scholarly journals Jurisdictional Coordination of Integrated HIV Prevention and Patient Care Planning and Implementation

2019 ◽  
Vol 18 ◽  
pp. 232595821988053
Author(s):  
Graham Fitzgerald Watts ◽  
Deidre Kelley ◽  
Matthew Maximillion Wilson ◽  
Sandy Arts ◽  
Joseph Mims
Keyword(s):  
Hiv Prevention ◽  
System Integration ◽  
Service Providers ◽  
Service System ◽  
Community Based Participatory Research ◽  
System Level ◽  
Local Response ◽  
Community Based ◽  
Future System ◽  
System Improvement

Jacksonville, Florida, provides services to persons living with the HIV. A federal call for integrated HIV prevention and treatment was published on June 19, 2015. This study unveils the principles that guided the local response to that call. Service providers have not systematically engaged in strategic planning for system improvement, the absence of which defines the boundaries and properties of the service system. Integration requires a unifying strategy as it draws leaders from their respective silos. Directed leadership, community-based participatory research, and action research provided a science-based framework for integration. Quantitatively, one-third of the planning implementation journey has elapsed, and 46% of the 75 planned activities have either reached fulfillment or are ongoing. Another one-fourth is in progress and slightly more than one-fourth (28%) are pending. Qualitatively, this study recorded 7 system-level changes. Progress to date is a harbinger of future system-level changes.

Assessing Cross-Sector Stakeholder Perspectives on Oakland (CA)’s Juvenile Reentry System

2017 ◽  
Vol 18 (2) ◽  
pp. 98-124
Author(s):  
Sonia Jain-Aghi ◽  
Alison K. Cohen ◽  
Priya Jagannathan ◽  
Henrissa Bassey ◽  
Yvette Leung ◽  
...  
Keyword(s):  
Service Providers ◽  
Family Engagement ◽  
System Level ◽  
Limited Resources ◽  
Community Based ◽  
Stakeholder Perspectives ◽  
Community Perspectives ◽  
Education Community ◽  
Using Data ◽  
Second Chance

We surveyed 75 staff and administrators involved in Oakland (CA)’s Second Chance Initiative from diverse agencies (e.g., probation, behavioral health, public health/medical, education, community-based service providers) to assess the local juvenile reentry system. Sharing and using data across partner agencies, mutual trust, opportunities for interagency collaboration, system-level youth and family engagement, shared governance, and limited resources repeatedly arose as areas for improvement. Many defined reentry success using positive youth developmental outcomes. Government and community perspectives around barriers and effectiveness often differed with some similarities.

scholarly journals Participatory practice with queer refugees in Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Gangarova
Keyword(s):  
Hiv Prevention ◽  
Service Providers ◽  
Community Building ◽  
Participatory Evaluation ◽  
Visual Methods ◽  
Community Based ◽  
Health System Information ◽  
Health Project ◽  
Key Topics ◽  
System Information

Abstract Evidence shows that queer refugees in Germany neither have equal access to the health system, information, HIV-Testing and treatment, nor are they involved in HIV-Prevention. The community-based participatory health approach provides a valuable tool for building capacity and enabling queer refugees to create knowledge and develop appropriate prevention tools for their communities. “Your health, your rights” (2017-2018) is a 2-year community-based participatory health project, which aims to improve the involvement of queer refugees in HIV-Prevention, as well as to create appropriate prevention media in collaborative way. It is conducted by the National AIDS Organization in collaboration with partners from different immigrant organisations, queer refugees and AIDS service organisations - all based in Berlin. The components of the project include a multilingual participatory need assessment workshop, a series of capacity-building methodological workshops, a community-led art-based project and a participatory evaluation. 12 queer refuges choose to take part in the project and have been supported to document their lived experiences using community and concept mapping. Key topics and needs connected to sexual health have been jointly identified. Based on these results and in the framework of an art-based workshop participants created a design of multilingual website for queer refugees which delivers helpful information in appropriate way (www.queerrefugeeswelcome.de). The involvement of queer refugees in HIV-Prevention is possible, if it is enabled. The usage of participatory visual methods has opened up ways of participation of even highly traumatised refugees who otherwise are not able to verbally express their thoughts and enabled the communication between participants who don’t share the same language. Key messages The resources of queer refugees are identified and mobilised and community building processes are supported. The participants improved their competencies (empowerment). Service providers are able to tailor their services better to the needs of queer refugees.

3D Process Integration – Requirements and Challenges

2008 ◽  
Vol 1112 ◽  
Author(s):  
Juergen Max Wolf ◽  
Armin Klumpp ◽  
Kai Zoschke ◽  
Robert Wieland ◽  
Lars Nebrich ◽  
...  
Keyword(s):  
System Integration ◽  
New Technologies ◽  
Process Integration ◽  
High Volume ◽  
System Level ◽  
Wafer Level ◽  
System Architectures ◽  
Future System ◽  
3D Packaging ◽  
Third Dimension

AbstractHeterogeneous system integration is one of the key topics for future system integration. Scaling of System on Chip (SoC) alone does not address today's requirements of smart electronic systems in terms of performance, functionality, miniaturization, low production cost and time to market. The traditional microelectronic packaging will more and more convert into complex sys-tem integration. ‘More than Moore’ will be required due to tighter integration of system level components at the package level. This trend leads to advanced System in Package solutions (SiP) which require the synergy and a combination of wafer level and board integration technologies and which are rapidly evolving from a specialty technology used in a narrow set of applications to a high volume technology with wide ranging impact on electronics markets especially due to the high volume and very cost competitive consumer and communication market. Advanced SiP approaches explore the third dimension which results in complex system architectures that also require, beside new technologies and improved materials, adequate system design tools and reli-ability models. One of the most promising technology approaches is 3D packaging which in-volves a set of different integration approaches including stacked packages, silicon interposer with Through Silicon Vias (TSV) and embedding technologies. The paper highlights future sys-tem and potential technical solutions.

