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HIV/AIDS, Disability and Dignity: Community empowerment and microfinance

HIV/AIDS, Disability and Dignity: Community empowerment and microfinance. Rachel Thibeault, Ph.D Occupational Therapy Program. Disability in a nutshell. Between 8% and 12% of any given population. The percentage is growing. Why? The disabilities carrying the most ostracism?

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HIV/AIDS, Disability and Dignity: Community empowerment and microfinance

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  1. HIV/AIDS, Disability and Dignity: Community empowerment and microfinance Rachel Thibeault, Ph.D Occupational Therapy Program

  2. Disability in a nutshell • Between 8% and 12% of any given population. • The percentage is growing. Why? • The disabilities carrying the most ostracism? • Leprosy, deafness, fistulas, albinism… • Mental disability : 450 M – without treatment, dignity and rights. • The poorest of the poor

  3. What are their needs? Who has the “lived knowledge”:The people with disabilities or the experts?

  4. The experts' unanimous position: ARVs.

  5. The people's perspective • Food security • Education • Employment -Rehabilitation • Transportation • Drugs

  6. Tackling three core issues • Ensuring access to food, education and services for People with Disabilities and their children • Addressing the disabilities brought on by HIV/AIDS • Meeting the needs of the most vulnerable: How do you define and AIDS victim?

  7. 1- Ensuring access to food,education and services for People with Disabilities and their children • Community mobilization • Leadership training • Meeting basic needs • Political lobbying

  8. 2-Addressing the disabilities brought on by HIV/AIDS without ART • TB and malaria • Candidal infections (oesophagus – painful swallowing) • Acute diarrhea • Noma • Encephalitis – meningitis (TB or non-TB, resulting often in deafness)

  9. 2-Addressing the disabilities brought on by HIV/AIDS without ART • Stroke: in young children - infectious embolisms • Neurosyphillis • Dementia • Depression • Anxiety disorders

  10. 2-Addressing the disabilities brought on by HIV/AIDS with ART • Anemia • Dizziness • Sleep disturbances • Memory loss • Difficulty concentrating • Peripheral neuropathy • Myopathy

  11. 2- Addressing the disabilities brought on by HIV/AIDS with or without ART • « Regular » protocols for the conditions identified • Nutrition • Housing (crowded conditions) • Sanitation • Training the family

  12. 3- Meeting the needs of the most vulnerable: Who are the AIDS victims? • The young girls – specially young girls with disabilities – the virgin cure myth • The orphans • Women in general • The elderly

  13. Microfinance as one key tool

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