Serving Hamilton, Halton, Haldimand, Norfolk and Brant Strategic Plan 2015-2020 We see a world without new infections, and a full and health life for people living with or vulnerable to HIV. TABLE OF CONTENTS_____________________________________________________ 1. Vision, Mission, Values………………………………………………………………………………...3 2. Strategic Priorities……………………………………………..……………………………………......4 3. Appendix A: Glossary Terms………………………………………………………………….….….....9 2 1. THE AIDS NETWORK MISSION, VISION AND VALUES____________ The AIDS Network Mission Statement The AIDS Network responds to the impact of HIV on the health and wellbeing of individuals and diverse communities in Hamilton, Halton, Haldimand, Norfolk and Brant. The AIDS Network Vision Statement We see a world without new infections, and a full and healthy life for people living with or vulnerable to HIV. The AIDS Network Values 1. The Ontario Accord as a statement of solidarity for People Living with HIV/AIDS and their Allies: We strive to put people living with HIV and other intersecting health issues, and allies at the centre of our work, and honour our commitment to the values of The Ontario Accord. 2. Excellence: We strive for excellence in everything we do, through evidence - based practice and continuous learning. 3. Confidentiality: We respect the confidentiality and privacy of our service users, volunteers and staff in all that we do. 4. Respect: We believe every human being is equally valuable and deserving of access to services and care that is inclusive and without judgment. 5. Accountability: We are committed to acting with integrity in all we do and to being consistently accountable to all of our stakeholders. 6. A Holistic Approach: We strive to support individuals with an approach that views health as inclusive of mind, body, spirit, and the environment. We do our work through an understanding of the social determinants of health. 7. Inclusion: We value the diversity of our clients, staff, board and volunteers and promote access and equity using an anti-racism, anti-oppression framework. 8. Self-determination: We offer client centered services that build on the resiliency of individuals and the communities we serve. 9. Sex positivity: We support individual choices around sex practices and believe that human sexuality is an integral part of a healthy life. 10. Self-care: We endeavour to protect and nurture each other to live and work with selfcompassion. 3 2. _STRATEGIC PRIORITIES___________________________________________ The AIDS Network Strategic Priorities STRATEGIC PRIORITY 1: Grow and build a sustained community led response to HIV: We will ensure that our work is continually informed by the lived experience of those we serve according to The Ontario Accord and the Greater and Meaningful Engagement of People Living with HIV/AIDS principle. Objectives: 1. Create individual and social transformation by affirming the leadership and presence of HIV positive people in all aspects of our work. 2. Recruit and support HIV positive people to lead and serve in our agency as volunteers and staff. 3. Focus on communities at greatest risk of acquiring HIV. 4. Support our allies through partnerships and collaborations that address a full range of needs, based on a clear understanding of the role of social determinants of health and the importance of physical and mental health in our work. Implementation: 1. Recognize disclosure as a choice and create a safe and welcoming community for those who choose to disclose their HIV status. 2. Develop a policy on HIV disclosure to help our clients, our agency and our allies to better deal with a variety of circumstances, from telling family to telling potential sex partners and to minimize the harm caused by inappropriate application of the criminal law. 3. Honour our values in our daily practice. 4. Work to increase membership and active engagement within The AIDS Network. 4 STRATEGIC PRIORITY 2: Strengthen our strategic partnerships and collaborative efforts: We will create new partnerships and build on existing partnerships, networks and collaborations in order to fulfill our role in the continuum of engagement and care. Objectives: 1. Ensure that our partnerships are formalized in writing where appropriate. 2. Participate actively on regional advisory committees in our catchment area. 3. Build on our work with other ASOs to ensure alignment with provincial strategies that address the needs of our priority populations of African, Caribbean, Black, Aboriginal communities, people who share needles and men who have sex with men. 4. Create social transformation to change negative attitudes toward HIV and other sexually transmitted infections. 5. Build on our strong relationship with the Special Immunology Services Clinic (SIS). 