scholarly journals Living a Healthy Life in Australia: Exploring Influences on Health for Refugees from Myanmar

2019 ◽  
Vol 17 (1) ◽  
pp. 121
Author(s):  
Carrie K. Wong ◽  
Carolynne White ◽  
Bwe Thay ◽  
Annie-Claude M. Lassemillante
Keyword(s):  
English Language ◽  
Service Providers ◽  
Community Based Participatory Research ◽  
Health Needs ◽  
Social Connections ◽  
Community Based ◽  
Language Program ◽  
Healthy Life ◽  
Program Data ◽  
Work And Health

Background: Humanitarian migrants from Myanmar represent a significant refugee group in Australia; however, knowledge of their health needs and priorities is limited. This study aims to explore the meaning and influencers of health from the perspectives of refugees from Myanmar. Method: Using a community-based participatory research (CBPR) design, a partnership was formed between the researchers, Myanmar community leaders and other service providers to inform study design. A total of 27 participants were recruited from a government-funded English language program. Data were collected using a short demographic survey and four focus groups, and were analysed using descriptive statistics and thematic analysis methods. Results: Key themes identified included: (1) health according to the perspectives of Australian settled refugees from Myanmar, (2) social connections and what it means to be part of community, (3) work as a key influence on health, and (4) education and its links with work and health. Conclusions: This study outlined the inter-relationships between health, social connections, work and education from the perspectives of refugees from Myanmar. It also outlined how people from Myanmar who are of a refugee background possess strengths that can be used to manage the various health challenges they face in their new environment.

scholarly journals Implementing community-based participatory research among African Americans with serious and persistent mental illness: A qualitative study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Lindsay Sheehan ◽  
Sonya Ballentine ◽  
Lorenzo Washington ◽  
Mark Canser ◽  
John Connor ◽  
...  
Keyword(s):  
Mental Illness ◽  
African Americans ◽  
Lived Experience ◽  
Participatory Research ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Community Based Participatory Research ◽  
Community Based ◽  
Research Participants ◽  
Persistent Mental Illness

Community-based participatory research (CBPR) is an approach that involves community members in research, not as research participants, but as partners. However, few studies have examined CBPR projects conducted among African Americans with serious and persistent mental illness (SPMI). This article focuses specifically on the Inspiring Change (IC) model, which includes a leadership trio comprised of an academic researcher, health service provider and an African American with lived experience of SPMI. Our purpose is to investigate how the IC model shapes not only how research is conducted but how research is understood and experienced by the community. We achieve this purpose by (1) describing an innovative CBPR model and pilot projects that involved African Americans with SPMI in all stages of the research project; and (2) presenting findings from qualitative interviews conducted with CBPR team members about strengths, challenges and leadership particular to this model of CBPR, an area rarely explored in CBPR literature. With the guidance of an advisory board and the manualised IC curriculum, two CBPR teams initiated and conducted nine-month long research projects focusing on health disparities for African Americans with SPMI. Members of the two CBPR teams (n = 13), which included individuals with lived experience, service providers and researchers, completed qualitative interviews. Benefits of CBPR projects included opportunities to learn, a sense of purpose in helping others and increased trust of research participants. Challenges pertained to disorganisation of leadership, lack of transparency with compensation, time pressures and interpersonal conflicts. These challenges highlight the importance of preparing and supporting those from both academic and lived experience backgrounds in skills necessary to thrive in leadership roles for CBPR projects.  

scholarly journals Tu'Washindi na PrEP: Working With Young Women and Service Providers to Design an Intervention for PrEP Uptake and Adherence in the Context of Gender-Based Violence

2021 ◽  
Vol 33 (2) ◽  
pp. 103-119
Author(s):  
Miriam Hartmann ◽  
Sophie Otticha ◽  
Kawango Agot ◽  
Alexandra M. Minnis ◽  
Elizabeth T. Montgomery ◽  
...  
Keyword(s):  
Young Women ◽  
Information Dissemination ◽  
Service Providers ◽  
Controlled Trial ◽  
Community Based Participatory Research ◽  
Community Change ◽  
Gender Based Violence ◽  
Community Based ◽  
Gender Based ◽  
Hiv Acquisition

HIV pre-exposure prophylaxis (PrEP) reduces HIV acquisition among adolescent girls and young women (AGYW). Existing evidence suggests that uptake and adherence are low among AGYW and that relationship factors such as gender-based violence (GBV) are important barriers. Through a community-based participatory research (CBPR) process, a youth advisory board (YAB), service providers (SP), and a study team developed the Tu'Washindi na PrEP intervention to support AGYW PrEP use in the context of GBV. The YAB also guided the formative research and interpretation of results. The authors pretested the intervention with SP, AGYW and their partners, and community change agents, and then developed guides for AGYW support clubs, community-based male sensitization sessions, and couples-based events that included formulation of story lines for dramatized PrEP negotiation and information dissemination skills. Stakeholder engagement led to an intervention responsive to AGYW's needs for PrEP support in the context of their relationships, which was evaluated through a 6-month pilot community randomized controlled trial.

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