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First
Annual Workshop and Conference
A Program of CIFAL Atlanta
Hosted by Emory Rollins School of Public Health
Atlanta, GA, June 19-23, 2005
• Workshop Home
Session 6: Action Plans by City Delegations
Topic: Action Plans Plenary
All participants presented highlights of their action plans, focusing on commitments for the next 12 months.
Atlanta
A. Building relationships between organizations that have skills to share
• Improving ways of working
• Community assessment
• Measuring change
B. Addressing needs of immigrants (Quito)
• How to ensure continuation of services
C. Jamaica
• Measuring change
D. City-wise – same as San Francisco and Oakland
• Need to address vulnerabilities
- Will be meeting electronically, via telephone and personally
- Have made commitment in Atlanta to link prevention and care
- Thinking in terms of vulnerability vs. risk
- Advocate at planning level to incorporate addressing vulnerabilities
• Leadership issue
- Lack of involvement of city officials in the work
Buenos Aires
A. Have limited resources; but this forces us to improve on collaborations
B. Evaluation of Change
• Weak point
• Have to adapt efficient tools to measure change; will partner with Atlanta
C. Adapting response
• Will partner with many partners in South American region
• Will structure a coalition to work together; will assign different responsibilities to design strategies
D. Mobilizing resources
• Talked to Denver – learned some strategies for efficient use of resources
• Will use a database and train people on priorities in addressing HIV/AIDS
• Collaborate with Haiti for training and information for facilitators
E. Will take back information learned and will share with people in the community
Curitiba
A. Started some partnerships with some cities
• City of San Pedro Sula, Honduras
- Will work on popular participation
- Will invite Vice-Mayor to visit San Pedro Sula
• Port au Prince
- Improve work on sexual transmission and condom distribution
• Georgetown
- Reduction of vertical HIV transmission
- Have similar programs; want to benchmark effectiveness and progress using each other’s programs
• Denver, CO
- Fundraising and outreach – interested in Denver’s experience and want to learn how to raise money to fund efforts
• One person can make a difference – all of us can make a difference for things to be better
• Curitiba CIFAL Center – currently working on urban development, transportation; establishing a partnership with CIFAL Atlanta; looking forward to working with and hosting everyone at conference
Denver
A. Didn’t rate highly on linking prevention with care (at the local level)
• Planning at working with Oakland – have combined planning bodies for prevention and care; seems to be an efficient model, needs to be modified to fit Denver
B. Inclusion
C. Have started on their action plan
• Working on action to change policy on immigration of HIV+ persons
• Would like to pursue this issue; host an AIDS conference
• Hoping to work with mayors around the world; will approach Mayor Franklin (Atlanta) to sponsor resolution, wants to work with mayors of U.S. cities represented at this conference
Durban
A. CIFAL Durban – welcomes participants to visit
B. Will report findings and outcomes of this conference to their stakeholders
C. Want to conduct a similar workshop in Durban for stakeholders to have a shared perspective
D. Want to explore an alternative delivery model
• Want to model on AID Atlanta
E. Impressed by presentation by Dr. Wingood
• Durban located in epicenter of HIV/AIDS in S. Africa
F. Want to explore different ways of working
Georgetown
A. Have learned a lot, want to go home and start working
B. Linking care with prevention
• Have a Mother to child program, want to expand in order to reduce vertical transmission to zero
C. Want to work with Seattle on youth prevention
• Safe practices and abstinence
D. Want to work with other municipalities and NGOs in Georgetown with evaluation in order to improve and expand efforts
Houston
A. Measuring change
• Believe in qualitative and quantitative evaluation of care and prevention programs
• Will be sharing these protocols and logic models with Buenos Aires and San Pedro Sula, Honduras
B. Seattle
• Lifelong AIDS Alliance – has exceptional programs that link care with prevention
• Want to use prevention for positives program and computer-assisted risk assessments
Kingston
A. Have a strong national program, very little filters to local level; first challenge to involve local government
B. Address stigma
• want to raise awareness at local government level
C. Measuring change
• Had good discussions with Atlanta, Georgetown and others; lots of common ground despite many differences
• Discussions raised awareness about need to collect and examine data about the epidemic in Jamaica
Mexico City
A. Will collaborate with Seattle to better identify risks
• Increase capacity to control risk and design methods to detect risk factors and strategies for prevention
B. Want to improve capacity for evaluation and measuring impact; will work with Geneva
C. Want to start a CIFAL Mexico
D. Care and Prevention
• Want to work with Atlanta; learn from their successful programs
E. Want to improve prevention training and measurements, exchange experiences with Honduras
Port-au-Prince
A. Tabal – new municipality
• Biggest problem – no one talks about AIDS; only one organization currently doing this
• People in community aware that AIDS is a problem, many qualified people (teachers, engineers) willing to help and invest money
• Condoms in every hotel; paid for by hotel managers
B. Want to increase access to information on HIV/AIDS to municipality schools
• Want to work with Curitiba on this
• Have a motivation campaign
