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How the Church Can Lead the Way:

How the Church Can Lead the Way: . Ending the HIV Epidemic in Asia and the Pacific Church Leaders Event Hawaii Conference February 22, 2014. How the Church Can Lead the Way. Welcome and Overview Creating Safe and Sacred Space Prayer Introduction/Getting to know each other

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How the Church Can Lead the Way:

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  1. How the Church Can Lead the Way: Ending the HIV Epidemic in Asia and the Pacific Church Leaders Event Hawaii Conference February 22, 2014

  2. How the Church Can Lead the Way • Welcome and Overview • Creating Safe and Sacred Space • Prayer • Introduction/Getting to know each other • About HIV & AIDS • State of the Epidemic • Strategic Responses, “Logic Model Framework” • Role of the Church • Key Resources

  3. How the Church Can Lead the Way • Welcome and Overview • Creating Safe and Sacred Space • Prayer

  4. How the Church Can Lead the Way Participant Introductions/Icebreaker • Connect with 3-5 people you don’t know or at least not very well, and • Share your name, church and one thing that motivated you to come to this workshop

  5. Getting To Know Each Other Icebreaker/Mixer • Connect with 3-5 people you don’t know or at least not very well, and • Share your name, church and one thing that motivated you to come to this workshop

  6. About HIV & AIDS

  7. About HIV & AIDS HIV Human Immuno-Deficiency Virus AIDS Acquired Immune Deficiency Syndrome

  8. What is HIV and AIDS About HIV & AIDS • HIV lives in the blood and • other body fluids that contain blood or white blood cells.

  9. What is HIV and AIDS About HIV & AIDS • The immune system is made up of specialized cells in the bloodstream that fight off invading germs to keep the body healthy.

  10. TARGETS About HIV & AIDS • The human immunodeficiency virus is best known for targeting the T-cellsof the immune system. • It can also attack cells of the brain, nervous system, digestive system, lymphatic system, and other parts of the body.

  11. T-Cells About HIV & AIDS • The T-cells (also referred to as “T4”) are the brains of the immune system’s operation. • T-cellsidentify infections and give orders to other cells, which battle infections to keep the person healthy.

  12. T-Cells About HIV & AIDS • With fewer healthy T-cells, the immune system becomes powerless. • It can no longer recognize and fight off common infections that would not present a problem to a healthy immune system. • These infections may lie dormant in the body or may enter from outside exposure. • The immune system’s weakness gives these infections the opportunity to wake up, multiply and cause illness.

  13. Opportunistic Infections About HIV & AIDS • These infections are known as “opportunist infections.” • When a person with an HIV-weakened immune system has: • one or more of these opportunistic infections, or • a T-cell count below 200 or 14%, • that person may be diagnosed as having AIDS.

  14. Transmission About HIV & AIDS • HIV can be transmitted through: • Unprotected sexual intercourse with an HIV-infected person. • Sharing drug injection equipment (needles) or being stuck by needles or sharp objects contaminated with infected blood. • Mother to child during child birth or through breast feeding • Receiving blood products or transplant organs from an HIV+ donor (extremely rare in the U.S.).

  15. State of the Epidemic Global estimates - 2012 • People living with HIV 35.3 million [32.2 million – 38.8 million] • New HIV infections in 2012 2.3 million [1.9 million – 2.7 million] • Deaths due to AIDS in 2012 1.6 million [1.4 million – 1.9 million] http://www.unaids.org/en/dataanalysis/knowyourepidemic/epidemiologypublications/

  16. HIV & AIDS in Asia & the Pacific UNAIDS reports, • 4.9 million [3.7–6.3 million] in 2012 (estimated). • Regionally, new HIV infections have fallen by 26% since 2001, but the pace of progress is too slow and significant challenges remain. http://www.unaids.org/en/regionscountries/regions/asiaandpacific/

  17. HIV & AIDS in the United States • 1.1 million people living with HIV in the USA • 477,000 are living with an AIDS diagnosis • 50,000 people are newly infected with HIV each year • >15% of those infected with HIV don’t know it. http://www.cdc.gov/hiv/statistics/basics/ataglance.html

  18. HIV & AIDS in Hawaii • 2,600-2,900 people living with HIV* • Cumulatively: • there have been 4,383 HIV infections since the beginning of the epidemic and • 3,382 cases of AIDS, nearly ¾ of all persons who have an HIV diagnosis** * http://worldaidsdayhawaii.org/resources/ **http://health.hawaii.gov/std-aids/hiv-aids/data-and-statistics/

