HIV/AIDS Work Group on Health Care Access Issues for Asian and Pacific Islanders PDF
Preview HIV/AIDS Work Group on Health Care Access Issues for Asian and Pacific Islanders
WORK GROUP ON HEAITH CARE ACCESS ISSUES for Asian and Pacific Islanders Office of Minority Heaith Resource Center PO Box 37337 Washington, DC 20013-7337 a {.4- 00 so U.S. Departmentof Health and Human Services Public Health Service Health Resourcesand ServicesAdministration Bureau of Health Resources Development ^h^on^ WORK GROUP ON HEALTH CARE ACCESS ISSUES for Asian and Pacific Islanders May 9-10, 1994 TABLE OF CONTENTS OVERVIEW 5 OBJECTIVES 7 RYANWHITE CAREACT 9 BACKGROUND 11 SUMMARYOFPROCEEDINGS 13 IDENTIFIED BARRIERSTO CARE 15 CulturalBarriers 15 OtherBarriersto Services 16 StructuralBarriers: PolicyandFunding 18 CASE STUDIES 21 Case Study#1 21 CaseStudy#2 23 Case Study#3 25 Case Study#4 27 RECOMMENDATIONSFORTECHNICALASSISTANCE 29 RECOMMENDATIONS FORPOLICY 31 RECOMMENDATIONSFOREVALUATION 35 APPENDICES 39 A-l: CategoriesforAsians andPacificIslanders 39 A-2: Asian andPacificIslanderServiceProviders 41 A-3: MeetingAgenda 43 A-4: Participants Listing 45 Overview TheHealthResourcesandServicesAdministration (HRSA),Bureauof HealthResourcesDevelopment (BHRD), sponsoredaWorkGrouponBarriers toHIVCareforAsiansandPacificIslanders (A&PIs) onMay9-10, 1994. Twenty-oneAsian andPacific Islanderparticipants, aswell asfour Federal representatives, metto discuss issues relatedtobarriers tothe provisionofHIV/AIDS servicesforA&PIs. Theparticipants, fromdiverse backgrounds, experiences, and regions,were selectedbecause oftheir knowledge ofthe RyanWhite ComprehensiveAIDS Resources Emergency (CARE) Act, theirparticipation in its implementation, andtheir involvementinidentifyingHIVcare needsforthecommunities they serve. Severalparticipantswerepeople livingwith HIVdisease. This group, however, onlypartiallyrepresents thebroad regional, cultural, andsocioeconomicdiversity7ofA&PIs livingin this country. Workgroup members shared acommoncommitmentto reducingthebarriers to HIV careforAsians andPacific Islanders. Objectives Thiswork group is one ofaseries ofsuch meetingsconvenedovera 3-yearperiodbythe Office ofScience and Epidemiology (OSE) andthe Division ofHIVServices (DHS) within the Bureau ofHealth Resources Development. Theprimaryobjective ofeach meeting is to understand the barriers toprovidingHIVclinical andsupportservicesfrom the perspective ofunderservedpopulations andthosewho serve them. The insights aboutthe availability, accessibility, and acceptabilityofspecific medical andsupportserviceswill assistthe Bureau inevaluatingthe CAREAct andprovidingtechnical assistance to granteesto more effectivelydeliverservices topeoplewithHIV. Theworkgroup'sspecificobjectives derivefrom aconcern that adequate HIVcare is lackinginhistoricallyunderservedcommunities. WithintheA&PIpopulations, thediversityofethnic groups and languagespresentsdistinctive challenges inidentifyingeffective strategiesfordeliveringservices topeople livingwithHIV. Specifically, theworkgroup memberswere askedto help the Bureau: • Understand issues relatedA&PI accessto HIV/AIDS carefunded under the CAREAct; • Propose anddraftevaluation studydesigns; and • Identifyareasfortechnical assistance. In addition, thework groupwas askedto identifyaspotential consultants healthservice researchersworkingontopics relatedtoHIV/ AIDS, membersofaffectedpopulations, and individualswho deliver healthcare andsupportservices. The group alsowasconvenedto develop methods andstrategies to systematically assesswhether andhowthe CAREActisworkingtobringemergencyrelieftoA&PIs affected and infectedbyHIVdisease.
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