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Ken Morrison # TUPDD0202

Implementation of Social Capital Theory and Process to Strengthen State-Level Combination Prevention Outcomes in 12 states in Mexico. Ken Morrison # TUPDD0202.

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Ken Morrison # TUPDD0202

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  1. Implementation of Social Capital Theory and Process to Strengthen State-Level Combination Prevention Outcomes in 12 states in Mexico Ken Morrison #TUPDD0202

  2. Implementation of Social Capital Theory and Process to Strengthen State-Level Combination Prevention Outcomes in 12 states in Mexico WHAT? SOCIAL CAPITAL Refers to levels and breadth of social resources and support systems; level of participation in social processes; resides in networks and relationships (no person “owns” them) WHY? SOCIAL CAPITAL AND HEALTH There is a close relationship between Health and happiness: “people with good networks enjoy better mental and physical health” How do we help the isolated, the rejected, the marginalized in a cost-effective manner to become a team player HOW? COMBINATION PREVENTION Combining networking and empowerment processes with health outreach and linkages to Address the consequences of internal stigma (in a process of reduction of Stigma & Discrimination) as part of an integral aspect of health Reinforce community - provider linkages in differentiated service delivery

  3. State Minister of Health “We used to think that the community sector was all about complaining and raising problems, but this project helped us understand them as collaborators in service delivery” OUTCOMES CONCLUSIONS In conclusion: project provides a model with PARTICIPATION OF THE MARGINALISED IN RESPONDING TO HEALTH NEEDS ADDRESSING INTERNAL STIGMA IN HEALH SERVICE DELIVERY (as well as overt stigma and discrimination) ADDRESS STRUCTURAL ISSUES IS NOT NEW but was an essential part of the community response especially in marginalized, criminalized and isolated Provides a more HOLISTIC, COMPREHENSIVE, COHERENT approach to improved health and welfare outcomes (touching on the intersection of three key structural pieces: quality of services (reduced S&D), policy and policy implementation, and community development) KEY outcomes: • IMPROVED COLLABORTIVE RESPONSE: • HEALTH OUTCOMES: • Increased numbers of key populations tested and into treatment programs, • Improved retention of KPs in services • SYSTEMS IMPROVEMENTS: • Experience with differentiated service delivery systems • Communication and decision making systems more participatory and transparent, • Improved investments in health 6 states report increases in dedicated funding from state and national government for combination prevention

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