Social Work with People Practicing Same-Sex ... - ILGA Europe

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allow to perform a complete and adequate resource evaluation of an organization and its reach to the target audience, and to allocate funding quickly, while many HIV positive MSM are in need of help. That is why, starting from 2008 the All-Ukrainian Network of PLH initiated the implementation of an absolutely new approach to the development of care and support service provision to HIV positive MSM in the regions of Ukraine simultaneously with the implementation of its key grant activities within the project “Improvement of the Quality of Life of HIV Positive MSM in Ukraine”. This new approach includes the search for MSM+ leaders in different regions, who are ready to work with HIV positive MSM and develop the self-help movement for this group, as well as the evaluation of situation with the participation of local HIV servicing and/or MSM organizations and AIDS Prevention Centres. Today 5 new regions have been covered by today (in addition to those that are already covered with the key grant activities). By today the activities of the project “Improvement of the Quality of Life of HIV Positive MSM in Ukraine” have resulted in the creation of 5 self-help groups and establishment of good contacts between the physicians from AIDS Centres and local HIV servicing NGO. This approach is unique because the local activities are coordinated exclusively by HIV positive MSM or highly motivated MSM, who have access to the target group. Each region needs an individual approach based on a real situation and preliminary needs evaluation, which significantly increases the quality of services being provided and their focus on the target audience. The project also performs rapid tests for HIV for those MSM, who are afraid to visit AIDS Centre but are ready to take a rapid test in the office of a community centre of a HIV servicing organization, or in other setting which is different from health care facility. Rapid testing and counselling services are very important both for the prevention of HIV, and, of course, for the protection of health of those MSM, who are not aware of their HIV positive status. As was mentioned before, many MSM, who try to conceal their homosexuality and HIV status, often present at health care facilities too late, which explains the high mortality rate in this group. Work with HIV Positive MSM and Internet The website http://gayplus.info is functioning within the project to provide information for HIV positive MSM. In 2008 the website had 1,060 unique users from 32 countries (including 344 from Ukraine and 156 from Russia). The Internet is often the only information source for HIV positive MSM and, in fact, for the entire MSM community. The website contains information about HIV, health, safer sexual behaviour and services available for HIV+ MSM in Ukraine. Obstacles to the Provision of Care and Support Services to HIV Positive MSM (on the Basis of the Experience of All-Ukrainian Network of PLH): 1. Closed Character of HIV+ MSM Group The group of HIV positive MSM is very hard to reach and it creates the most significant problem for the provision of care and support services to this group. It is practically impossible for an “uninitiated“ person to establish contacts or reach to this group. Evidence suggests that an efficient work is practically impossible without a leader from the local community. A HIV positive MSM or a member of MSM community, who does not have AIDS phobia and who has a strong commitment to work in this area should work with a group of HIV positive MSM. 2. Stigma and Discrimination Affect Epidemiological Statistics Related to HIV/AIDS The situation is very complicated by the procedure, according to which a person with the diagnosed HIV must sign a document on criminal responsibility for further spread of HIV infection. It is easy to guess the outcomes of this approach, especially to HIV Homosexual affection can be as selfless as heterosexual affection, and therefore we cannot see that it is in some way morally worse. An act which expresses true affection between two individuals and gives pleasure to them both, does not seem to us to be sinful by reason alone of the fact that it is homosexual. From the essay Towards a Quaker View of Sex, 1963 43
44 positive MSM. Moreover, in case of epidemiological surveillance, MSM even in big cities and in the capital are rarely ready to disclose their homosexual orientation, that is, to announce that they are gays/bisexuals who were HIV infected through a homosexual contact. Under the pressure of stigma and discrimination gay men and bisexuals are ready to name any other route of HIV infection — from an “unknown“ to “injecting drug use“. Due to this fact the national statistics has registered only 223 HIV positive MSM throughout Ukraine since the beginning of HIV/AIDS epidemic in 1987. At the same time, only one self-help group for HIV positive MSM has 100 people. Today the project is providing services to the total of 245 HIV positive MSM in 10 cities. 3. Stigma and Discrimination by Health Care Personnel Health care workers in the regional and oblast AIDS Prevention Centres or STI clinics are not always friendly to HIV positive patients in general and to HIV positive MSM in particular. The clients of the project “Improvement of the Quality of Life of HIV Positive MSM in Ukraine” have faced prejudiced attitude ((jokes, mockery, hints on defective personality of MSM), as well as attempts to “treat“ them from homosexuality. A phrase of one of the nurses of a regional AIDS Centre “You should all be turned out neck and crop” is a good illustration to it. 4. Stigma and Discrimination by NGOs In some cases even participation of the leaders from among HIV positive MSM in the work of a group does not guarantee that funding received by the project implementing NGOs will be really allocated to help real HIV infected MSM. In such cases a targeted allocation of funds exclusively to ensure the functioning of HIV+ MSM support group and its capacity building may help to change this situation. It will guarantee that the project services are provided to exactly that target group, on which it focuses.
