Let’s Talk about S.H.Y (Sex, HIV and Youth)

Summary Points

  • How to talk to youth about sex and HIV

 

April 10th is recognized to be the National Youth HIV/AIDS Awareness Day.  As of 2018, twenty-one percent of the 37,832 new HIV diagnoses in the country was comprised of youth, age 13 to 24 (CDC, 2018). Youth HIV/AIDS is a separate public health issue that needs to be categorized away from adult HIV/AIDS.  There are many factors and challenges that contribute to youth getting diagnosed with HIV: the topic of sex not being normalized, inadequate sex education in elementary and middle schools, substance abuse, fear, stigma, disclosure and confidentiality issues, and widespread misconceptions of HIV/AIDS. All these combined lead to low testing rates for HIV and lower rates of viral suppression. The CDC notes in 2017, only 9% of high school students were tested for HIV at the time. Community and organizational efforts can combat these challenges and create change, therefore involving parents and schools is an important factor. Active engagement and awareness with youth is not a one-time project or activity, it is a continuous effort to meet the changing needs.

It is important to talk to youth and set a safe space for them to ask questions and get clarifications on sexual and reproductive health.

Things to note when talking to youth:

  • Keep an open mind
    • No question is a bad question
  • Be honest
    • Keep it real, give them the facts (you can find some on the CDC website)
  • Don’t assume
    • Don’t be afraid to go over the basics i.e. how to use a condom
  • Have local resources
    • Make a list of free health services i.e. testing, medication, contraception

The Center for Pan Asian Community Services pushes to diversify its outreach methods and work with youth, making sure to include them in our plans for sexual health programs and HIV outreach. CPACS is committed to providing primary and secondary prevention methods to our youth clients by increasing their access to prevention and treatment services.

For more information about HIV/AIDS resources, feel free to reach out to us at:

Delia Mendez (English and Spanish)
HIV Outreach Coordinator, Center for Pan Asian Community Services
Phone: 770-936-0969 ext.116
Email: Delia.Mendez@cpacs.org

 

References:

  1. Center for Disease Control (2018). HIV Youth. Retrieved from https://www.cdc.gov/hiv/group/age/youth/index.html

Asset Management

The Lease Transfer Agreement clearly states The FDHA’s responsibility for ensuring that all facilities currently operated by Grady are properly maintained and operated. This mandate goes beyond functioning as a landlord, but rather speaks to an expected standard of care for all. The FDHA and Grady must work collaboratively to ensure that all Grady facilities go beyond the minimum standard of “fit for use” so that the quality of Grady facilities is consistent with that of any other high-functioning hospitals.

Innovative Strategies and Initiatives

The most recent pandemic brought gaping healthcare disparities to light. As Georgia’s larg- est safety net hospital (and only safety net hospital in Metro Atlanta due to the closure of Wellstar Atlanta Medical Center), Grady continues to see increased service demands. Often, the medically indigent and underserved use the emergency room for primary care services. Issues like housing insecurity and poverty place additional strain on the Grady Health System, particularly when other factors (outside of the hospital walls) inform one’s overall wellbeing. As Grady continues to seek ways to improve health outcomes in the community, The FDHA is tasked with identifying innovative ways to support Grady’s efforts and broaden its reach into targeted sectors of the community. This pillar also speaks to The FDHA’s efforts to work collaboratively through grantmaking with organizations whose mission, vision, and work align with The FDHA’s priorities and goals. Through structured strategic partnerships, focused and aligned grant making, and ongoing community engagement, The FDHA will assume a leadership role in the health ecosystem.

Stakeholder Engagement

There are many stakeholders within the Fulton/DeKalb health ecosystem. Stakeholders can be characterizedas individuals, groups, or organizations whose efforts either inform healthcare outcomes or are impacted by healthcare outcomes. Grady remains The FDHA’s most important partner in this effort and a key stakeholder in the health ecosystem. As the daily operators of all of Grady’s health facilities, hundreds of thousands of patients per year (more than 700,000) are impacted. Maintaining consistent communication and collaboration with Grady’s Executive Leadership Team and staff is central to the success of The FDHA.

 

Similarly, The FDHA’s alignment and support of Grady’s population health and community engagement efforts are invaluable. As a grantor, The FDHA has an extensive network of community-based partners that work daily to provide direct services and/or support various health priorities. Many of these organizations provide services directly related to social determinants of health (i.e., housing, education, transportation, etc.) thereby adding value to the continuum of care. As The FDHA seeks to embrace a more prominent role as a convener, organizer, and facilitator in the health ecosystem, engaging stakeholders with purpose and intentionality becomes increasingly important.

Organizational Capacity & Accountability

The FDHA’s obligations, relative to its role as owners of the facilities operated by Grady and stewards of county resources entrusted to Grady, require the requisite skills of staff to execute key administrative and regulatory functions. Establishing and maintaining a staffing model that adequately responds to the needs of the agency is vital. Of equal importance is the establishment and maintenance of high-functioning financial management systems and general operations controls. Critical front and back-office functions should be insulated from staff turnover or shifts in organizational priorities. The provision of ongoing staff development opportunities will ensure that team members stay abreast of industry standards, best practices, and leading-edge opportunities. In addition, the curation and maintenance of financial management best practices ensure organizational accountability and responsiveness.

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