Behind the Pandemic in Aboriginal Communities - Interagency ...

Individual LevelIssue Exploration Tree - Analysis of a Vulnerability CardFred’s StoryFred lives in a rooming house in a small city. His doctor put him on antiretroviraltherapy a few months ago. Fred is too scared to ask the doctorto repeat the instructions about when and how often he is supposed totake his medication, so he relies on what he remembers from that day.He doesn’t want to ask any of the other roomers for help because thenthey will know he can’t read and that he is HIV positive. On top of this,he needs to figure out how to keep his medication cool now that theweather is warming up. The room he rents doesn’t have a fridge so he’skept his medications just outside his window.ResultsL ack of social suppor tSocial isolationAvoids asking for helpFear of HIV stigmaDies earlyG ets oppor tunistic infectionsImmune system weakensMedications taken improperly or not at allR o o t C a u s e sH a s n o f r i d g e t o s t o r e m e d i c a t i o nU n d e r h o u s e dD o e s n ’ t u n d e r s t a n d h o w t o t a k e m e d i c a t i o n sP o v e r t yC a n ’ t r e a d i n s t r u c t i o n sD o c t o r m i d u n d e r s t a n d sr e a l i t y o f p a t i e n t ’s l i f eM e d i c a l s c h o o l d o e s n ’ t f o c u s o n t h eD e t e r m i n a n t s o f H e a l t h a n dB r o a d e r D e t e r m i n a n t s o f A b o r i g i n a l H e a l t hC a n ’ t g e t a w e l l - p a i d j o bL o w e d u c a t i o n l e v e lS o c i a l a s s i s t a n c e a l l o w a n c e s a r el o w e r t h a n t h e c o s t o f l i v i n gS c a r e d t o a s kf o r h e l p w i t h r e a d i n gE m b a r r a s s e da b o u t n o t b e i n ga b l e t o r e a dH a s l i m i t e d r e a d i n g s k i l l sS e e s s c h o o l a si r r e l e v a n t &f e e l s l i k e h ed o e s n ' t b e l o n gS c h o o l s o v e r l o o k A b o r i g i n a lc u l t u r e & e x p e r i e n c eL e f t s c h o o l e a r l yH a r d t o s t u d y w i t hc h a o t i c h o m e l i f eF a m i l y & c o m m u n i t y f e e ln e g a t i v e l y a b o u t s c h o o lP a r e n t s a d d i c t e d t o a l c o h o lP a r e n t s f o r c e d t o a t t e n d r e s i d e n t i a l s c h o o lU n d e r l y i n g I s s u e sS y s t e m i c r a c i s m U n r e s o l v e d i n t e r g e n e r a t i o n a l t r a u m a C o l o n i z a t i o n96