Our Youth, Our Response - PowerPoint Presentation

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Our Youth, Our Response

Building Capacity for Effective HIV/HCV Policy and Programming Responses Across the Atlantic RegionAnik Dubé, Jacqueline Gahagan, Greg Harris, Lois Jackson, Jo-anne MacDonald, Kathleen Hare, Pamela Hudson, Jocelyne Maurice, Maryanne Tucker, Sally Walker

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3-year project, started June, 2011Funded by

Nova Scotia Health Research FoundationAnalyzes policies and programs related to HIV/HCV prevention in youth in four Provinces and makes recommendations for change.Uses information from all 4 provincesThe Project

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Led by Dr. Jacqueline Gahagan, Dalhousie University

12 researchers from the 4 Atlantic provincesPart-time coordinator and 4 Research AssistantsCommunity Advisory Committee with 11 members from all 4 Atlantic provincesYouth Advisory Committee

with 7 members

The Team Collaboration

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Youth are at risk of HIV/HCV infection through:

Unprotected sexual intercourse with infected partnerInjection drug useUnsafe tattooing practicesLack of accurate knowledge of HIV/HCV transmission risk factorsBackground

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Social Determinants of Health influence likelihood of contracting HIV/HCV:

Income and social statusAgeGenderCultureHealth ServicesSocial and physical environmentsBackground (cont’d.)

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HIV & HCV share many features in common:

Prevalence among youthStigmaNegative impact on lives of infected and affected individualsPreventable with proper knowledge of transmission and ways to prevent transmissionBackground (cont’d.)

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Determines programs & services and methods of delivery

Provides restrictive measures for reporting and testingShould address determinants of healthPolicies from several sectors have impactHealthEducationJusticePolicy framework needed to integrate multiple sectors

Role of Policy

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Analyze existin

g HIV/HCV primary and secondary prevention policies and programs for youth in the Atlantic RegionDetermine with our stakeholders how well these address the needs of youth and

social determinants of health

Policy advisors

Youth

Youth workers

Objectives of Study

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Identify gaps in the effectiveness of the policies and programs

Develop multi-sectoral policy recommendations for Nova ScotiaProvide opportunities for policy capacity building through knowledge exchange

Objectives of Study (2)

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What HIV/HCV primary and secondary prevention policies related to youth exist in the Atlantic Provinces?

Do these policies (and programs) adequately address the needs of youth?How do the prevention approaches differ for each province? How fractured or cohesive are the approaches?Research Questions

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What, if any, gaps exist in current policy approaches to primary and secondary prevention?

How can these gaps be used to refine policies and policy frameworks?How can such policy refinement help inform best practices in HIV/HCV prevention among youth in Nova Scotia?

Research

Questions (Cont’d.)

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Based on a multidimensional approach to HIV/HCV prevention;Used a sex, gender, diversity, and equity lens;

gender identitygender roles gender relationsinstitutionalized genderSex and gender-based analytic framework

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Research Assistants (R.A.s) in each province worked with university librarian to develop systematic search terms and most appropriate

databasesR. A.s contacted community organizations and government departments to find “grey” literatureR.A.s categorized documents in terms of types of documents, target populations, types of prevention addressed, and sector Policy Scan: Methods

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Scan of policies, programs, services completed in each provinceTotal number of documents coded

New Brunswick 81Newfoundland and Labrador 149Nova Scotia 132Prince Edward Island 63

Policy Scan: Methods

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More documents related to programs than those related to policyMore documents related to primary prevention than secondary prevention

Most documents came from the health sector and government, while others came from community-based ASO and research reportsTypes of Documents Found

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Lack of youth framework : documents in many different organizations and departments

Different structures of government departments in different provincesSearch terms and databases searched specific to each provinceDifficulty in obtaining unpublished documentsChallenges in conducting Interprovincial Policy Scan

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Coding scaleRanked on a scale from 1 to 3

1: highly featured2: not fully explored3: absent from documentResearch coding

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OYOR coding focused on health, education, community, and justiceCoding and cross-coding across sectorsOf the 62 grey literature documents:

Five documents scored 1*29 scored 228 scored 3Research coding grey literature

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The health sector captured most of the coding within the sex and gender-based frameworkOf the 19 academic literature articles:

No article scored 113 articles scored 2Six articles scored 3Research coding academic literature

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Analysis of documents showed that few are highly sensitive to multidimensional gender-based and youth-specific issues in HIV/HCV prevention

Most integrate the needs of men and women togetherMost are income directed to increase awareness (i.e. gender gap in provincial wages)Only one provincial gender-based analysis guide exist for the province and it dates back to 2003Most do not address the determinants of healthFindings

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Conduct interviews with key stakeholders and analyze results

Use results as basis for developing youth focus groups and survey for year 3Knowledge Exchange Event: “Spread information, not disease”Year 2

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Focus groups with youthSurvey

of youth (400)Analysis of all resultsIdentification of gaps and prioritiesDevelopment of recommendations for public health policy and for program interventions

Year 3

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Final Report and published papersMeetings with youth advisory members

Meetings with provincial policy makersPresentations at government and professional meetings/conferencesYear 3 Dissemination

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For more information, contact:Dr. Jacqueline Gahagan Anik

Dubé, RN, PhD (c)Professor & Chair Health Professor promotion Université de Moncton Dalhousie University Jacqueline Bouchard Building 6230 South Street Moncton, NBHalifax, NS B3H 3J5 506.858.4256

902.494.1155 anik.dube@umoncton.ca

jgahagan@dal.ca

Thank you!