Washington D.C., USA, 22-27 July 2012www.aids2012.org Henry Luyombya July 23, 2012.

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Washington D.C., USA, July 2012www.aids2012.org Henry Luyombya July 23, 2012

Washington D.C., USA, July 2012www.aids2012.org Acknowledgement Alan Li (CAAT & Regent Park Community Centre) Ciann Wilson (York University) Funding partners Maureen Owino (CAAT) San Patten, African Black Diaspora Global Network on HIV Valerie Pierre (ACCHO) Youth & Community members who participate in our projects

Washington D.C., USA, July 2012www.aids2012.org Outline of presentation Background and Social Context ABD Youth: Key Challenges The Inequities and Oppressions Successful Strategies Future Opportunities Recommendations

Washington D.C., USA, July 2012www.aids2012.org Committee for Accessible AIDS Treatment (CAAT) CAAT was formed in 1999 to reduce barriers faced by people living with HIV/AIDS (PHAs) who are immigrants, refugees or people without status living with HIV/AIDS in Canada Coalition of over 45 health, legal and social service organizations plus community advocates Since its inception, CAAT has been at the forefront of education, research, service-coordination and advocacy on issues related to HIV, Immigration and access CAAT’s efforts are underpinned by principles of social justice, collective empowerment, and MEIPA (meaningful engagement & involvement of people living with and affected by HIV/AIDS)

Washington D.C., USA, July 2012www.aids2012.org Social Context: Cycle of Social & Internalized HIV Stigma/Discrimination & Racism Societal Stigma & Discrimination Unsafe social environment for HIV disclosure Black Youth PLWHIV non- disclosure  ‘invisibility’  community emotional disconnection Lack of Youth PLWHIV and Black community leaders to champion HIV issues Denial & ‘Othering’ undermine HIV prevention/support efforts S TIGMA 5

Washington D.C., USA, July 2012www.aids2012.org Key C hallenges M IGRATION R ELATED : - Pre/post migration trauma & loss - Settlement/integration - Access to determinants of health (e.g., employment, trade and professions) - Legal barriers S TIGMA & D ISCRIMINATION : - Racism - Sexism - Homophobia, - Transphobia - Xenophobia - HIV stigma and AIDS Phobia - Etc. A CCESS B ARRIERS : - Language barriers - Cultural & social inclusion /competency - Migration status related eligibility  affecting health care and service access - Stigma related barriers 6CAAT 2012

Washington D.C., USA, July 2012www.aids2012.org Sexism Transphobia Racism Ableism Classism Heterosexism/ Homo/transphobia Other Oppressions Ageism Inequities. Josephine P. Wong © Barriers to Disclosure- Stigma

Washington D.C., USA, July 2012www.aids2012.org YPLWHIV ASOs In/Out of school Youth Academic / Community Researchers Research KTE Action CAAT

Washington D.C., USA, July 2012www.aids2012.org Turning the Tide: Future Opportunities SuccessFailure Mutual trust Shared values Shared power Shared leadership Shared resources Shared knowledge Transparency Equity & Fairness Pragmatism Mutual trust Shared values Shared power Shared leadership Shared resources Shared knowledge Transparency Equity & Fairness Pragmatism

Washington D.C., USA, July 2012www.aids2012.org Recommendations to ‘turn the tide’ PLWHIV: Adults & Youth Non-PLWHIV: Adults & Youth Media/Faith Leaders Policies for Diverse Youth Needs SDOH Researchers / Service Providers National & International networks

Washington D.C., USA, July 2012www.aids2012.org Contact Information Henry Luyombya Research Project Coordinator, CHAMP Study Office: ext 2265 Cell:

Washington D.C., USA, July 2012www.aids2012.org