Defeating HIV /AIDS through Education – University of the West Indies HIV/ AIDS Response Program (UWI HARP) : Defeating HIV /AIDS through Education – University of the West Indies HIV/ AIDS Response Program (UWI HARP)
Sanjana Bhardwaj, MD, MPH
Lecturer, Dept of Community Health and Psychiatry,
UWI HARP
Mona Campus, Jamaica
OVERVIEW : OVERVIEW HIV/AIDS regional and national overview
Education Matters
University of the West Indies
UWI HARP – History
Mission and Goals
Curriculum development process
Other activities, outreach etc
Highlights / Challenges
HIV /AIDS Overview : HIV /AIDS Overview
HIV /AIDS – The real situation : HIV /AIDS – The real situation
Slide5 : New AIDS Cases Per Year
Per 100,000 Population 0 5 10 15 20 25 30 35 90 91 92 93 94 95 96 Latin America North America Caribbean Source : CAREC
HIV Infection Rates in Adults (1999) : HIV Infection Rates in Adults (1999)
HIV Prevalence Rates (%) in Adults 15 - 49 years, 2001 : HIV Prevalence Rates (%) in Adults 15 - 49 years, 2001
AIDS CASES IN JAMAICA RISK BEHAVIOUR : AIDS CASES IN JAMAICA RISK BEHAVIOUR STD history 36%
Multiple sex partners 43%
Sex with CSWs 21%
Crack cocaine use 7%
Commercial Sex Workers
HIV Sero-prevalence among those most at risk : HIV Sero-prevalence among those most at risk
Why Education? : Why Education?
Why Education? : Why Education? No Cure
No Vaccine
Drug Therapy problems
UNGASS 2001 ‘ Prevention must be the mainstay of our response to the HIV /AIDS epidemic’
Education Matters : Education Matters Education, HIV /AIDS and the Young
2005, reduce HIV prevalence among 15 -24 by 25% in the most affected countries
2005 ensure that at least 90% of youth 15 -24 have access to information, education and services necessary to develop the life skills required to reduce their vulnerability to HIV infection, in full partnership with youth, parents, families, educators and health – care providers (UNGASS 2001)
University of the West Indies (UWI) : University of the West Indies (UWI)
The University of the West Indies (UWI) : The University of the West Indies (UWI) “A Light arising from the West”
Slide19 : “…is supported by and accountable to 16 English-speaking political entities in the Caribbean, each of which is affected by the HIV/AIDS epidemic.”
from Bain and Morrissey Report to UWI HARP, 2002 UWI
The Caribbean Region : The Caribbean Region NEVIS JAMAICA SURINAM VENEZUELA COLOMBIA GUYANA
UWI HIV / AIDS Response Programme (UWI HARP) HISTORY : UWI HIV / AIDS Response Programme (UWI HARP) HISTORY
HISTORY - UWI HARP : HISTORY - UWI HARP
2000 – UWI Vice-Chancellor approached three leaders to ask for increased UWI involvement in the response to HIV/AIDS
Launched
August 2001
Mona Campus, Jamaica
February 2002
St. Augustine Campus, Trinidad & Tobago
February 2002
Cave Hill Campus, Barbados
March 2002
Coordinating Unit established at Mona
The ‘SIRHASC’ Project : The ‘SIRHASC’ Project Part of a project for ‘Strengthening the Institutional Response to HIV/AIDS/STI in the Caribbean’ under the management of the Caribbean Community (CARICOM) Secretariat
Funded by the European Union
UWI HARP – Mission and Goals : UWI HARP – Mission and Goals
HARP Mission Statement : HARP Mission Statement To build and harness capacity within the university in order to contribute maximally to the national, regional and international effort to control the HIV/AIDS epidemic, and to mitigate the impact of HIV/AIDS on the university itself and on the wider society.
UWI-HARP Goals : UWI-HARP Goals Accelerate action in response to the HIV/AIDS epidemic through:
Research
Education & Training
Strategic engagement with the wider society
Policy development and implementation
Partnering with other institutions and agencies
UWI-HARP Goals : UWI-HARP Goals Generate/attract/manage resources to sustain the response to HIV/AIDS
Serve as a clearing house for HIV/AIDS information, complementing national, regional and international agencies
HARP Team Membership : HARP Team Membership Multi-disciplinary
Staff, students, trade unions
Health Sciences, Life Sciences, Social and Behavioural Sciences, Media and Communication, Education, Law, Management Studies, Public Relations
Government and other representation (by invitation)
Curriculum development process : Curriculum development process
Curriculum Development Goal : Curriculum Development Goal
Behavior change for HIV/AIDS Prevention, Care and Support
Specific Objectives : Specific Objectives
Increase HIV/AIDS Awareness
Improve accurate knowledge about HIV/AIDS
Influence positive attitudes to PLWHA
Increase competency and commitment to the regional HIV/AIDS response
Model Les Robinson's Model of Behavior Change through Education : Model Les Robinson's Model of Behavior Change through Education
The 'engineered awareness' approach to Behavior change -- Before and After : The 'engineered awareness' approach to Behavior change -- Before and After
Educational Strategies Planned : Educational Strategies Planned Involve, sensitize and train selected lecturers
Infuse HIV/AIDS components into existing courses
Develop new courses to fill curriculum gaps
Keep a clear focus on the epidemic and related factors
Curriculum Development Process : Curriculum Development Process Formed a curriculum committee
Conducted formative research
Sought and obtained
support from Faculty Administrators
support and collaboration from lecturers
student support
Started course development, modification and pilot teaching
Formative Research : Formative Research Developed criteria for course selection
Agreed on key words and questions to ask
Reviewed course descriptions using keywords
Prepared inventory of all existing courses
Collected and reviewed course outlines
Formative Research : Formative Research Conducted in-depth interviews with Lecturers
Developed course Matrices
Summarized findings and extracted comments
Presented findings and brainstormed with faculty members and students
Faculties Surveyed : Faculties Surveyed Humanities and Education
Social Sciences
Pure and Applied Sciences
Medical Sciences
Center for Gender studies
Foundation courses (All faculties)
Key Words for Course Selection : HIV/AIDS
STDs/STIs
Reproductive Health
Sex/sexuality
Human behaviour
Behavior change
Behavior Change Communication
Health Education
Health Promotion
Gender
Drug use/drug abuse
Key Words for Course Selection
Guiding Questions : Guiding Questions Does the course have a Specific focus on HIV/AIDS or related areas?
