Interventions for HIV problems among Gay Men
How might you address the problem of HIV at the population level?
Interventions should be based on improving the overall lives of the gay men in these communities as well as reducing the behavioral risks. Care for gay men should also be improved through an integration of HIV testing and other services necessary for prevention within the health care systems (Brooks, Etzel, Hinojos, Henry & Perez, 2005).
The necessary interventions include revising of professional standards and guidelines to meet the requirements of current science through conducting research to come up with sound solutions. HIV testing should also be made available in all clinical settings and care providers should be trained on the significance of frequent HIV testing for gay men in these communities. Health facilities should employ new information technology on health that encourage testing and coordinate patient care. For instance, the use of Electronic Health Records and disease registries that assists in managing data for individual patients. Encourage maximum use of new technologies in testing outside the clinical setting which will help in reducing the number of people who never have an opportunity to learn their test results especially where undiagnosed infections are likely to be high like in bars and homeless shelters (Brooks, 2005).
Gay men from these communities should also have access to health care that is affordable which implies they require support to earn adequate incomes to pay for health care, have health insurance and a primary care provider that is available regularly (Robinson & Moodie-Mills, 2012). Prevention is also possible through the promotion of wellness and a healthy lifestyle. Education and wellness programs related to HIV problems can be used to enhance the understanding of the gay men about the connection between their lifestyles and their health status. Positive social environments and personal choices can also be useful where programs are developed to help gay men to make the right personal choices such as eating a healthy diet and avoiding drug abuse. Efforts should be made to ensure that there are more health care providers in the future from these groups by offering the right incentives such that there is continuous recruitment and retentions of individuals from these groups in medical and nursing schools (Brooks, 2005).
What additional information might you need to determine appropriate interventions for the problem?
To come up with the right interventions to handle the problem, additional information is required on the gay men in these communities which include their social economic status, health behaviors, the number of health facilities that are accessible to them and the existing barriers to health care like transport, their geographical location and cost of services (Brooks, 2005). Information is also required on already existing policies and the current practice standards that have already been in place to benefit the gay men in those communities. In addition, the methods used to measure the progress of implemented strategies in prevention and intervention of HIV problems for gay men. Finally conduct an analysis of the effect of the cultural, psychological and economic influences in the rate of HIV preference among the gay men in these communities (Robinson & Moodie-Mills, 2012).
What other segments of the community would you involve in developing your interventions?
To develop these interventions the other community segments that would be involved include the community leaders in the specific communities, their families as well as care providers situated in the geographical areas that these communities live in. They can assist in highlighting the problems encountered by this group of people in their access to health care and their specific needs. They can also lay out the cultural, economic and other social factors that have an impact on the gay men in these communities high rate of infections (Robinson & Moodie-Mills, 2012).
Brooks, R. A., Etzel, M. A., Hinojos, E., Henry, C. L., & Perez, M. (2005). Preventing HIV among Latino and African American gay and bisexual men in a context of HIV-related stigma, discrimination, and homophobia: perspectives of providers. AIDS Patient Care & STDs, 19(11), 737-744.
Robinson, R., & Moodie-Mills, A. C. (2012). HIV/AIDS Inequality: Structural Barriers to Prevention, Treatment, and Care in Communities of Color. Center for American Progress.