6. Help clients to move more easily through health care and social services systems. Implementation: 1. Work with our allies, including mental health, addictions, housing and employment to end the stigma, isolation and social exclusion that often affect people living with HIV. 2. Provide capacity building workshops to increase our partners’ ability to serve the needs of people living with HIV. 3. Work together to identify and achieve each person’s goals. 4. Increase the number of referrals and ensuring people are linked to and able to stay in appropriate care. 5. Work to ensure that transportation to the SIS Clinic is improved for people living outside of Hamilton. 5 STRATEGIC PRIORITY 3: Increase our ability to deliver excellence in Programs and Services: We will work to ensure that our programs and services have the capacity and resources to address the needs of the priority populations we serve. Objectives: 1. Increase the availability of risk reduction services in all the communities we serve. 2. Develop social inclusion policies to ensure equitable participation. 3. Develop a peer mentorship program to support key volunteer positions within the agency. Implementation: 1. Ongoing professional development for staff and key volunteers to increase their understanding of the needs of our priority populations. 2. Monitoring and evaluation of our services by all stakeholders, including: Board, staff, clients, members and partners. 3. Hold quarterly client lunches in Hamilton and each region as a way to gather feedback. 4. Gather feedback from bimonthly Regional Advisory Committee meetings held in our catchment area. 6 STRATEGIC PRIORITY 4: Develop effective communication strategies to increase the profile of The AIDS Network: We will develop lively communication strategies through social media platforms to engage our stakeholders, invite discussion on the impact of HIV and our work, and to ensure we are receiving feedback in a timely fashion. Objectives: 1. Develop a comprehensive communication strategy for The AIDS Network. 2. Focus our communication strategy on our priority populations and develop a strategy tailored to their needs. 3. Provide regular updates to our website. Implementation: 1. Challenge HIV-phobic perceptions and stigmatizing messages in the media. 2. Take full advantage of social media to meet people where they gather. 3. Ensure that our use of social media reaches and includes people at risk as part of our prevention efforts. 4. Make sure that our use of social media is sex positive, respects confidentiality and reduces stigma both in the general population and within the communities we serve. 5. Use evidence based information and plain language in all of our communication. 7 STRATEGIC PRIORITY 5: Ensure the financial sustainability of our agency: We will work to ensure that The AIDS Network has the financial and human resources needed to provide our Programs and Services. Objectives: 1. Develop a comprehensive fundraising strategy. 2. Ensure that our Board has the capacity it needs to make sound financial decisions. Implementation: 1. Establish a Fundraising Committee of the Board and ensure we have the human resources necessary to support fundraising efforts. 2. Work to ensure sustained funding for existing programs and to obtain increased funding to enhance practical support and harm reduction programs. 3. Protect the ongoing stability of the agency through sufficient operating and reserve funds. 4. Ensure all Board members have training to read and understand financial statements. 5. Review financial policies and practices comprehensively. 8 3. APPENDIX A: GLOSSARY TERMS __________________________________ TERM The Ontario Accord DEFINITION A statement of solidarity with GIPA/MEPA: “We, people living with HIV/AIDS and allies in the community: • Commit to the greater involvement and meaningful engagement of people living with HIV/AIDS (GIPA/MEPA); GIPA/MEPA puts PHAs at the centre and is grounded in human rights and the dignity of the full human being • Aim to transform all who live with, work in, and are affected by, HIV/AIDS in Ontario • Commit to personal and social transformation • Value community expertise in embracing the challenge for the betterment of society • Value inclusion over exclusion, a quest for integrity at all times and the embodiment of self-determination • Promote the evolution of thought, action and collaboration among us and with our allies Because GIPA/MEPA is about human struggles and aspirations - ethics, empowerment and accountability are its foundation.” 