  19. Drivers of the Epidemic • Access to prevention, treatment, care and support. • Poverty • Stigma and discrimination, especially in relation to key affected populations: • Men who have sex with men (MSM) • Persons who engage in injection drugs use (IDU) • Sex workers

  20. Strategic Responses

  21. 0 Getting to Zero • Zero new infections • Zero HIV-related deaths • Zero discrimination

  22. Strategic Global Investment • Know the epidemic • Focus efforts and resources where the epidemic is • Address the drivers of the epidemic • Collaborate across sectors and disciplines (everyone has a role) • Prevention, treatment, care and support

  23. U.S. Strategic Plan – High Impact • Know the epidemic • Focus efforts and resources where the epidemic is • Address the drivers of the epidemic • Collaborate across sectors and disciplines (everyone has a role) • Prevention, treatment, care and support

  24. UCC General Synod resolution (2009) • Calls on all clergy and lay persons in all settings of the United Church of Christ to: • Become knowledgeable about HIV and AIDS, • Understand how HIV is • transmitted, • prevented, and • Work to prevent its transmission • Reduce stigma and discrimination • Help the whole church to increase its HIV competency.

  25. UCC General Synod resolution (2009) • Strongly urges everyone in the UCCtoknow their HIV status • Calls on all settings of the church to develop and implement best practice comprehensive HIV prevention education, programs and strategies for church and community, • Give particular attention to vulnerable groups and at risk populations

  26. Logic Model Framework

  27. Logic Model – Strategic Framework • Employing your mission, vision and values to address a particular situation • Ending the HIV epidemic • What are your capacities? (resources, staff, space) • What do you do? (worship, educate, advocacy) • Who do you reach/serve? (members, community) • Goals: Ultimate impact: Ending the HIV epidemic Short and medium term impact

  28. Know Your HIV Epidemic • UNAIDS, www.unaids.org • Kaiser Family Foundation, http://kff.org/hivaids/ • CDC fact sheets, http://www.cdc.gov/hiv/library/factsheets/index.html • Hawaii Department of Health,http://health.hawaii.gov/std-aids/hiv-aids/

  29. Prevention – S A V E model • Safer Practices • Access to treatment, care and support • Voluntary counseling and testing • Empowerment

  30. Prevention – S A V E model • Safer Practices • Condoms • Needle exchange • Treatment as prevention

  31. Prevention – S A V E model • Access to prevention, treatment, care and support • Universal • Build capacities • Policies • Funding • Advocacy

  32. Prevention – S A V E model • Voluntary counseling and testing • Know your HIV status • Collaborations with AIDS service organizations to provide testing • Integrate HIV information and testing into health fairs • Leaders get tested in a public forumtalk about the process • Provide encouragement and support for getting into treatmentand care

  33. Prevention – S A V E model • Empowerment • Be an HIV competent church/person and build on your HIV competencies • Curriculum: Affirming Persons, Saving Liveswww.ucc.org/apsl • Comprehensive sexuality education • Curriculum: Our Whole Liveswww.ucc.org/owl • Make HIV visible – worship and other church programs • Work with area AIDS Service Organizations to provide needed support to persons living with or affected by HIV.

  34. Prevention – S A V E model A B C S A V E • Abstinence • Be faithful • Condoms • Focuses on sexual transmission • A broader, more comprehensive approach • Focuses on information, support and empowerment. • Non-judgmental

  35. Other important concerns • Eradication of poverty • Food Security • (people need to take food with most HIV meds for them to be effective) • Housing

  36. Other important concerns • Elimination of Stigma and Discrimination • Open and Affirming process • UCC Mental Health Network • UCC Disabilities Ministries

  37. Hopefulness • The vision of ending the HIV epidemic in no longer a pipe-dream • We have the knowledge and the science • Will we apply ourselves, our resources and energies to do it?

  38. Hopefulness • No one person, church or organization is expected to, or can do it all • Figure out what you can do and do it • Invite others to join and to do what they can • If we each do our part and we will, with God’s help, end the HIV epidemic.

  39. Hopefulness • No one person, church or organization is expected to, or can do it all • Figure out what you can do and do it • Invite others to join and to do what they can • If we each do our part and we will, with God’s help, end the HIV epidemic.

  40. Rev. Mike Schuenemeyer Executive Director, UCAN Inc. (UCC HIV & AIDS Network) schuenem@ucc.org 216-736-3217

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