CollaborativeSuccessClinicandEISworkingtogether

JenniferLangholz,BSNRN BambiVanWoertRNCaseManager EISCoordinatorMercyHealthMcAuley LansingAreaAIDSNetwork

Clinic&EIS

EIS CLINIC

HIV&Refugees

Increase Stigma

Women UrbanAreas

TheMoreYouKnow

ApriltoJuly1994Genocide

800kmurdered

SexualAssault=WarCrimesMultigenerationalweapon=HIVfrom250k-500kwomenaffected

2010=BanonHIVlifted

PatriarchalSociety

Childrenareconsideredanhonorandheldinhighest

regard

Familygroups=/=bloodline

Familygroups=/=safe

DayintheLife

HealthCareDeliverySystem

Expectationsforemployment

NewLifeExpectations

PregnancyandHIV

Untreated/Undiagnosed

BenefitsofTreatment

Recognizingpatientsatrisk

Linkage to Care Case Study

December 2015:

March 2016:

April 2016:

May 10, 2016:

May 13, 2016:

May 17, 2016:

May 24, 2016:

June 21, 2016:

July 15, 2016:

July 25, 2016:

TheWholePicture

Clinicand/orHDResettlement

Agency

ASO OtherNonMedicalCBOs

Client

BarriersOrPriorities?

ACTIVITY

Questions/Comments

Resources

Blanas,D.A.,Nichols,K.,Bekele,M.,Lugg,A.,Kerani,R.P.,Horowitz,C.R.(2013).HIV/AIDSamong African–bornresidentsintheUnitedStates.JournalofImmigrantandMinorityHealth.Doi:10.1007/s10903-012-9691-6.

Eaton,J.W.,Rehle,T.M.,Jooste,S.,Nkambule,R.,Kim,A.A.,Mahy,M.,Hallett,T.B.(2014).RecentHIVprevalencetrendsamongpregnantwomenandallwomeninsub-SaharanAfrica:implicationsforHIVestimates.AIDS.Doi:10.1097/QAD.0000000000000412

Rimawi,B.H.,Haddad,L.,Badell,M.L.,Chakraborty,R.(2016).ManagementofHIVinfectionduringpregnancyintheUnitedStates:updatedevidence-basedrecommendationsandfuture potentialpractices.

Sripan,P.,etal.(2016)Contributionofdifferentantiretroviralregimenscontainingzidovudine,lamivudine,and ritonavir-boostedlopinavir onHIVviralloadandreductionduringpregnancy.AntiviralTherapy.Doi:10.3851/IMP3001

Townsend,C.L.,etal.(2014).EarlierinitiationofARTandfurtherdeclineinmother-to-childHIVtransmissionrates,2000-2011.AIDS.Doi:10.1097/QAD.0000000000000212

https://thesentinelproject.org/2013/12/01/aids-intersects-with-genocide/

http://www.history.com/topics/rwandan-genocide