issues

Probleem:
Gebrek aan het geven van educatie binnen zorgcentra zorgt voor het onjuist behandelen en informeren van (potentiële) HIV/AIDS patiënten.

Gevolg
Dit probleem zorgt voor: discriminatie, stigmatisering, taboe, angst, verspreiding van onjuiste kennis, niet verkrijgen van zorg en middelen, onjuist ingevulde vacature binnen het Russische zorgstelsel, gehoor geven aan de afkeer van de overheid en het toelaten van het verder verspreiden van het Hiv-virus.

Bill Gates zegt: In Russia, the epidemic is concentrated among injecting drug users. In areas where they received clean needles, testing, and other services, the infection rate rose 15 percent over five years. Where they didn’t, it skyrocketed 105 percent. Clearly, these services work. Yet Russia has gutted them – cut the budget to zero – and shifted the money into programs for the general population.

Why? The problem is not a lack of data. UNAIDS can help any endemic country analyze information to understand which populations are at the greatest risk. The problem is that many countries are not using this data to make their funding decisions. Instead, politicians are making them based on fear and stigma. They don’t want to associate themselves with people who engage in behavior that makes them uncomfortable.

As President Clinton said this morning, every dollar wasted puts a life at risk. If you’re afraid to match your prevention efforts to the right populations, then you’re wasting money – and that costs lives.”

Of misschien:
“There is one other prevention technique where greater efficiency will make a big impact: antiretroviral (ARV) treatment. We now know that putting people on ARVs makes them far less likely to pass the virus on to others. Treatment is prevention”

If you have AIDS, and you go to a health clinic, you should never have to hear someone say: “I’m sorry. You can’t have the drugs that would save your life. We don’t have the money.”

Or knowledge?

http://portfolio.theglobalfund.org/Indicators/Performance/RUS-304-G01-H?countryId=202&grantId=279&lang=en

http://portfolio.theglobalfund.org/Indicators/Performance/RUS-506-G05-H?countryId=202&grantId=283&lang=en

One promising area is ARV-based prevention: pills, injections, and gels that contain the drugs now used for treatment.

Scenario
Personeel in zorgcentra kennis geven over het voorkomen en behandelen van het Hiv-virus door middel van een aid-kit. Waardoor stigmatisering verdwijnt en kennisoverdracht optimaal volbracht zal worden.

Personeel in zorgcentra kennis laten overdragen via aid-kit aan specifieke bezoekers zodat zij alle kennis rondom het Hiv-virus (gaan) bezitten en gebruiken zodat verspreiding uiteindelijk vermindert zal worden.

Mogelijke doelgroep
Jongeren, jongvolwassenen, ouders, gezinnen, straatkinderen, drugsverslaafden, prostituees, msm, hiv-geïnfecteerde, soa patiënten, werknemers centra,

Zorgcentra bereiken honderden (potentiële) patiënten per dag waardoor kennis optimaal en welke doelgroep dan ook verspreidt kan worden.

"Social assistance is a very important part of the program because a person won't participate if they are worried about other things like food or taking a shower," said Timofey, a 28-year-old beekeeper, who was receiving preventive TB treatment from the clinic before becoming a volunteer peer counselor. Timofey is HIV positive and a former drug user. "Five or six years ago, it was difficult to find care because people were afraid of HIV. Now it's different, largely because of the work of the clinic."

Trust, accessibility and friendliness are the pillars of the clinic's success, said Dr. Elena Borzunova, who heads the clinic. "This is a low-threshold program because we understand that our clients will have trouble with the law, they will have behavior problems. We accept them as they are," she said.

"There's nothing really sinful about being a drug user or having an infection," said Maxim, one of the volunteer peer counselors. "I've benefitted a lot from the program. There is a professional attitude here. After all, in the end, it's about responsibility."

Optioneel
Jeugdcentra zorgen voor educatie jongeren via aid-kit.

Mogelijke doelgroep
Werknemers jeugdcentra en jongeren

Gevolg:

Jeugd krijgt kennis in ‘vertrouwde omgeving’ waardoor ze hoogstwaarschijnlijk de kennis makkelijker tot zich nemen en dit zien als ‘waarheid’. Daarnaast zorgt dit voor minder taboe en is er ruimte voor openlijke gesprekken en eventuele discussies. Ook ontstaat er minder discriminatie en stigmatisering binnen de groep medewerkers en jongeren door de juiste kennis en geruststelling. (dit lijkt te hangen boven de gehele samenleving)

http://www.google.com/url?sa=t&source=web&cd=12&ved=0CB4QFjABOAo&url=http%3A%2F%2Fwww.medsci.uu.se%2Fklinbakt%2Fstigup%2FPublications%2FARTICLES%2Farticle%2520archive%2F044A.pdf&rct=j&q=sti%20center%20st%20petersburg&ei=3_3sTI35JoWAOuTMkGk&usg=AFQjCNG3Fa_9XjOznTsiJQlaFM8WHFGnNQ&sig2=jsfH8hT-IwtYnQrtTskcTA&cad=rja