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Community Solutions to Com m unity Problems

Community Solutions to Com m unity Problems. Evidence-based advocacy to tackle Stigma & Discrimination Anuar L u na Mexican Network of People Living with HIV July, 24 th , 2012. Stigma & Discrimination What we know?. A ll life aspects Barriers to Universal Access

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Community Solutions to Com m unity Problems

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  1. Community Solutions to Community Problems Evidence-based advocacy to tackle Stigma & Discrimination Anuar Luna Mexican Network of People Living with HIV July, 24th, 2012

  2. Stigma & DiscriminationWhat we know? • All life aspects • Barriers to Universal Access • Evidence: policy and program impact • Experiences change along time • Different experiences among different populations Social, legal, gender and economic inequalities continue undermine the global progress to stop the epidemic

  3. Stigma IndexWhat it is? • Science for action – PLHIV perspective • GIPA/MIPA Principles • Community capacity and skills building. • Key information on S&D experiences. • Country level • Compare situations: time& geographically • Community mobilization and social capital EVIDENCEfor policy and program change

  4. Common Findings Africa, Asia, Latin America and Western Europe • High rates of physical violence • Exclusion from family and friends activities • Denied health care services • Lack of confidentiality and privacy (health care, community settings and work place) • Violations to reproductive rights (advice or coercion to avoid or interrupt pregnancy) Internal Stigma: universal

  5. Old and new challenges • Protect human rights • Advance gender inequality • Empowering communities. • Innovative ways to protect key populations at higher risk. • Linkages: treatment – prevention – S&D • Safe environments and protective laws. • Evidence for action

  6. Stigma in treatment revolution • Impact of ARV strategies (prevention and care) in stigma response context. • Ethical concerns on early treatment: decision, toxicity, etc. • Retaining people in health services after positive test. • Education strategies in health care settings and community • S&D as priority in the era of treatment as center of the response. • Keep access to treatment how needed in the era of the ARVs revolution: regions, populations, etc.

  7. The Index and an Advocacy agenda Evidence from People Living with HIV perspective to: • New global scenario… idealism, optimism and pragmatism • Get zero discrimination • Ethics in treatment revolution • Sustainability • Measure to orient the response • Etc, etc. etc…

  8. Activism, community mobilization, social capital We are not the problem, we are part of the solution IF YOU ARE NO PART OF THE SOLUTION, YOU ARE PART OF THE PROBLEM

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