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Bahamas Red Cross Society and CHAP. October 19, 2010, Nassau, Bahamas. Overview. BRCS Intro Programs Snapshot HIV Programs and Interest Epidemiological context in Bahamas Snapshot of epidemiology nationally and high risk groups CHAP target group risk factors
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Bahamas Red Cross Society and CHAP October 19, 2010, Nassau, Bahamas
Overview • BRCS Intro • Programs Snapshot • HIV Programs and Interest • Epidemiological context in Bahamas • Snapshot of epidemiology nationally and high risk groups • CHAP target group risk factors • Programs/activities addressing these risk factors • Gaps • BRCS Chap Program • Overview and gaps that program addresses • Key methods and tools • Work plan for next three months • The team • Vision
Bahamas Red Cross Society Intro Family Island Services Home Help ServicesMeals on WheelsBahamas Red Cross Centre for the DeafDetainee Visits/Assistance for Refugees Rental of medical equipment Supplementary Ambulance and Hospital Transport service First Aid Service/Training Disaster & Emergency Assistance Junior Red Cross/ Red Cross Youth Together We Can program After school program for youth
BRCS Intro • NS Mission and HIVMission of BRC:- To prevent and alleviate suffering wherever it may be found.- To protect life and health and insure respect for the human being.- To work for the prevention of disease and the promotion of health and social welfare.- To train personnel and encourage voluntary service.- To act as a channel for collecting money and goods donated by the General Public for the sick and suffering. • HIV Programs- Mostly work done with TWC - Some care and support activities
Epidemiological context - Bahamas • Drivers of the epidemic • Poverty, unemployment, gender inequity, sexual orientation, stigma and discrimination, transactional sex, intergenerational sex, multiple sexual partners • Key populations’ (Youth, MSM, Haitian Migrants): • Risk behaviors: substance abuse, low use of condoms, early age of sexual debut, multiple concurrent sexual partnerships, substance use/abuse • Social determinants of vulnerability: poverty, unemployment/underemployment, gender stereotypes, low levels of education,
Epidemiological context- Bahamas • CHAP target groupBahamas CHAP target groups: High risk youth (particularly out of school youth) and Haitian migrant populations • Risk factorsRisk behaviors: Multiple, concurrent sexual partnerships, low age of sexual debut, inconsistent condom use, substance use/abuse, age mixing/intergenerational sex, transactional sex
Epidemiological context- Bahamas • Circumstances/conditions which make them vulnerable:Low levels of awareness about HIV AIDS (and sexual health), Lack of parent involvement, Poverty, Gang activity, Lack of accessibility to programs, Gender stereotypes, Community attitudes towards sexLow levels of education, Immigration status, Legal stipulations
Epidemiological context - Bahamas • Programmatic responses to target groups • Biomedical • Ministry of Health (HIV AIDS Centre)Family Planning Association (condom distribution)Government clinics – HIV testing and provision of ART including PMTCT (for free) Behavioral • Ministry of Education, Ministry of Youth • NGO’s including SASH, AIDS Foundation, FBO, Red Cross
Epidemiological context- Bahamas Programmatic responses to target groups Structural Legislation:The Employment ActEducation Sector HIV AIDS School PolicyN.B. The Bahamas is the only country in the English Speaking Caribbean to have repealed laws against buggery (1998)
Epidemiological context - Bahamas • Key Gaps CHAP set out to address- There is little to no programming for out of school youth (i.e. youth who have completed high school, drop outs, children who have to work)- Limited community based programming for out of school youth- Limited programming for Haitian Community (especially outreach to non-English speaking Haitian parents )- Lack of programming with focus on adult-youth communication
BRCS CHAP Program • Objectives1) To improve HIV/AIDS related knowledge, attitudes, skills and behaviors of at risk youth and Haitian migrant populations in the Bahamas2) To reduce stigma and discrimination towards PLHIV and at risk youth and Haitian migrant populations in the Bahamas3) To strengthen the capacity of the Bahamas Red Cross Society to deliver an effective, sustained scaled up HIV program. • Communities selectedBain and Grants TownFarm Road and CentervilleSt. Cecilia
BRCS CHAP Program • Key approaches:Peer Education • Involvement of PLHIV Condom Promotion and DistributionEdutainment (Community mobilization/community theatre)Community based outreachStigma training sessionsAdult-youth communication • Formation of Steering Committee and Review Groups • Development of workplace policy for NSMonitoring and Evaluation training for NSDevelopment of Global Alliance for BRCS
BRCS CHAP Program • Key Tools:Together We Can Curriculum (adapted for local context) • Adult Youth Communication Materials ( Daraja – Adapted to local context)HIV AIDS Alliance Anti Stigma Material
BRCS CHAP October Work Plan • Needs assessment and mapping of high risk locations in Bain and Grants Town, Farm Rd. and Centerville, and St. CeciliaStakeholder and Community Sensitization MeetingsProject Steering Committee MeetingReferrals and Field trips to service providers in communities (assessment of services and classification of youth friendly facilities)
BRCS CHAP November Work Plan Baseline Revision process (including formation of Review Group) and pretesting of materials) • PE Selection and training • Referrals and Field trips to service providers in communities (assessment of services and classification of youth friendly facilities)
BRCS CHAP December Work Plan Peer EducationPeer Educators Support MeetingsEstablishment of Review Group for anti-stigma materialDiscussion with radio stations on airing thematic radio eventsWork with PE to decide on what other types of media (e.g. social media) to use to promote activity Research on workplace policies for BRCS
Bahamas Red Cross CHAP Team Amanda Lewis – Project Coordinator
BRCS CHAP TEAM Members Exanna Dormeus Field Officer
The Vision • Two years time: Meet our targets of reaching 9,240 persons in total, including 4,000 beneficiaries and 5,240 community members Measurable indicators such as increase in knowledge of HIV AIDS and positive attitudes towards HIV/AIDS and PLHIV; Increase in condom use during sexual encounters, delay of sexual debut, etc. • Two + years time: Sustainability –To see a ripple effect from the program, and see Peer Education and the other components continue to grow and reach individuals in communities outside of the three target communities. Heightened capacity of the BRCS to facilitate HIV prevention projects.
The Vision • Two + years time: Sustainability –To see a ripple effect from the program, and see Peer Education and the other components continue to grow and reach individuals in communities outside of the three target communities. Heightened capacity of the BRCS to facilitate HIV prevention projects.