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Documents: Stategies Report 1999-2002
This is a companion document to the Strategic Plan and
a work in progress; this version March 31, 2000
VI. APPENDICES
A. RED ROAD RECOMMENDATIONS
The Red Road, Pathways to Wholeness: An Aboriginal Strategy for HIV/AIDS in BC was developed by the BC Aboriginal HIV/AIDS Task Force. This document contains 50 recommendations for addressing HIV/AIDS among BC’s aboriginal population.
The Red Road reports that 97% of aboriginal HIV cases in BC are being tested in Vancouver. For this reason, The Red Road’s recommendations numbers 13 through 29 are referenced here for consideration in the VH/ACCC Strategic Plan:
Preventing HIV Transmission:
Ensure harm reduction programs educate their clients about the risks of the chosen behaviour and the limitations of the harm reduction method
Ensure harm reduction programs include non-judgemental skills building programming to encourage and support safer behaviour change
Increase access to methadone maintenance in Vancouver and rural areas of BC
Increase the number of methadone-licensed physicians
Reduce crack cocaine availability in BC
Increase education about safe needle disposal in community settings
Increase needle exchange services within reserve and rural communities
Act on the HIV/AIDS and Injection Drug Use National Action Plan
Diagnosing HIV Infection and Starting Treatment Early:
Increase access to HIV testing in rural and remote communities
Increase available alternatives, such as dried blood spot and saliva testing, to current HIV testing methods
Increase awareness and promotion of treatment options and the potential benefits of starting antiretroviral treatment early
Maintaining the Health of Aboriginal People Living with HIV:
Improve referral networks within and across regional health authorities and ministries to improve continuity of care
Improve Ministry of Health, Regional Health Authority, Ministry of Families and Children, Medical Services Branch communications programs to ensure up-to-date information on service delivery changes and access points is available to health care workers
Caring for Aboriginal People Living with AIDS:
Increase levels of access to home-based care in rural, remote and reserve communities through changes to the funding, training and service structure of home-based care services
Increase numbers and hours of health care staff available to reserve communities from regional health authorities, especially homemakers and home care nurses, in recognition of the high degree of needs experienced
Increase concrete inter-ministerial and inter-jurisdictional coordination on HIV/AIDS issues through stronger direction from the prime minister of Canada and the premier of BC to their respective ministers expressing their support
Increase equitable access to care through increased aboriginal government, leadership, community and individual willingness to actively inform and work with federal, provincial and regional health services planning structures
B. GLOSSARY OF TERMS
ABORIGINAL
Indian, Metis and Inuit people (Constitution Act, 1982)
AIDS (Acquired Immune Deficiency Syndrome)
AIDS is a constellation of various diseases indicative of an impaired immune system caused by the HIV virus.
ANTIRETROVIRAL
Antiretroviral refers to a type of drug, or pharmaceutical compound, that is specifically designed to prevent the reproduction of retroviruses, such as HIV. People often use the simpler term "antivirals". There are several types of antiviral drugs currently approved by the US Food and Drug Administration to treat HIV: nucleoside analogs, non-nucleoside analogs and protease inhibitors. Only a few antivirals have been approved in Canada and these are still being evaluated. There has been a considerable amount of controversy about using antivirals because of their side effects and the fact that little is known about their long-term effects. (Encyclopedia of AIDS: A Social, Political, Cultural and Scientific Record of the HIV Epidemic)
FAS/FAE (Fetal Alcohol Syndrome and Fetal Alcohol Effects)
FAS/FAE are medical diagnoses that refer to a set of alcohol-related disabilities associated with the use of alcohol during pregnancy. The minimum criteria for diagnosing FAS are prenatal and/or post natal growth restriction, central nervous system dysfunction, and characteristic facial features.
GOAL
A goal is a statement of what is to be achieved at some point in the future. Strategic goals establish the overall direction of an organization. They focus more on an end-state than specific accomplishments (see Objective).
HEALTH STATUS
Health status is the state of health of an individual and, by extension, the state of health of the overall population. Health status has been traditionally measured by length of life (life expectancy), rates of disease and death (mortality and morbidity) and physical health and functioning. Today, health status is also measured by years of healthy life, quality of life and well-being, the impact of health problems on everyday life, and mental, social and emotional health (Report on the Health of Canadians, Health Canada).
