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Research-based Initiatives on the I nteractions between HIV and Disability : Evidence linked to Operationalisation. Dr Toyin Aderemi Symposium – Disability and HIV in Africa: Leadership, Capacity and Strategies ICASA 2013 7-11 December 2013.

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Dr Toyin Aderemi Symposium – Disability and HIV in Africa: Leadership, Capacity and Strategies

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Dr toyin aderemi symposium disability and hiv in africa leadership capacity and strategies

Research-based Initiatives on the Interactions between HIV and Disability: Evidence linked to Operationalisation

Dr Toyin Aderemi

Symposium – Disability and HIV in Africa: Leadership, Capacity and Strategies

ICASA 2013

7-11 December 2013


Dr toyin aderemi symposium disability and hiv in africa leadership capacity and strategies

“We learnt also from the skills building workshop on the inclusion of disability in national strategic plans that despite the ratification of the CRPD many countries have not addressed the issues of this group which accounts for 15% of the world’s population…We were told to tell you that universal access, zero infections, zero AIDS-related death and zero discrimination cannot be achieved without including the world’s largest minority: the disabled”

VolderineHacket (Leadership and Accountability Programme Rapporteur Report, XIX IAC, Washington, 2012). Available from: http://globalhealth.kff.org/AIDS2012/July-27/Rapporteur-Session.aspx


Dr toyin aderemi symposium disability and hiv in africa leadership capacity and strategies

Disability and HIV in East and Southern Africa

Hanass-Hancock, Regondi, & Naidoo, 2013


Hiv prevalence of most at risk populations in south africa

HIV Prevalence of Most-at-Risk Populations in South Africa

Source: South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2008:


Interrelationship of disability mental health and hiv

Interrelationship of Disability,Mental Health and HIV

People with disabilities

PLHIV who develop disabilities

People who care for PLHIV

especially young carers

  • increased risky

  • behaviour

  • increased risk of

  • sexual abuse and less

  • access to justice

  • negative attitudes from

  • health care staff

  • access problems

  • influences adherence

  • mental health disorders

  • e.g. depression,

  • schizophrenia, anxiety,

  • substance abuse

  • impairments such as e.g. reduced

  • neuro-cognitive functioning, blindness, deafness , skinproblems, digestive problems …

  • episodic disabilities

  • AIDS-related activity

  • limitation is associated

  • with increased child

  • caregiving tasks, less

  • school attendance, food

  • insecurity and poor

  • educational outcomes


Hiv disability and caregiving in southern africa hanass hancock casale in press

HIV, Disability and Caregiving in Southern AfricaHanass-Hancock & Casale, In Press


Currently discussed approaches

Currently Discussed Approaches

People with disabilities

People who care for PLHIV

especially young carers

PLHIV who develop HIV-related disabilities

  • Access to health services and education

  • Disability-specific sexuality and HIV education

  • Accessible HIV information

  • Psychological support for

  • people with intellectual

  • disabilities in abuse cases

  • Integration of mental

  • health and disability into

  • training of healthcare staff

  • Inclusion of disability in NSPs

  • Screening and rehabilitation

  • Mental health

  • screening and diagnostic

  • Interpersonal therapy (IPT), cognitive behavior therapy (CBT), medication

  • Rehabilitation

  • Change in ART

  • Clinics/hospitals screening

  • HBC, CBR, block therapy

  • Adaptation at work

  • Support and care

  • CRPD concepts

  • of universal access and

  • reasonable accommodation

  • for people with disabilities

  • Work placement

  • adjustments for PLHIV

  • Care support grants

  • Psycho-social support

  • New CBR guidelines

CBR – Community-based rehabilitation

HBC – Home-based care

NSPs – National strategic plans for HIV response


Dr toyin aderemi symposium disability and hiv in africa leadership capacity and strategies

Next steps

Operationalisation of available evidence by:

HIV programmers

Development partners

Governments

Disabled people’s organisations

Service providers (e.g., health, protection, legal)

More research to address current gaps in knowledge

Improved collaborations between researchers and other stakeholders e.g., implementers, policymakers, service providers, service users


Dr toyin aderemi symposium disability and hiv in africa leadership capacity and strategies

Acknowledgement

Dr Jill Hanass-Hancock for invaluable contents/inputs and guidance


Dr toyin aderemi symposium disability and hiv in africa leadership capacity and strategies

Thank You!


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