BEYOND THE BARRIERS:STRATEGIES FOR SUCCESSFUL OUTREACH TO BLACK Marsha Jones, BSCo-Founder/Executive DirectorThe Afiya Center HIV Prevention & Sexual Reproductive Justice

WHO ARE WEThe Afiya Center HIV Prevention & Sexual Reproductive Justice Transforming women and girls' relationship to their reproductive health & wellness

The Afiya Center is a 501c3 non profit organization and the mission of The Afiya Center: Is to engender empowerment re-educating women and girls, of African descent as well as other marginalized communities decreasing HIV/AIDS prevalence, increasing knowledge of Sexual and Reproductive health and transforming their conception and management of their health and wellness to one that promotes self-love, self-efficacy, and wholeness in a women centered atmosphere

WHO ARE WE CONTDThe Afiya Center is a woman centered organization where we seek to create an atmosphere where womens experiences are the center of our thinking; addressing the unique needs of women and increasing awareness and advocacy around policy that impact womens lives.

The Afiya Center is very unique in that we are one of the very few reproductive justice organizations in North TX founded and directed by women of color. This organization approaches HIV prevention from a social justice and human rights framework effectively and realistically striving to decrease new infections among women of color. We also empower women living with HIV/AIDS by creating programs that address vulnerabilities encountered in their life prior to acquisition of HIV that increased their risk. We also work to create economic empowerment for women living with HIV/AIDS by way of a micro economics project.

HIV & BLACK WOMENIn New York City, where AIDS is the number one killer of women between the ages of twenty-five and thirty-four, Black women, with their Latina sisters, account for 84% of the adult female AIDS cases Harlon L. Dalton AIDS in Black Face 1989

HIV & BLACK WOMENHIV/AIDS is a very feminized disease globallyWomen make up more than half of people living with HIV/AIDS around the world In the United States Women make up 25% of people living with HIV/AIDSBlack Women carry the brunt of that burden

GOALS & OBJECTIVESAfter having participated in this session participants will understandHOWSocial determinants such as poverty, social environments, and life skills will need to be considered for incorporating within their programs when implementing said programsTo identify and effectively engage the community such as communities of faith, women service organizations, and community based organizations in creating a holistic approach, which includes a social determents framework, to addressing the needs of black womenTo incorporate advocacy or assist our communities in identifying those organizations that advocate to change policy that can address these issues that black women are confronted with that create barriers to them overcoming the challenges they are faced with

HIV & BLACK WOMEN

HIV & BLACK WOMEN

HIV & BLACK WOMEN

HIV & BLACK WOMEN

OUTREACH & BLACK WOMEN

BARRIERSCultural differencesSocio Economics Environment Limited resourcesLimited funding

RETHINKING OUTREACH

OUTREACHHistorically outreach has had a cookie cutter approachmade have had a different shape but they were still cookies..Risk Reduction ModelIdentify your riskChange your riskReduce your risk

OUTREACHWe are now moving toward a different paradigm by which we should be addressing mental and physical health outcomes.Social Determinants of HealthSocial determinants of health (SDOH) are factors and resources essential tothe health of communities and individuals. These include income, shelter,education, access to nutritious food, services, community norms andcohesion, and social justice.Social Determinants of Health Information Sheet

BLACK WOMEN A PRIORITYNo other group in America has had their identity socialized out of existence as have black women... When black people are talked about the focus tend to be on black menWhen women are talked about the focus tends to be on white women bell hooks

STRATEGIESRe think our approach to outreach to black women.taking in the nuances that make this population unique. Addressing the social and structural determinants that drive behavior that create risk for black women:Homelessness, intimate partner violence, substandard education, and poverty

CREATING ECONOMIC EMPOWERMENT

COLLABORATIVE EFFORTSTraditional AIDS Service Organizations must work with Community Based, Faith Based, Women Centered Organizations, and non traditional organizations thats working to meet these needs. There will need to be more advocating on behalf of meeting the holistic needs of Black womenOrganizations must start talking and the conversations and strategies will have to expand beyond risk reduction funding

COLLABORATIVE EFFORTSThe days of SILOS are over.it will take a collective effort to meet the needs of black women.

DISCUSSIONHow do we incorporate Social Determinants of Health into a Risk Reduction Model?What are the barriers that we will be faced with when seeking funding to develop the program?How do we get beyond those barriers?

ALMOST THERE!!!

NATIONAL HIV/AIDS STRATEGYVision for the National HIV/AIDS Strategy The United States will become a place where new HIV infections are rare and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free from stigma and discriminationPresident ObamaJuly 13, 2010

THANK YOU!!!!!Contact informationMarsha Jones, Co-Founder/Executive Director The Afiya Center HIV Prevention & Sexual Reproductive Justiceendaidsnow1@yahoo.comwww.theafiyacenter.org214-753-3777

The pie chart on the left illustrates the distribution of diagnoses of HIV infection among adult and adolescent females in 2009 by race/ethnicity in the 40 states with confidential name-based HIV infection reporting since at least January 2006. The pie chart on the right shows the distribution of the female population of the 40 states in 2009. In 2009, black/African American females made up 14% of the female population but accounted for an estimated 66% of diagnoses of HIV infection among females. Hispanic/Latino females made up 11% of the female population but accounted for 14% of diagnoses of HIV infection among females. White females made up 71% of the female adult and adolescent population but accounted for 17% of diagnoses of HIV infection among females. The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays, but not for incomplete reporting. Hispanics/Latinos can be of any race.*This slide shows the distribution of diagnoses of HIV infection among adult and adolescent black/African American, Hispanic/Latino, and white females by transmission category. Blacks/African Americans had the highest percentage of diagnosed HIV infections attributed to heterosexual contact among the three groups (87%), followed by Hispanics/Latinos (83%) and whites (77%). The percentage of diagnosed HIV infections attributed to injection drug use was highest among white females (23%) followed by Hispanic/Latino (17%) and black/African American (13%) females.The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. Hispanics/Latinos can be of any race.Heterosexual contact is with a person known to have, or to be at high risk for, HIV infection*In 2009, the majority of diagnosed HIV infections among females aged 13 years or older were attributed to heterosexual contact for all age groups. However, the percentages attributed to heterosexual contact decreased as age group increased. An estimated 17.9% of diagnosed HIV infections among females aged 45 years and older were attributed to injection drug use, compared with 9.6% in females aged 1319 years, 10.0% in females aged 2024 years, 13.0% in women aged 25-34 years, and 15.9% in women aged 35-44 years. The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. Heterosexual contact is with a person known to have, or to be at high risk for, HIV infection*In the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006, the estimated rate of diagnosis of HIV infection among adult and adolescent females was 9.9 per 100,000 population in 2009. The rate of diagnosis of HIV infection for adult and adolescent females ranged from zero per 100,000 population in American Samoa and the Northern Mariana Islands to 21.7 per 100,000 population in Louisiana and 24.6 per 100,000 population in the U.S. Virgin Islands.The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays, but not for incomplete reporting.

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