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HIV/AIDS AND DISABILITY . IN JAMAICA By Marigold J. Thorburn, MD. HIV/AIDS AND DISABILITY IN JAMAICA. THE CURRENT SITUATION IN THE COUNTRY. HIV/AIDS IN JAMAICA Courtesy of Dr Peter Figueroa. Sero-prevalence among adults 1.5% Estimated No. with HIV/AIDS 22,000

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hiv aids and disability

HIV/AIDS AND DISABILITY

IN JAMAICA

By Marigold J. Thorburn, MD

Presentation for World AIDS Day

hiv aids and disability in jamaica

HIV/AIDS AND DISABILITY IN JAMAICA

THE CURRENT SITUATION

IN THE COUNTRY

Presentation for World AIDS Day

hiv aids in jamaica courtesy of dr peter figueroa
HIV/AIDS IN JAMAICACourtesy of Dr Peter Figueroa

Sero-prevalence among adults 1.5%

Estimated No. with HIV/AIDS 22,000

No. of persons in need of ARV 6,000

No. of persons currently on ARV 1,500

Presentation for World AIDS Day

hiv aids in jamaica challenges
HIV/AIDS IN JAMAICA Challenges
  • Achieving behaviour change – safe sex
  • Access to anti-retroviral drugs
  • Continued discrimination and stigma
  • Widespread complacency & inertia in the society concerning AIDS

Need to strengthen leadership at all levels

Presentation for World AIDS Day

hiv aids in jamaica
HIV/AIDS IN JAMAICA

Most of the persons living with HIV do not know that they are infected

We need to significantly increase both provider and client initiated HIV testing:

Presentation for World AIDS Day

hiv aids and disability6
HIV/AIDS AND DISABILITY
  • No special facilities or programmes for persons with disabilities
  • In theory they have access to any health facility

Presentation for World AIDS Day

hiv aids and disability7
HIV/AIDS AND DISABILITY
  • Since 2004 there has been a programme supported by the EU and UNFPA for improvements in sexual and reproductive health for adolescents with disabilities

Presentation for World AIDS Day

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HIV/AIDS AND DISABILITY
  • SAFE MOTHERHOOD
  • FAMILY PLANNING
  • REDUCTION OF INCIDENCE OF STDs
  • REDUCING HIV/AIDS

Presentation for World AIDS Day

hiv aids and disability9
HIV/AIDS AND DISABILITY

BARRIERS FOR PERSONS WITH DISABILITIES

  • Independent SRH learning
  • Assisted SRH learning
  • Effective SRH service delivery

Presentation for World AIDS Day

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HIV/AIDS AND DISABILITY
  • There are no prevalence figures specifically for HIV/AIDS in persons with disabilities

Presentation for World AIDS Day

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HIV/AIDS AND DISABILITY
  • Development of materials on SRH appropriate for use with persons with disabilities.
  • Sensitization of health service providers, social workers and the general public on SRH needs for persons with disabilities.
  • Strengthening the capacity of parents of adolescents with disabilities and community members to support the SRH needs of their children

Presentation for World AIDS Day

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HIV/AIDS AND DISABILITY

SRH PROJECT FOR ADOLESCENTS WITH DISABILITIES:

Completed so far:

  • KVAP qualitative study on 4 disability groups
  • Materials for parents and AWDs

Presentation for World AIDS Day

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HIV/AIDS AND DISABILITY
  • MAIN KVAP FINDINGS ON STDs
  • Girls more knowledgeable than boys
  • Aware of importance of HIV/AIDS but range of knowledge poor
  • Condoms identified as the best means of prevention
  • Agreed with voluntary HIV testing
  • Aware of where to get services

Presentation for World AIDS Day

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HIV/AIDS AND DISABILITY
  • This initiative should lead the way to the SRH needs of persons with disabilities being met better through the regular health programmes.
  • This combined with the increasing resources being put into HIV/AIDS should have benefits for PWDs

Presentation for World AIDS Day

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HIV/AIDS AND DISABILITY

Continued cooperation and coordination between

  • The National Family Planning Board and
  • Organisations in the disability sector

Presentation for World AIDS Day

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HIV/AIDS AND DISABILITY

BARRIERS TO INCLUDING PWDs IN REGULAR AIDS PROGRAMMES

  • Myths about the sexuality of PWDs
  • Attitudes of health care workers including pharmacists about providing contraceptives and other advice
  • Reluctance of parents and personnel to talk about the subject

Presentation for World AIDS Day

hiv aids and disability17
HIV/AIDS AND DISABILITY

NEXT STEPS

  • Implementation of educational programmes in the special education services for AWDs and parents
  • Encouraging and funding the Combined Disabilities Association to develop educational programmes to reach all PWDs

Presentation for World AIDS Day