volunteer from Illinois
Nicaragua | Healthcare Service Provider Training - Attention to HIV Key Populations
volunteer from Illinois
The "Healthcare Service Provider Training - Attention to HIV Key Populations" is a two-day capacity-building workshop for healthcare service providers of the Ministry of Health Nicaragua (MINSA). The training will take place November 16-17, 2017.
The overall goal of the training is to improve health outcomes and address disparities in HIV key populations of Nicaragua in 2018 by diminishing barriers to care-seeking and fostering patient retention in HIV key populations. In order to meet that goal, the first objective is for participants to improve their knowledge, attitude, and practices in regards to stigma, discrimination, and the unique healthcare needs of HIV key populations. The second objective is for participating healthcare service providers to plan and implement newly acquired knowledge, attitudes, and practices regarding attention to HIV key populations in their respective municipalities.
A training of this nature is needed in the department of Leon in order to adequately address the HIV epidemic in Nicaragua. Although Nicaragua currently has one of the lowest HIV prevalence rates in Latin America, the epidemic is largely concentrated in key populations (men who have sex with men (MSM) and transgender women (TW)). Within these key populations, HIV prevalence is considerably high. In 2014, the HIV prevalence rate was 9.7% for MSM and 18.6% for TW. Sociocultural and behavioral factors surrounding gender identity and sex put key populations at particularly high risk for exposure to both gender-based violence and HIV. It is also widely accepted that key populations have unique healthcare needs, yet many healthcare providers in Nicaragua do not feel trained or confident in providing effective quality care to HIV key populations. Lastly, due to geographic, social, and economic factors, our community presents HIV prevalence rates higher than the national average. Therefore, it is imperative to equip healthcare service providers in this region with the necessary skills and knowledge to appropriately respond to the needs of their community.
By the end of the training, service providers will have a better understanding of how stigma and discrimination affect the lives of key populations, the relationship between sexuality, gender, and HIV, and how to evaluate patient risk and provide necessary risk-reduction counseling during patient consults. The training will focus on social service techniques that foster an environment of trust and comfort between providers and patients.
All participants will create an action plan for condensing and replicating the training in their respective municipalities. While action plans will vary based on the perceived needs of each municipality, each action plan must include: 1) at least one educational event to train other healthcare service providers on attending to HIV key populations; and 2) a plan for patient retention of HIV positive patients.
24 service providers will attend the training. MINSA intentionally selected these representatives from their municipalities due to the relevance of their roles in the management and treatment of HIV and continuing education of their fellow healthcare service providers. These individuals are responsible for all HIV services for community members and all professional development activities for healthcare service providers in their municipalities.
Community organizations are also contributing labor in the form of facilitators, transportation, educational materials, and office space. The total estimated project cost is $3,419.70. The estimated community contribution is $976.67. Therefore, the amount needed to carry out the project is $2,443.03.