Planning HIV Prevention Programs in Planning HIV Prevention Programs in Wisconsin: A Toolkit for American Wisconsin: A Toolkit for American

Indian Tribal HIV/AIDS CoordinatorsIndian Tribal HIV/AIDS Coordinators

Megan Reading Megan Reading project developed forproject developed for

Wisconsin Department of Health ServicesWisconsin Department of Health ServicesDivision of Public HealthDivision of Public Health

AIDS/HIV ProgramAIDS/HIV Program

BackgroundBackground

American Indians are disproportionately affected by HIVAmerican Indians are disproportionately affected by HIV

HIV programs and resources are minimalHIV programs and resources are minimal

11 federally recognized tribes in Wisconsin11 federally recognized tribes in Wisconsin

http://www.judicare.org/ilo/map.html

Wisconsin ReservationsWisconsin Reservations

Identification of NeedsIdentification of Needs

2007 Statewide Action Planning Group (SAPG) meeting at College 2007 Statewide Action Planning Group (SAPG) meeting at College of Menominee Nationof Menominee Nation

Identified need for HIV prevention resources for American Indian Identified need for HIV prevention resources for American Indian HIV CoordinatorsHIV Coordinators

Limited time for HIV programmingLimited time for HIV programming Staff turnoverStaff turnover

Concerns:Concerns: Health disparitiesHealth disparities StigmaStigma ConfidentialityConfidentiality Cultural competency Cultural competency Accuracy of reportingAccuracy of reporting

Development of an HIV prevention toolkit for HIV CoordinatorsDevelopment of an HIV prevention toolkit for HIV Coordinators

Project Planning and DevelopmentProject Planning and Development

Toolkit ObjectivesToolkit Objectives

Provide background information on impact of HIV on American Provide background information on impact of HIV on American Indian communities Indian communities

Provide HIV Coordinators with Provide HIV Coordinators with information to develop an HIV information to develop an HIV prevention programprevention program

Logic ModelLogic Model

Planning ModelPlanning Model

Evaluation

Implementation

Planning Process

Assessment

ProductProduct

HIV/AIDS Prevention Toolkit for American Indian TribesHIV/AIDS Prevention Toolkit for American Indian Tribes IntroductionIntroduction General HIV InformationGeneral HIV Information Background InformationBackground Information American Indian CultureAmerican Indian Culture Community AssessmentCommunity Assessment PlanningPlanning ImplementationImplementation Health ServicesHealth Services EvaluationEvaluation ResourcesResources GlossaryGlossary ReferencesReferences

HIV/AIDS Prevention ToolkitHIV/AIDS Prevention Toolkit

Community AssessmentCommunity Assessment Community Readiness ModelCommunity Readiness Model Focus groups, talking circles, windshield surveysFocus groups, talking circles, windshield surveys

PlanningPlanning Develop goals and objectivesDevelop goals and objectives Develop materialsDevelop materials Develop activitiesDevelop activities

ImplementationImplementation Carry out activitiesCarry out activities

EvaluationEvaluation Data collection Data collection AnalysisAnalysis RecommendationsRecommendations

43rd Annual Menominee Nation Contest Powwow

Menominee Tribal Clinic HIV/AIDS Table

ConclusionConclusion

Lessons LearnedLessons Learned

Continued need for culturally appropriate programmingContinued need for culturally appropriate programming

Importance of building relationships with the American Indian Importance of building relationships with the American Indian communitycommunity

Support for American Indian programsSupport for American Indian programs

Next StepsNext Steps

Review by AIDS/HIV program staff and HIV coordinatorsReview by AIDS/HIV program staff and HIV coordinators

Revise toolkit Revise toolkit

Disseminate to HIV coordinatorsDisseminate to HIV coordinators

Train HIV coordinators on use of toolkitTrain HIV coordinators on use of toolkit

Update toolkitUpdate toolkit

DiscussionDiscussion

Limited HIV prevention materials specific to American Limited HIV prevention materials specific to American Indian cultureIndian culture

Inaccurate reporting of race on HIV testing formsInaccurate reporting of race on HIV testing forms

Increased need for resources and fundingIncreased need for resources and funding National Native American AIDS Prevention Center National Native American AIDS Prevention Center

http://www.nnaapc.org/savennaapc.html

AcknowledgmentsAcknowledgments

Jim Vergeront, Wisconsin Department of Health Jim Vergeront, Wisconsin Department of Health Services, AIDS/HIV ProgramServices, AIDS/HIV Program

Narra Smith Cox, University of Wisconsin- Madison, Narra Smith Cox, University of Wisconsin- Madison, Division of Continuing StudiesDivision of Continuing Studies

Barb Duerst, University of Wisconsin- Madison, MPH Barb Duerst, University of Wisconsin- Madison, MPH ProgramProgram

Karen Johnson, Wisconsin Department of Health Karen Johnson, Wisconsin Department of Health Services, AIDS/HIV ProgramServices, AIDS/HIV Program

Melissa White, Menominee Tribal Clinic Melissa White, Menominee Tribal Clinic Great Lakes Inter-Tribal Council Great Lakes Inter-Tribal Council