This presentation by Enaam Oudih and Goran Jovanov discusses the development of an innovative model for working with African individuals living with HIV, with particular emphasis on the barriers to safe sex, risks of further transmissions and legal implications (criminalisation).

1. An innovative approach to
preventing HIV transmission and
reducing HIV criminalisation
Enaam Oudih, Practice Manager, PEACE
Multicultural Services
Goran Jovanov, Team Leader, MOSAIC Services

2. Acknowledgment of country
We acknowledge this Land as the Traditional Lands
of the Wurundjeri People and we respect
and support their Spiritual, Physical, Economical,
Intellectual and Emotional relationship with
their Country.
We also acknowledge the Wurundjeri people as
the custodians of Melbourne and their inherent
Cultural and Spiritual beliefs continue
to sustain the living Wurundjeri People today.

3. Outline
• Provide background information about the
process of developing “ Condom Checklist
Tool”
• Explore how the tool can be used
• Seek feedback

4. Who are we?
• Relationships Australia (South Australia)
delivers three major programs that interact
and work collaboratively to address issues
relating to HIV
– PEACE Multicultural Services
– MOSAIC Services
– Gay Mens Health SA

5. Background
• 2006 – 2012 we learnt the following:
– Increased overseas acquired HIV notifications,
particularly among the CALD
– Increased incidence of HIV criminalisation
– Increase in a number of women diagnosed with HIV
– Mainstream responses did not meet the needs of
CALD communities
– Lack of evidence to suggest that individuals were
using condoms due to an increase in STI, especially
among young CALD men

6. Issues related to use of condom
• Individuals from multicultural backgrounds have
had less exposure using condoms
• Often CALD individuals need to negotiate two
world views (own cultural and mainstream)
• The number of African clients being persecuted by
criminal justice due to alleged transmission of HIV
• Most condom health promotion messages are
based on behavioural adherence rather than focus
psychosocial determinants

7. Response to the issues
• PEACE in collaboration with SA Health developed the Strategic
Document titled: HIV prevention in Culturally and Linguistically
Diverse Communities in South Australia 2012 – 2016
• Implementation of the Strategic document was the responsibility of
HIV and STI sector in South Australia, under the leadership of
PEACE Multicultural Services
• Many projects have been created in partnership different agencies
involved, one of the them is the development of Shared Care Model
between MOSAIC Services, PEACE Services, HIV RDNS Nurses
and HIV Women Program

8. The Shared Care Model
Involve:
• Sending collective and unified messages
• Measuring collective impact (outcome)
Uses
• Shared tool to ensure use of condom
• Shared tool to self management

9. Process development of the tool
Planning meeting
with highly skilled
cross cultural,
therapeutic and
nursing workers
Trailing of the tool
Review and
adjustment of the
tool

10. Purpose
• To engage the individual in considering the importance
of using a condom to protect self and others
• To increase individual sense of confidence in using the
condom
• To elicit and foster individual’s understanding of
condom use, health literacy and skills
• To explore individuals belief and values that impact on
condom use
• To assist individuals in making decision to use condom

11. The principles of tool
Improved
decision
making
Increase of skills
Level of confidence
Level of importance

12. Barriers and Enabling factors
Cultural factors Behavioural Environmental
• Beliefs and values
• shame
• Gender constructions
• Understanding of own health
status
• Health seeking behaviour
• Collective vs. individual
responsibility in decision
making
• Balance the rights of self and
rights of others
• Decision making when and
with whom to use the
condom
• Communication skills
• Condom technical skills
• Planning skills for safer sex
• Health literacy
• Access and availability
• Relationships with others
• Obligations relating to public
health
• Services are more suited for
mainstream population group

13. Areas of the tool
Checklist tool
Basics
Decision making
Communication
technical skills
Storage
Legal

14. Assumed interpersonal skills of the
worker
• Listening skills
• Empathy
• Questioning
• Relationship and rapport building
• Health literacy
• Own level of comfort in discussing sexual
behaviours

15. What is the tool?
(Tool distribution)