HIV (Human Immuno-deficiency Virus)
HIV is a virus that causes AIDS. It attacks the cells of the immune system. HIV is passed from one person to another by the exchange of infected blood, semen, vaginal fluid or breast-milk. After infection, HIV gradually weakens the immune system and the body is unable to fight off infections. (Canadian Aids Society)
MISSION
A mission statement describes the fundamental reason for an organization’s existence. It describes the nature of an organization’s day to day business or operations. It establishes what an organization does, for whom and the major philosophical premises under which it operates.
OBJECTIVE
An objective is a specific and measurable description of what is to be achieved. Whereas a goal is broadly stated, an objective is more focused and narrowly stated.
PERFORMANCE INDICATOR
A performance indicator is a unit of information that measures or tracks an organization’s success in achieving intended results. It is specifically worded to identify the characteristic or change that indicates a result has been achieved. A performance indicator identifies the statistic that will best summarize performance, usually a number, rate or percentage.
POPULATION HEALTH OUTCOME
A population health outcome is a desired or intended result for a given population group. It is usually concerned with the longer term or ultimate effects of a particular action on society, rather than the shorter term effects of a program or service on the participants.
QUEER FRIENDLY
Queer friendly refers to organizations, services and programs which are responsive to and aware of the issues facing gay men, lesbians, bisexual and transgendered persons.
SEROCONCORDANT
Seroconcordant refers to the relationship between two individuals of the same HIV serostatus, where both are HIV negative or both are HIV positive.
SERODISCORDANT
Serodiscordant refers to the relationship between two individuals where one individual is HIV positive and the other is HIV negative.
SEROPOSITIVE
Seropositive refers to an individual whose blood contains the Human Imuno-deficiency Virus (HIV)
SERVICE OUTCOME
A service outcome is the desired or intended result of a particular service or program. This type of outcome is usually directly attributable to the service or program. A service outcome primarily benefits the consumer or participant, although there may be secondary benefits to the larger community or population groups.
STRATEGY
A strategy is an action, pattern of actions or a plan to achieve a desired result. It can be used by an organization to marshal and allocate resources to support al position (or goal) based on internal competencies and anticipated changes in the operating environment.
TRANSGENDER
Transgender is often used as an umbrella term to describe people who do not fit into society’s assigned gender roles. Transgender people usually make the transition from male to female, or vice versa, either with or without the assistance of hormones and/or surgery. This term is sometimes used interchangeably with transsexual, although transsexuals usually transition with hormones and/or surgery. (The Centre--the Community Centre Serving and Supporting Lesbian, Gay, Transgendered, Bisexual People and their Allies)
TWO-SPIRIT PEOPLE
Gay, lesbian, bisexual and/or transgendered Aboriginal people (The Red Road; Pathways to Wholeness: An Aboriginal Strategy for HIV and AIDS in BC).
UNIVERSAL PRECAUTIONS
Universal precautions are general measures intended to prevent the transmission of blood-borne pathogens, especially HIV and the hepatitis-B virus (HBV), between health care workers and patients They are designed to prevent contact between certain potentially infectious bodily fluids of one person and the mucous membranes or non-intact skin of others. Universal precautions focus on the avoidance of accidental punctures by used needles or scalpels and involve the use of protective barriers such as latex gloves, adherence to established procedures for use/disposal of sharp objects, and immunization of health care workers for HBV. Universal precautions are especially important in exposure-prone invasive procedures such as surgery. (Encyclopedia of AIDS: A Social, Political, Cultural and Scientific Record of the HIV Epidemic)
VALUES
Values are an expression of what an organization or individual stands for and who it will conduct itself. Values are a promise of action; they form the moral and ethical basis for decision making. It is critical that organizational values are not only seen to exist, but are demonstrably upheld by every member of an organization and by every policy, procedure, practice and process.
VISION
A vision describes what an organization is striving to become in the future. It paints a picture of an ideal world that an organization wants to help create. A vision is intended to galvanize an organization into greater action and co-operation.
VULNERABILITY
Vulnerability in the context of HIV/AIDS means having little of no control over the risk of acquiring HIV infection or, for those already infected with or affected by HIV, to have little or no access to appropriate care and support. Vulnerability is the net result of the interplay among many personal (including biological) and societal factors, and can be increased by a range of cultural, demographic, legal, economic and political factors. (United Nations Joint Programme on HIV/AIDS).

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