Behind the Pandemic in Aboriginal Communities - Interagency ...

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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
Facilitator’s Notes on Resiliency CardsFacilitator’s Note: This table provides a summary of the protective factors representedby each Resiliency Card. The table also provides questions and probes thatyou can use to facilitate dialogue and foster critical analysis. The table is organizedby the title of the Resiliency Card. Participants may identify other issues in the cards dependingon their experience and knowledge.We recommend that you print this table and refer to it as needed during the activity.97
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Facilitator’s Materials..........
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What is this Educational Resource f
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experienced traumatic life events s
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Getting Ready to Facilitate this Ed
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Table 1: Potential Audiences and Ad
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Overview of Workshop AgendaOutlined
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WorkshopEtiquette(Social Norms)5 Mi
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Fred’s Story:LandscapeThinking(co
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Facilitator’s Note:It is possible
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Facilitator’s Note:Resiliency mea
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Participant MaterialsActivity Mater
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Individual LevelIndividual LevelInd
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Family LevelIndividual LevelFamily
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Family LevelFamily LevelFamily Leve
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Community LevelCommunity LevelCommu
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Community LevelCommunity LevelCommu
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Systemic LevelSystemic LevelSystemi
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Page 45 and 46: Systemic LevelArmand’s StoryArman
Page 47 and 48: Activity Materials: Resiliency Card
Page 49 and 50: Community Healing and Self-Determin
Page 51 and 52: Cultural ContinuityYou live in a co
Page 53 and 54: Building Community CapacityEveryone
Page 55 and 56: GIPA and ResearchA few years ago, t
Page 57: Handout #1: HIV Basics 11CATIE. 201
Page 62 and 63: 10/21/2010Activity Purpose• Incre
Page 65 and 66: 9/27/2010Activity InstructionsActiv
Page 67 and 68: 9/27/2010Questions for Vulnerabilit
Page 69 and 70: 9/27/2010Fred’s StoryHas no fridg
Page 71 and 72: 9/27/2010Understanding Health Inequ
Page 74 and 75: 9/27/2010Root Causes: BroaderDeterm
Page 76 and 77: 9/27/2010Broader Determinants ofAbo
Page 80 and 81: Facilitator’s Note:These backgrou
Page 82 and 83: Gender and Gender Inequalities• G
Page 84 and 85: approach must be undertaken with in
Page 86 and 87: through collaboration and shared re
Page 88 and 89: Diagram 1: Factors that affect HIVv
Page 90 and 91: Card Key Issues Affecting Vulnerabi
Page 99 and 100: Card Key Protective Factors Suggest
Page 101 and 102: Card Key Protective Factors Suggest
Page 103 and 104: Glossary
Page 105 and 106: Gender norms refer to the expectati
Page 107 and 108: About the AuthorsLia De Pauw, MHSc,
Page 109 and 110: Bouey, Paul D., and Betty E. S. Dur
Page 111 and 112: Public Health Agency Health of Cana
Page 113 and 114: Mill, Judy E., Randy C. Jackson, Ca
Page 115 and 116: Scanlon, K., Travers, R., Humberto,
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