Behind the Pandemic in Aboriginal Communities - Interagency ...

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Facilitator’s Note:Resiliency meansbeing able torecover or bounce backfrom stressful and challenginglife situations.Dealing with challengescan help people becomestronger and betterprepared to face futurechallenges. A person’sresiliency is affected byfactors and conditions atthe individual, family, andcommunity level.Facilitator’s Note:The BackgroundNotes for Facilitators:What Contributesto the Health InequitiesAboriginal Peoples Facein HIV Epidemics providesfurther informationon health inequities,determinants of health,broader determinants ofAboriginal health, andresiliency and protectivefactors.Small GroupWork onResiliency10 MinutesLarge GroupDiscussion15 minutesOverview ofthe PopulationHealth Approach10 minutes• On a separate flipchart, brainstorm and write the actions that couldbe taken by people, communities, and governments to preventnew HIV infections and take care of people living with and affectedby HIV in Aboriginal communities. Consider:• Ways to strengthen the factors that build resiliency for individuals,families, and communities.• Ways to address the factors that create vulnerability for individuals,families, and communities.Invite:Have each group share their tree and a summary of their discussion.Ask:• What are some of the main factors that “cause” HIV vulnerabilityfor Aboriginal peoples and communities? What are the root causesof these factors?• What are some of the main impacts of HIV on Aboriginal peoples,families and communities?• How do the impacts of HIV affect vulnerability to HIV within a community?• What are some of the factors that promote resiliency among Aboriginalpeoples and communities?• What are some of the actions that can be taken to:• Strengthen resiliency for individuals, families and communities?• Reduce vulnerability for individuals, family and communities?• How do these strategies address personal responsibility and socialresponsibility in HIV responses?Summarize the following concepts using the accompanying presentation:• Health inequities• Determinants of health in Canada• Health inequities affecting Aboriginal peoples in the Canadian HIVepidemic• Broader determinants of Aboriginal health• Resiliency and protective factors24
Stage 5 - Wrap UpWrap Up5 minutes5 MinutesInvite: Participants to offer one word or a few words that describetheir experience.Share:• Thank participants for their contribution and share your hopes forhow they will use the information.• Provide participants with the fact sheets.• Provide a referral list for people who may wish to learn more aboutHIV or access services.Facilitator’s Note:Endings and beginningsare importantmoments in thelife of any group. Takeat least a few momentsto bring the workshopto a close. If an Elderopened your workshop,consider asking him orher to close the workshopas well.Key Messages:• Health is an important resource for daily life.• Health is connected not only to individual behavior but also to broader social, historical,political and economic factors.• Preventing HIV and supporting people to live positively works best when people have theskills to make the best choices possible and their life circumstances support healthy decisions.• Solutions for promoting health and closing health inequities often fall outside of the healthsector.• The determinants of health and broader determinants of Aboriginal health affect people’slevel of control over situations and behaviours that impact their health.• Determinants often cluster in a person’s life and interact in ways that reinforce each otherpositively or negatively.• The determinants of health and broader determinants of Aboriginal health are based onpopulation data.• Individuals are unique and are affected by these broader factors in different ways and todifferent degrees• There are many people, families and communities who cope very well or better than expectedunder adversity. This is known as resiliency.• There are factors that promote resiliency, known as protective factors.25
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Page 8 and 9: What is this Educational Resource f
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Page 18 and 19: WorkshopEtiquette(Social Norms)5 Mi
Page 20 and 21: Fred’s Story:LandscapeThinking(co
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Page 31 and 32: Family LevelIndividual LevelFamily
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Page 35 and 36: Community LevelCommunity LevelCommu
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Page 45 and 46: Systemic LevelArmand’s StoryArman
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Page 53 and 54: Building Community CapacityEveryone
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Page 67 and 68: 9/27/2010Questions for Vulnerabilit
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9/27/2010Root Causes: BroaderDeterm
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9/27/2010Broader Determinants ofAbo
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Facilitator’s Note:These backgrou
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Gender and Gender Inequalities• G
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approach must be undertaken with in
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through collaboration and shared re
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Diagram 1: Factors that affect HIVv
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Card Key Issues Affecting Vulnerabi
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Individual LevelIssue Exploration T
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Card Key Protective Factors Suggest
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Card Key Protective Factors Suggest
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Glossary
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Gender norms refer to the expectati
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About the AuthorsLia De Pauw, MHSc,
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Bouey, Paul D., and Betty E. S. Dur
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Public Health Agency Health of Cana
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Mill, Judy E., Randy C. Jackson, Ca
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Scanlon, K., Travers, R., Humberto,
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