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Abstract

The paper deals with the activities of Community-Based Public Health Programs and Interventions in reference to  HIV/AIDS in African-American Community from DeKalb County, Georgia. It investigates the statistical status of HIV/AIDS affected people in DeKalb and offers relevant program to deal with it.

Community-Based Public Health Programs and Interventions

HIV/AIDS in African-American Community from DeKalb County, Georgia

The Problem

The selected problem from Healthy People 2010 objective is to select a relevant program and to declare interventions into HIV/AIDS in African-American Community from DeKalb County, Georgia. This is a problem that I am going to deal with reference to the collected data and the situation in DeKalb.

Magnitude of HIV/AIDS

The magnitude of HIV/AIDS among African-American in DeKalb County, Georgia; has been well marked under the governmental programs. It has been noted that status of DeKalb County is comparatively sever than many other states. As declared by Dekalballiance (2004) DeKalb County has been assessed to have the second highest number of the total cumulative AIDS cases of 4,052 in Georgia. This is an assessment that has been derived by the end of 1st Quarter of the year 2005.  The status of African-Americans accounted to a range of 66% among the total of 2692 in Georgia. A total of 19% of AIDS cases are identified among people within the age group 20 to 29 years and 46% were detected in the age group of 30-39 years. People within the age group of 40 to 49 years were rated as 25% and 9% of people within were counted above 49 years of age. Among African-Americans, the primary exposure categories among the males were detected as MSM and ranged till 62%. This further followed 13% of IDU.  In case of females the primary exposure, Heterosexual Contact categories has been marked as 39% and the IDU was 22%. The derived unknown Exposure Category has been assessed at a significant record of 36%.

This assessed magnitude of HIV/AIDS in DeKalb by Dekalballiance clearly demonstrates that the conditions of African –American in this region is very critical and needs special attention and medical support. Participation of awareness programs and volunteered social workers are in high demands for these places. The conditions of people within the age group of 30-39 years and 40 to 49 years are considerable deteriorating. The younger people are also not free of the drastic impacts and thus need special attentions. Since nothing has changed much in these regions, the data declared by Dekalballiance are authentic and can be considered as reliable for making current assessments.

List the Stakeholders or Partners

In order to develop an effective program to deal with the issue of HIV/AIDS among African-American in DeKalb County, Georgia, it is important to get hold of some experiences volunteers. Participation of NGOs and non-profit social service associations can offer much support. For a more specialized and authentic persuasion I have decided to get some assistance and guidelines from Our Common Welfare (that is OCW). Since the role of OCW is very vital in offering housing facilities in DeKalb; their participation in the program will add relevance and positive response among people. Housing and support programs (or the HSP) by OCW has supported many homeless African-American families in getting a shelter (Johnsonn, 2004). People with low income or no income at all are offered with these shelters. There is a kind of good faith created by OCW in this region and thus including them in the program will add trust and reliability.

Added to the support and assistance offered by OCW, a special emphasis will be applied regarding some attention from DeKalb County’s Ryan White clinic. This clinic has got federal funding along with some private donations. For financial support this clinic can well offer some assistance to the program and thus will be considered as one of its executive partners.

Review

As defined by Novick, Morrow and Mays (2007),

‘Community-based Strategies offer opportunities for public health organizations to improve both the effectiveness and the efficiencies of individual-level health interventions.’ --Chapter 19, p. 545, 2007

According to this declaration, it can be well assessed that community–based prevention programs and related strategies are very much effective in public health concerned factors. It is through community-based strategies that maximum amount of fruitful can be achieved in preventing the regions of DeKalb from HIV/AIDS. Further it can be well assessed that through community–based programs, we can create the sense of unification and the strength to fight back some of the common hurdles in the community (Englert, et al 2007, pp. 513-9). Achievement of determined kinds of enhancement in motivating people and adding relevant medical assistance, are very much a part of any community–based programs. As the research initiated by Gutzwiller, Nater and Martin (1985, pp.482-91), the result oriented expeditions can be well achieved through community–based programs. They have discovered that people in general respond more to such program than any other persuasions. This is the reason that by the implementation of community–based programs, our program can attain excessive response among the African-American Community from DeKalb County. In order to deal with the older generation this approach has been considered to be the most effective structure by Kempton et al and Clemson et al (2000, pp. 27-33 and 2004, pp.1487-1494). Moreover, for an overall persuasion, and to gain integrated response, community–based programs can bring the sense of responsibility and sincere participation of people affected by HIV/AIDS in this region.

Applicability

The selection of HIV/AIDS affected people among African-American in DeKalb County, Georgia is an appropriate approach towards the eradication and prevention of the disease with long term effects. As this community has been ranked as second highest population with the HIV/AIDS people, it is vital to consider them for basic community–based programs. The ignorance towards these people can lead to tremendous outrages of HIV/AIDS in the near future. Prevention at the initial stage is very important. Medical attention and proper guidelines for preventing STDs can well support these persuasions. Contributions led by community–based programs can offer these regions with dynamic results in fighting back HIV/AIDS. As the younger generation and middle aged people are more into the grasp of this disease, it is important to consider these people are the primary centre f treatment. As these people will understand the value of treatment and the importance of their participation through counseling, the treatment approach will become convenient. Concentration of the application will be led over the discriminated status of women and they will be more educated about the grievances of this disease. As women are mothers and they can deal better with the children, the younger people can get better support through this approach. The most important aspect of applicability is my personal acquaintance with this place. Since I know some of the people from this place, I can assure better services here and thus is the selection. Moreover, my interest in dealing with this community will support me in offering them with best of the services.

Hypothetical Program

The initial approach towards the establishment of community–based prevention programs of HIV/AIDS among African-American in DeKalb County, Georgia; will start with personal meetings and small meetings among the people. In the initial approach, it is very necessary to introduce one self and to comprehend the motives of the program t the people in general. After that, the advancement will include the process of inviting people for tests of HIV/AIDS. In this approach, it will be important to make people understand the difference between HIV and AIDS. For many people the basic concept and the understanding of the differences in these terms are not clear it is important to reeducate them regarding the dangers of the disease. Participation every individual needs to get encouraged and the younger generation should be encouraged more to be a part of the program. Meeting in schools and colleges will be a part of the program. Followed by these meetings will be the testing sessions. In the later part of the program, we are planning to go to offices and companies to meet middle aged people. Some decent meetings will be conducted and the tests will be arranged. Participation of the people will depend on the way we respond, and thus our respond should be very genuine and authentic.  

Counseling sessions and offering mental support to the patients will be made the core function for the program. When someone realizes that he is affected by AIDS, he usually loses the spirit of life. It is therefore important to organize some sports and games among all those people can share same platform. These people should be supported well by their families and preventions should be observed with particular imitations. Activities like keeping the patient ostracized needs to get handled well. People affected by AIDS should be given more space and thus the program can offer many public oriented welfare strategies through the support of OCW. Through the participation of OCW, these people can have well established social and personal status. Participation in different activities can offer them with more relevant kind of lifestyle and that will offer positive aspects to the program. The last phase of the program will include exclusive, medical and legal support to all those people who are affected by AIDS. These medical attentions can be well made possible by the means of assistances received from DeKalb County’s Ryan White clinic. As more and more people will be convinced for HIV/AIDS test, there are possibilities that people might get depressed by increasing result. To deal with all these aspects, it will be important to organize diversified programs related to sports, culture and adventures among these people.

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