AIDS & Mobility Europe 2007-2010 Capacity Building Ramazan Salman and Matthias Wienold
Ramazan Salman *1960 Istanbul, Turkey - Medical Sociologist - Executive Managing Director EMZ (since 1989) - Project Leader (Hanover Medical School) - Ashoka Social Entrepreneur Services created - Community Interpreters - Transcultural Mediators (e.g. MiMi) - Legal Guardians - Assistance for people with handicaps
Member of the German Integration Summit
Matthias Wienold *1962 Wolfhagen, Germany Physician Master Public Health Member BOD EMZ (since 2001) Projects initiated European AIDS Treatment Group Patientenuniversität KAMAHH Fin-fit
Patient Champion WHO Global Alliance for Patient Safety
Migration and Health If equal health opportunities are to be guaranteed for all, health promotion strategies must include solutions specifically geared to migrants and they must be implemented in collaboration with them.
MiMi aims to empower migrants through participative processes. to design, conduct and self-evaluate community based prevention campaigns in a transcultural team of mediators. The programme does not see migrants as victims of their situation but as experts in their own cause who have often developed positive coping strategies and resources from their personal history, of which ideal use could be made.
The MiMi - programme Migrants with a high social index inform migrants with a low social index about health promotion and prevention and motivate them to live healthier and make better use of the health system MiMi started in 2003
Module IV Evaluation and Research Module I Module II Module III Module V I Training of mediators Health - guide Multilingual campaigns Empowerment. and national networking Module V : Public Relations
Technological Blueprint
Local Recruitment
Kickoff MiMi in Hamburg Local Recruitment
Training
Training
Community Group Sessions
Community Group Sessions
Community Group Sessions
Community Group Sessions
Neumünster Hamburg Kiel Lübeck Bremen Hannover Münster Gelsenkirchen Bielefeld Hamm Essen Duisburg Limburg Kassel Hildesheim National Network of mediators Giessen Frankfurt Mainz Kreis Offenbach Dieburg Darmstadt Stuttgart Potsdam Würzburg Nürnberg München
Projection for MiMi Evaluation of community's involvement and four years projection 35000 30000 y = 1013x 2-1421x + 2146 R 2 = 1 persons involved 25000 20000 15000 10000 5000 participants directly involved family members indirectly involved y = 1365.5x - 554.33 R 2 = 0.9946 0 2004 2005 2006 2007 2008 2009 2010 year WHO, 2007
Intersectoral Coordination charges the Mediator System (and vice-versa) Statutory Health Service Public Social & Integration Services Transcultural Mediator System (Mediators) Health Literacy Health Data Immigrants & Ethnic Minorities - 15 languages - 24 cities (and more in 2008) NGO & NGOM
Healthy Effects Social level Evaluation Society Community Self-Representation, Agenda Setting Self-Organisation, Social Support Family Individual Cost and Benefit KAB, Cost and Benefit
AIDS & Mobility Europe 1993-2006
Migrant Youth are of Concern The situation of migrant, mobile and young people regarding HIV/AIDS in the new European member states Coordination: Georg Bröring of A&M A united Europe, a shared concern: HIV and population mobility in an enlarged European Union Young migrants living with HIV/AIDS Coordination: Astrid van der Steen of A&M Checklist for reviewing HIV/AIDS prevention projects for young people
AIDS-related Health Literacy Issues of Migrants in Europe Low levels of knowledge (theoretical, rights) High levels of discrimination (internal/external) Dual(+) marginalization of People with HIV/AIDS Lack of self-organization of interests Language barriers Barriers in health and social systems Lack of targeted funding for community-based health education
AIDS & Mobility Europe 2007-2010 Collab. Partners Associated Partners New Collab. Partners
Objectives Consolidate existing network and expand into new countries Review and adapt key concept, guidelines and toolkits for training community based mediators Establish transcultural mediator training /and
Objectives Conduct community group sessions and evaluate feedback Disseminate results through A&M communication channels Design adequate strategies in response to the results of the capacity building Influence European and national policy making by promoting the adequate strategy
Quality Development Empirically matured, evidence based approach Evaluation of trainings and community group sessions Monitoring of programme development Organized feedback loop with public and private sectors and target audiences
Value added by pan-european transcultural approach Combined resources in policy, networking, dissemination, evaluation and strategic development Increased visibility in migrant communities Assessment of common indicators of health literacy
Transcultural Processes
Impact?
Thank You