Page 1 and 2: Social Work with People Practicing
Page 3 and 4: Editor and Compiler: Laima Geidar.
Page 5 and 6: Content 1. Background Information.
Page 7 and 8: 1 Please, see the Glossary of Terms
Page 9 and 10: 1 Alfred Kinsley performed 2 studie
Page 11 and 12: There is hardly anyone whose sexual
Page 13 and 14: Round table on LGBT issues, MOH of
Page 15 and 16: 1 Rosser BR, Bockting WO, et al. Th
Page 17 and 18: 1 Testing for HIV: Why Is It Needed
Page 19 and 20: 65.7% of female respondents have ne
Page 21 and 22: Women’s Network Summer Camp, 2008
Page 23 and 24: 1 According to the draft Order of t
Page 25 and 26: As for my homosexuality, I“ve bee
Page 27 and 28: Photo: Bogdana Bondar, Photo-projec
Page 29 and 30: 28 on the part of the others and br
Page 31 and 32: I don't think homosexuality is a ch
Page 33 and 34: 1 The term “coming-out“ refers
Page 35 and 36: 34 he is confronted with the proble
Page 37 and 38: 36 eventually guarantee a normal de
Page 39 and 40: I am reminded of a colleague who re
Page 41 and 42: — Next time, if someone asks you:
Page 43: 1 Социально-психоло
Page 47 and 48: Women’s Network Party, Kyiv, 2007
Page 49 and 50: “Dark Nights” Festival, Kyiv, 2
Page 51 and 52: 50 Ukrainian Model of Outreach Work
Page 53 and 54: Outreach work 52 Outreach Team Serv
Page 55 and 56: I should tell you that homosexualit
Page 57 and 58: Everybody's journey is individual.
Page 59 and 60: 1 Materials from the Review of inte
Page 61 and 62: 60 Davao monsignor Fernando Capalli
Page 63 and 64: It doesn't matter what you do in th
Page 65 and 66: When I didn't know yet who homosexu
Page 67 and 68: 66 • Does not require special kno
Page 69 and 70: 68 Pluses Minuses • Provides LGBT
Page 71 and 72: Those, who today still continue to
Page 73 and 74: I believe that everyone in this wor
Page 75 and 76: I feel myself a zebra that has to e
Page 77 and 78: Answering the journalist's question
Page 79 and 80: This you, straights, are vested wit
Page 81 and 82: First National Conference of LGBT O
Page 83 and 84: Homosexuals pose a threat to the so
Page 85 and 86: Gay-forum event, Dnipropetrovsk, 20
Page 87 and 88: Seminar on Community Mobilization,
Page 89 and 90: 1 The following manual was used for
Page 91 and 92: 90 While creating an alliance it is
Page 93 and 94: 92 meetings, discussions, to develo
Page 95 and 96:
I don“t think there is a “gay l
Page 97 and 98:
They are preserving the sanctity of
Page 99 and 100:
Press-conference, 2005 98 7.2. Step
Page 101 and 102:
100 5. Identification of the campai
Page 103 and 104:
102 advocacy campaign. Second, addi
Page 105 and 106:
104 2) Development of the campaign'
Page 107 and 108:
1 See Memorandum of Understanding b
Page 109 and 110:
108 7.3. Methods and Tools of Advoc
Page 111 and 112:
Homosexuality, along with other uni
Page 113 and 114:
1 http://www.feminist.org.ua/ confe
Page 115 and 116:
114 7.4. National Strategies of Adv
Page 117 and 118:
116 Conclusion So, we have consider
Page 119 and 120:
1 Oostvogels R. Assessment of highr
Page 121 and 122:
120 9. Glossary of Key Terms Agitat
Page 123 and 124:
122 views, sexual orientation, sex
Page 125 and 126:
124 Motivation is a system of incen
Page 127 and 128:
1 Лекторский В. О то
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