserved communities” (NCCC, para. 1, 2004).
According to recent statistics from the Centers for Disease Control, approximately 1.2 million individuals in the United States have HIV (about 14 percent of which are unaware of their infection and another 1.1 million have progressed to AIDS. Over the past decade, the number of HIV cases in the US has increased, however, the annual number of cases remains stable at about 50, 000 new cases per year. Within these estimates, certain groups tend to carry the burden of these disease, particularly the gay, bisexual, and men who have sex with men (MSM) and among race/ethnic groups, Blacks/African American males remain disproportionately affected. (CDC)
With a growing and diverse United States population, pursuing the goal of cultural competence in the workforce and health-care system emerges as a leading strategy in reducing disparities. Cultural competency, is defined as the ability of health-care providers to function effectively in the context of cultural differences (IOM, 2001). As a healthcare administrator it is important to employ several initiatives to increase the cultural competency within the workforce including the recruitment and retention of minority staff as well as providing training to increase cultural awareness, knowledge and skills. Another strategy to employ in strengthening the relationship between the patient and provider is to create buy-in from community leaders and stakeholders when launching initiatives geared toward the reduction of health disparities. One example of this type of approach is the Racial and Ethnic Approaches to Community Health (REACH) projects funded by the Centers for Disease Control and Prevention (CDC). REACH projects aim to reduce racial and ethnic health disparities in minority communities. For example, a 2010 study by Liao et. al., documented overall decreasing trends in the prevalence of smoking among men in Asian communities served by the REACH project. By engaging the communities that they serve and forming community partnerships, projects such as REACH can be been successful in targeting health behaviors and consequently reducing health disparities in communities of
New Jersey is home to one of the most dynamic and diverse populations in the country with scores of different cultures residing within a densely populated area. It ranks among the wealthiest states in the nation, however, lesser known—pockets of extreme poverty exist throughout the state within distinct, geographically delineated areas. Several of these disadvantaged, disenfranchised pockets are home to low-income, predominantly minority residents that have the highest cumulative number of HIV/AIDS cases state-wide, highest rates of sexually transmitted infections and teen birth rates, presenting a significant challenge to providers aiming to address these needs. Six of our 16 health centers including Trenton are located in Medically Underserved
The HIV/AIDS Policy Initiative project seeks to build the capacity of LHDs to prevent HIV infection and reduce HIV-related illness and mortality. One of the specific objectives was to assess linkage to care interventions implemented in the US. Through an environmental scan, I collected and gathered
Health disparities are at the root of public health crises; there are billions of dollars being allocated for initiatives and operations with the aim at improving the quality of life and combating health disparities within at-risk, vulnerable, and minority populations. Race relations and how it is impacted by American culture, history and policy presents a risk factor for negative health outcomes for some. NCORE will be an environment where I can be a part of the dialogue, and where I can learn the skills needed to be active and operate public health professional within a cultural context. Cultural humility and competence are very important when planning and piloting public health programs aimed at targeted audiences such as persons of color and people
This paper is about the evaluation of the 10 essential Public Health Services and how they can be helpful in the prevention of HIV in communities across the nation. In addition, the paper depicts how the Chicago Department of Public Health (CDPH) has been able to incorporate the 10 essential public health services in its fight against HIV disease. The paper will discuss the assessment of the HIV disease situation in Chicago neighborhoods; policy development by the Chicago Department of Public Health and the assurance that solutions to priority problems are based on scientific evidence. Furthermore, the interconnection of the various essential public health service in the prevention and treatment of HIV and the support the department has for the families of their resident that are afflicted with HIV virus will be discussed. Finally, an inferred conclusion will be drawn from my research about the efficiency of the Chicago Department of Public Health and their incorporation of the 10 essential public health functions in their services to those HIV-positive residents in the city of Chicago.
Many Men, Many Voices (3MV) was very effective community based intervention aimed at reducing the incidence? of HIV among black MSM, by encouraging safe sex practices and semi-annual HIV/STI testing. The effectiveness of this intervention further reinforces the need for similar nationwide interventions implemented to assist in alleviating the disproportionate prevalence of HIV not only in this subpopulation of people, but in the African American population entirely.