• Create a commission on HIV
C. Increase information on prevention and care; increase condom availability
• Partner with Buenos Aires
• Identify leaders in specific groups; condom distribution during campaigns
• Establish permanent condom distribution points
D. Danger of forgetting commitment to fight AIDS
• Personal commitment to keep in touch; thanks organizers of workshop
Port of Spain
A. Smaller nation; population of city = 49,000
B. Small town; limited resources
C. Have a very strong national AIDS program; AIDS is given priority in Trinidad and Tobago
D. Don’t have money for scientific research
E. Want to expand education and dialogue about HIV/AIDS in communities
• Address taboo against talking about sex
F. Have a similar cultural/political system as Kingston; Durban; Georgetown
• Will work with these cities
G. Compliance of medication
• At present, ARVs are free; however, many who are positive do not access treatment because of stigma
• Will look at website and information of other cities in order to access information and adapt programs
Rural Honduras
A. There are funds; however, difficult to prioritize spending of funds
B. Competition between funding sources; duplication of efforts
C. Looked to Quito and Seattle for practices to combine planning committees and councils
• Giving councils authority in distribution of finances
D. Few authorities prioritize issue of HIV/AIDS; hard to get community representation at these conferences
• Mexico – shared ideas on self-sustainable projects, starting cafes to distribute information and reaching the youth through peer-to-peer education
Quito
A. Medications for people with AIDS
• Looked to Rio de Janeiro for their model of distribution and legal framework
• Also looked at organizations that work with ministry of health in Brazil
B. Will work with Atlanta on ??; complex process
Oakland, CA
A. Learned a lot from AID Atlanta during visit; look forward to working with Atlanta on measuring outcomes with regard to prevention
B. Denver – work on collaboration with planning bodies; has been a challenge for Oakland to merge prevention/care planning bodies
Seattle
A. Identifying and addressing vulnerability
• Needs assessments in Seattle – do well with this; done for both prevention and care
• Many people who know their status but are not in care
• Want to work on improving getting these people in care
B. Setting program targets for specific populations
• Do needs assessments for specific populations
• Allocate money based on these assessments
• Focus on populations who have too few numbers to establish specific programs
- Foreign-born
- Women
- Want to continue needs assessments and include more measures (especially for poverty)
- Learning and transferring knowledge
• Always looking for help; also interested in sharing knowledge
• Atlanta and Honduras are partner cities for this
C. Improving Care
• Work with AID Atlanta/CIFAL
San Pedro Sula
A. Want to include San Pedro Sula and other delegation from Honduras
B. Inclusion
• Improve community participation through advisory committees
• Compromise between local governors and state leaders
• Want to make committees in local areas/municipalities
• Want to improve services in all areas at local level
• Will collaborate with Curitiba and Buenos Aires
C. Short term and Long term goals
• Advocacy – approach government officials
• Document process
• Get participation of local government and civil society
• Will organize a conference with health ministry staff regarding health issues
D. Prevention and Treatment
• Want to strengthen link between prevention and treatment
• Want to have a holistic program to provide services
• Will partner with AID Atlanta on this
• Will coordinate efforts on the service and government side; will have a collaborative work group
E. Evaluation of change
• Don’t know how to measure existing programs; want to improve this
• Are going to design tools to measure parameters related to programs and use these tools
• Will collaborate with Atlanta and Houston on this
F. Mobilization of resources
• Will design a strategy to get resources locally and externally
• Will collaborate with Denver
San Francisco
A. Identify and Address Vulnerability
• Strengths
- Have a definition
- Can collect data
- Can plan a system to respond to this data
• Areas for improvement
- Identify and collect specific data on vulnerability
- Develop a dynamic environmental scan in real-time that looks at social factors in a community and their relationship to HIV
• Partner cities: Atlanta and Oakland
• Measures
- Assess vulnerable and at-risk populations
- Collect health status data
- Conduct situational analysis of social factors as they impact health status (specifically HIV)
B. Develop a quarterly electronic communication system with Sisterlove and AID Atlanta; also involve San Francisco planning council; CBOs; NGOs; local government official
C. Convene a stakeholders meeting to complete a self-assessment
• Reconvene this group to present results
D. Willing to share San Francisco’s knowledge of addressing HIV/AIDS at community level with anyone
Puerto Rico
A. Thanks to Seattle and Atlanta – they have their stuff together; have learned a lot from them
B. Want help on how to organize civil activities and fighting bias
C. Develop prevention against re-infections (prevention for positives)
D. Education efforts/developing new materials
E. Will redesign existing materials
• Epidemiological data gathering (Rio de Janeiro)
F. Want to pursue development/ dispersement of drugs
G. Addressing stigma and discrimination
Rio de Janeiro
A. Want to collaborate with San Juan – will send information about evaluation for pharmaceutical services
B. Quito – will talk about access to medicines
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