What are the surrounding factors addressed?
How much time is spent on the HIV/AIDS Content?
In what context is HIV/AIDS taught?
What is the Method of Delivery?
What is the Method of Assessment?
Course Matrices : Course Matrices Summary of findings from:
Faculty Catalogues
Information from the course outlines
Information provided by lecturers or other contact person for the courses
Remarks from the UWIHARP/Curriculum Development committee
Arranged according to Faculty/Department
Content of Course Matrix : Content of Course Matrix Course Title/Code
Faculty/Department
Level offered
No. of Credits
Class Size
Required/Optional
Specific HIV Focus
Non-specific, but relevant to HIV
Contact Person(s)
Method of Delivery
Methods of Assessment
Remarks by reviewer/researcher
Courses Identified and Classified : Courses Identified and Classified Strong HIV/AIDS focus
Minor HIV/AIDS focus
Addressing related factors, e.g. sexuality
New courses/programs planned : New courses/programs planned Masters in Communication and Behavior Change (4 courses)
Sociology/Psychology courses (2 courses)
New modules in existing courses
Summer courses and short courses during the regular semester
Slide45 : SUMMARY OF CURRICULUM MATRICES BY FACULTY/DEPARTMENT
Involving Stakeholders : Involving Stakeholders Faculty Deans
Presented goals, research findings and action plan
Sought feedback, approval and support in implementation
Lecturers
Brainstormed – Needs, Gaps, Methods, Other factors
Helped to plan Training of Trainers Workshops
Students
Discussed programme goals and objectives
Participated in Plenary meetings
Programme of Action - based on formative research : Programme of Action - based on formative research Training of Trainers workshops
Course development/modification
Development of Resource Manual
Monitoring & Evaluation by students and lecturers
Phase 2 TOTs – Faculty workshops
Support systems
Lessons Learned : Lessons Learned Vital to involve stakeholders
Essential to develop broad coalition
Health Education and Behavior Change are processes, not “one time” events
Reinforcement is necessary for the success of the program
Conclusion : Conclusion
The Curriculum Committee : The Curriculum Committee Brendan Bain
Sanjana Bhardwaj
Monica Brown, Chair
Marjan de Bruin
Phyllis Macpherson-Russell
Jasneth Mullings
Nancy Muturi
Hope Ramsay
Maxine Ruddock-Small
Livingston White
UWI HARP Activities : UWI HARP Activities
UWI HARP Committees : UWI HARP Committees Student Staff Initiative
Policy development
Website
Research
Evaluation
Documentation
ACTIVITIES : ACTIVITIES Economic Impact Assessment Studies – Trinidad, Barbados, Guyana, Haiti
Promotional materials
Internship / Field practicum experience
Resource center
Logo
UWI HARP Outreach : UWI HARP Outreach Training and skill building – Dentists, Labour policy, non academic staff, senior matrons, nurses, Bahamas uniformed forces
Exhibits – on and off campus, Graffiti wall
Distinguished lecture series, Dr Sten Vermund, UAB
Safe sex week, World AIDS day
Proposals / Grants – UNESCO, CHRC, Global Fund
Consultancy, US Ambassadors fund, UNESCO
Conferences – APHA, Global Health Council, Caribbean Muticultural conference, International AIDS Conference
Newsletter
Networking – on / off campus, b/w campuses
COLLABORATIONS : COLLABORATIONS CHARES – Centre for HIV /AIDS Research, Education and Services
CHART –Caribbean HIV /AIDS Regional Training Network
National AIDS Committee
International Organizations
International Universities
HIGHLIGHTS : HIGHLIGHTS Unique program
MODEL for Universities around the globe
Stakeholder involvement
Participatory
Tailored to felt needs
CHALLENGES : CHALLENGES Diverse
Time bound
Deliverables
Personnel
Bureaucratic process
Advocacy
Thank you : Thank you