1 We acknowledge that Greater Involvement of People with HIV/AIDS (GIPA) is never achieved once and for all; it is a goal and commitment that must be continually renewed. GIPA is a practice, not a project, and is similar to all other accountabilities of healthy HIV organizing and service delivery. Our practices in AIDS service organizations (ASOs) must be continually re-evaluated in light of the changing realities of HIV/AIDS and of those living with it. GIPA/MEPA Acronym for: Greater Involvement of People with HIV/AIDS/Meaningful Engagement of People with HIV/AIDS Definition: GIPA/MEPA is a principle that seeks to: 1. Recognize the important contribution people living with HIV/AIDS can make in the response to the epidemic. 2. Create space within organizations and society for the meaningful involvement and active participation of people living with HIV in all aspects of that response. As a principle, GIPA/MEPA is inclusive of those affected by HIV/AIDS and may include family, friends and caregivers. 1 http://ontarioaidsnetwork.on.ca/ontario-accord 9 PHA Acronym for: Person living with HIV or AIDS History: originated in Ontario and preferred to the US PWA or Person with AIDS as AIDS is used to describe HIV disease that has become symptomatic. Definition: PHAs are not a single category of persons but include: o Individuals who are positive and asymptomatic or experiencing symptoms o HIV status disclosed, undisclosed or partially disclosed o May be positive but don’t know for certain o Acquired HIV through different routes of transmission Social Determinants of Health The social determinants of health (SDH) are the social and economic factors that influence people’s health. These are apparent in the living and working conditions that people experience every day. The SDH influence health in many positive and negative ways. Extreme differences in income and wealth, for example, have negative health consequences for those who are living in poverty and these effects are magnified when these people are congregated in poor regions. In contrast, those who are well off and living in well off regions have better overall health. 2 ARAO Acronym for: Anti-Racism, Anti-Oppression The Anti-Racism, Anti-Oppression framework is a tool that allows us to see how people experience oppression in the world and a way for us to stop it. Oppression exists when one social group exploits (knowingly or unconsciously) another social group to its own benefit. It results in privilege and advantage for the dominant group and disempowerment for the subordinated group. It can be systemic - conscious or unconscious policies and practices that exclude, marginalize or exploit racialized and marginalized people. It can be institutional – built into the structure of our institutions in a way that creates advantages for the dominant culture. It can be individual – related to our own beliefs, attitudes and actions that support oppression, whether we realize it or not. (Anti-) oppression affects all of us and includes those who experience oppression as well as those who experience privilege at some point or another. (Anti-) oppression identifies the experiences of people based on their race, gender identity, sexual identity, physical and mental ability, choice of religion, socio-economic background, physical appearance and the list goes on. ARAO is a way to challenge how people may be treated based on these identities, for example, when a person of colour experiences racism or a woman experiences sexism. Such oppression often occurs in multiple layers. Workshops conducted for staff at The AIDS Network give participants safe space and an opportunity to explore questions of identity and power. ARAO teaches us to see the world more thoughtfully by developing sensitivity to other people’s life experience and teaching us to act with empathy rather than judgment. 2 http://www.cpha.ca/en/programs/social-determinants/frontlinehealth/sdh.aspx 10 Risk Reduction Risk or Harm Reduction includes policies, programs and practices that aim to keep people safe and minimize death, disease, and injury from high risk behaviour, especially psychoactive substance use. Harm reduction recognizes that the high-risk behavior may continue despite the risks. Harm reduction involves a range of support services and strategies to enhance the knowledge, skills, resources, and supports for individuals, families and communities to be safer and healthier. (Health Link B.C.) Risk reduction strategies enable and foster engagement with the health care system for people who engage in risky practices whether related to sex or the use of drugs. 3 Cascade of Engagement and Care 3 The AIDS Network understands it has a key role to play in engagement and retention of clients in care, with the goal of ensuring healthy outcomes. http://www.ohsutp.ca/uploads/Harm_Reduction.pdf 11
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