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Author: Sylvain Beaudry, project coordinator. History of Maison Plein Cœur Community-based organization since 1991 Individual counselling, on-call care, drop-in center, short term supervised housing, art therapy, massages, home intervention and finally the Entraide Positive project

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Author sylvain beaudry project coordinator

Author: Sylvain Beaudry, project coordinator


Author sylvain beaudry project coordinator

History of Maison Plein Cœur

Community-based organization since 1991

Individual counselling, on-call care, drop-in center, short term supervised housing, art therapy, massages, home intervention and finally the Entraide Positive project

10 employees, 80 volunteers, 400 users


Author sylvain beaudry project coordinator

State of the situation in Montreal

  • Return in force of syphilis, gonorrhea and LGV in the 2000’s, particularly targeting the HIV-positive men having sex with men (MSM)

  • All cases of LGV declared in Quebec, 90 % of the cases of infectious syphilis and 60 % of the male cases of gonorrhea are MSM

  • August 2007, meeting between the Public Health Department of Montreal and Maison Plein Coeur


Author sylvain beaudry project coordinator

  • Still, every year 1.3 % of non-infected MSM contract the HIV

  • 15 % of the MSM infected by HIV in the province of Quebec were unaware of their infection

  • Source:Portrait contagious infections sexually and by the blood ( STI’s) in Quebec, Year 2008 (and projections 2009) Public health, Collection analyses and surveillance, Ministry of Health and social services of Québec.page15.


Author sylvain beaudry project coordinator

What is Entraide Positive ?

  • Community-originated initiative for HIV + MSM

  • Project "by" and "for" the HIV-positive MSM


Author sylvain beaudry project coordinator

Objectives of the project

  • Limit the impact of risk factors of sexually transmitted infections (STI’s) with HIV-positive MSM

  • Facilitate the implication of HIV-positive MSM in the realization of the project following the GIPA principles: for a Greater Implication of People living with HIV / AIDS


Author sylvain beaudry project coordinator

How does it work ?

  • Who are the peer helpers ? (selection)

  • Training

  • The 3 services of the project

  • Consultative committee


Author sylvain beaudry project coordinator

Training ( 40 hours)

  • Psychosocial chapter

  • STI’s chapter

  • Prevention chapter


Author sylvain beaudry project coordinator

Phenix workshops

  • Conjugate eroticism and decrease of risk-taking

  • Prevention of HIV and the other STI’s

  • Department of sexology (Joanne Otis’ team)

    Faculty of Human Science

    University of Quebec in Montreal

    Canadian Chair of research in

    Health education


Author sylvain beaudry project coordinator

The three services

  • Help relation

  • Support and discussion groups

  • Visibility squad


Author sylvain beaudry project coordinator

The help relationship

  • Evaluation of needs

  • Matching (peer helper / project applicant)

  • Duration of the help relationship

  • Evaluation of the help relationship


Author sylvain beaudry project coordinator

Results (2008-2010)

  • Number of help relationships : 25 (22 - 70 y.o)

  • Subjects: viral load/CD4 counts, STI’s, co-infection (Hep C, herpes), importance of regular blood screening, sexual relations at risk and preventive behavior, condom use

  • Identification of risk-taking zones, of self-worth and condom using and its negotiation


Author sylvain beaudry project coordinator

Support and discussion groups

  • Animation and co-animation

  • Proposed and open subjects, invited professionals (nurses, doctors, layers)

  • Frequency and progress


Author sylvain beaudry project coordinator

Results 2008-2010

  • Participation in groups: ~150 participations

    26 to 60 y-o

  • Subjects: viral load / CD4 counts, STI’s, sexual relations and risk behaviors, love and emotional life, condoms, disclosure, criminalization, work and HIV.

  • break the isolation, create a feeling of membership, a creation of a place of expression


Author sylvain beaudry project coordinator

Visibility squad

  • Popular educational activities

  • Presence in social spaces

  • Summer activities (Pride…)


Author sylvain beaudry project coordinator

Results 2008-2010

  • Persons joined during visibility squad : 1000

  • Presence in social spaces and during appearances and festivities.

  • Condoms distribution, informative leaflets, mini-sketches with messages of prevention.


Author sylvain beaudry project coordinator

Visibility squad results

  • Increase of self-worth

  • Breaking the isolation and stigmatization

  • Inform, educate, socialize

  • Facilitate the disclosure


Author sylvain beaudry project coordinator

Visibility

squad

examples


Author sylvain beaudry project coordinator

Conclusion

  • Entraide Positive is an innovative project in the education of the HIV-positive MSM

  • positions as a leader in prevention of the HIV, hepatitis and the other STI’s, education and support for HIV-positive MSM in Montreal


Author sylvain beaudry project coordinator

Thanks

The peer helpers

Agency of the health and social services

Public Health Department of Montreal

The partners(Public Health department of Montreal, ACCM, Fréquence HIV, COCQ-SIDA, RÉZO, Clinique l’Actuel, CSSS Jeanne Mance, UQAM, Canadian pulpit of research in health education)