Jul 30, 2015 - Social justice within a public health ... listening sessions to hear your thoughts .... Distribute tools
A Call to Action Disrupting Convention to Promote Social Justice for Black Communities
Thursday July 30, 2015
Our lives begin to end the day we become silent about what matters’ - MLK
Welcome and Program Overview • Black Lives Matter Movement (BLM) • NASTAD’s organizational BLM efforts • Social justice within a public health framework o Feature Video o Speakers Panel o NASTAD and Participant Commitments
U.S. Public Health Response • Lancelet, July 2013 • A systematic review of HIV interventions for black men who have sex with men (MSM) o 12 completed studies of interventions for black MSM • 8 out of 12 interventions aimed to reduce HIV risky behaviors among Black MSM patients • 4 studies focused on care interventions for Black MSM living with HIV • Many Men, Many Voices – 3 MV - Behavioral Modifications 3MV uses small group education and interaction to increase knowledge and change attitudes and behaviors related to HIV/STD risk among black MSM.
Why?
Addressing Social Determinants of Health
Contributing Factors
Addressing Our Comfort
Black Lives Matter Movement
Black Lives Matter Movement and NASTAD • Julie Scofield Former Executive Director NASTAD • a year-long commitment to “Black Lives Matter” and the examination among NASTAD staff of what this means in our lives, in our communities, and in our work • initial focus on white privilege • begin the initiative with a couple of listening sessions to hear your thoughts about what activities, resources, conversation
Black Lives Matter Movement and NASTAD Addressing HIV related health inequities within a social justice framework
Disrupting Convention Video Concepts for Consideration • Race, Identity and Class Matter • Power and Privilege Impact Access • Drivers of HIV Epidemic within the Black Community • Taking Action
Disrupting Convention Video
https://vimeo.com/134798629
Thank You! Jacky Bickham | Dawn Fukuda | Lewis Hicks Paul Loberti | Serette King | Shanell McGoy
Four Steps Forward 1) Review video concepts and NASTAD’s Spheres of Action 2) Group Discussion Exercise 3) Panel on Practices
4) Action Items
Talking about Race can be Uncomfortable Health Equity Project, Indiana University:
“It’s uncomfortable.” “The conversations may stir up bad feelings" “Can’t we all just get along?” “I don’t notice the color, I just want everyone to do well”
NASTAD’s Black Lives Spheres of Action
Internal Enrichment
Member Engagement
Strategic Partnerships
Group Exercise
LET’S
GET
AWKWARD
Group Discussion 1)BRIEFLY describe the last time you experienced racial tension in a professional setting and/or while performing professional duties 2) Use ONE word to describe a professional barrier that impacts your ability to marshal resources targeted to the black community
Let’s Debrief…
What did you hear from your tablemates?
Speaker Panel Tonya King Tennessee Lydia Guy – Ortiz Washington Paul Loberti Rhode Island
Tonya King
Lydia Guy-Ortiz
#BlackLivesMatter
EQUITY HEALTH JUSTICE
Paul Loberti
Action Steps POTENTIAL HEALTH DEPARTMENT ACTION STEPS
FOCUS
MEASURING INEQUITY
DISRUPTING SYSTEMIC INEQUITY
ADDRESSING SOCIAL INEQUITY
BASELINE: Stratify HIV Care Continuum by race and gender; assess the extent to which Black populations are experiencing disparity GROWTH: Continue stratifying HIV Care Continuum by sub-population (Black IDU, Black MSM, etc.) REACH: Map key service delivery by race, gender, and sub-population and compare to the epidemiologic distribution BASELINE: Include health equity measures as a performance standard in contracted services GROWTH: Assess geographic relationship (distance and travel time) of contracted services (Part B services, ADAP contract pharmacies, etc.) to compare accessibility by race REACH: Support the implementation of value-based purchasing models that include health equity benchmarks and require improvements in health outcomes for Black populations across the HIV continuum BASELINE: Ensure stratified parity, inclusion and representation across HIV planning and advisory bodies GROWTH: Train and evaluate health department staff on best practices to provide culturally-proficient services to Black communities REACH: Use viral suppression levels by provider to monitor service delivery performance in meeting the needs of Black people living with HIV to achieve and maintain viral suppression
NASTAD ACTION STEPS
Develop webinars on data integration to support health departments in stratifying the HIV Care Continuum Provide technical assistance to individual health departments on methods to assess disparities Create a forum for health departments to share HIV care continuum stratification activities
Distribute examples of contract provisions that address health equity Issue case studies from jurisdictions that assess health equity in contracting Highlight public health programs and healthcare services that use health equity assessments or value-based purchasing models to disrupt systemic inequity for Black populations
Share HIV care models aimed at improving linkage, retention and viral suppression outcomes for Black MSM
Distribute Continuing Medical Education (CME) and Continuing Nursing Education (CNE) that train providers on best practices to engage Black MSM
Distribute tools and resources focused on how to address the HIV stigma, racism and homophobia facing Black MSM and Black LGBTQ communities
Three Action Focus Areas MEASURING INEQUITY
DISRUPTING SYSTEMIC INEQUITY
ADDRESSING SOCIAL INEQUITY
Phases of Action BASELINE
Tactical
GROWTH
REACH
Strategic
NASTAD’s Commitment to Action FOCUS
FOCUS
MEASURING INEQUITY
DISRUPTING SYSTEMIC INEQUITY
ADDRESSING SOCIAL INEQUITY
POTENTIAL HEALTH DEPARTMENT ACTION STEPS
BASELINE: Stratify HIV Care Continuum by race and gender; assess the extent to which Black populations are experiencing disparity GROWTH: Continue stratifying HIV Care Continuum by sub-population (Black IDU, Black MSM, etc.) REACH: Map key service delivery by race, gender, and sub-population and compare to the epidemiologic distribution BASELINE: Include health equity measures as a performance standard in contracted services GROWTH: Assess geographic relationship (distance and travel time) of contracted services (Part B services, ADAP contract pharmacies, etc.) to compare accessibility by race REACH: Support the implementation of value-based purchasing models that include health equity benchmarks and require improvements in health outcomes for Black populations across the HIV continuum BASELINE: Ensure stratified parity, inclusion and representation across HIV planning and advisory bodies GROWTH: Train and evaluate health department staff on best practices to provide culturally-proficient services to Black communities REACH: Use viral suppression levels by provider to monitor service delivery performance in meeting the needs of Black people living with HIV to achieve and maintain viral suppression
NASTAD ACTION STEPS
Develop webinars on data integration to support health departments in stratifying the HIV Care Continuum Provide technical assistance to individual health departments on methods to assess disparities Create a forum for health departments to share HIV care continuum stratification activities
Distribute examples of contract provisions that address health equity Issue case studies from jurisdictions that assess health equity in contracting Highlight public health programs and healthcare services that use health equity assessments or value-based purchasing models to disrupt systemic inequity for Black populations
Share HIV care models aimed at improving linkage, retention and viral suppression outcomes for Black MSM
Distribute Continuing Medical Education (CME) and Continuing Nursing Education (CNE) that train providers on best practices to engage Black MSM
Distribute tools and resources focused on how to address the HIV stigma, racism and homophobia facing Black MSM and Black LGBTQ communities
