DAA Annual Report 2010
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A nnual R eport 2 010 Dublin AIDS Alliance Dublin AIDS Alliance Ltd — Annual Report 2010 1—2 Dublin AIDS Alliance (DAA) is a registered charity operating Our Mission at local, national and European level. The principal aim of Working to improve conditions for people living with HIV and AIDS, their the organisation is to improve, through a range of support families and their caregivers, while actively promoting HIV and sexual health services, conditions for people living with HIV and AIDS and/ awareness in the general population. or Hepatitis, their families and their caregivers, while further promoting sexual health in the general population. Since 1987, Our Vision DAA has been pioneering services in sexual health education To contribute to a reduction in the prevalence of HIV in Ireland. and promotion, and has consistently engaged in lobbying and campaigning in the promotion of human rights. Organisational Objectives: – To support those living with and affected by HIV and AIDS – To confront the stigma and discrimination associated with HIV and AIDS – To increase public awareness through the promotion of HIV and sexual health education Background – To influence policy through partnership and active campaigning DAA is acutely aware of the cultural and economic barriers that can affect life choices, rendering both men and women more vulnerable to HIV. Our support, prevention, education and training programmes are therefore rooted in capacity building and experiential learning techniques, which enable the negotiation of safer sex and/or injecting practices. While supporting service users around the choices available, DAA’s approach broadly reflects a harm minimisation model, which emphasises practical rather than idealised goals. DAA’s individual and group interventions are, at all times, age appropriate and sensitive to the psychosocial needs, learning abilities and life experiences of our clients. We operate under an ethos of equality and are committed to making a positive contribution towards a humane and just society. DAA strives to ensure an environment that promotes equal opportunity and prohibits discrimination, while further enabling our staff, volunteers and service users to experience dignity and respect at all times. DAA is a voluntary, non-profit organisation, linked to various local and national networks. DAA is the non-governmental organisation (NGO) representative for the eastern region on the National AIDS Strategy Committee (NASC) and its Education and Prevention Subcommittee. DAA is a member of the HIV Services Network (HSN), the Prevention and Education Committee of the National Advisory Committee on Drugs (NACD), the Gay Health Network (GHN), the Drugs Education Workers’ Forum (DEWF), Sex Workers Alliance Ireland (SWAI), Dublin Community Forum, CityWide Prison Links Group, the Treatment and Rehabilitation Subcommittee and the Prevention and Education Subcommittee of the North Inner City Drugs Task Force (NICDTF). DAA is a FETAC registered provider, and is affiliated to the Irish National Organisation of the Unemployed (INOU) and the Inner City Organisations Network (ICON). Other initiatives supported by DAA include Narcotics Anonymous (NA) and the Union for Improved Services, Communication and Education (UISCE). Dublin AIDS Alliance Ltd — Annual Report 2010 3—4 Chairperson’s Foreword On behalf of the Board of DAA I am pleased to present the Annual Report for 2010. During 2010 we had to operate in a very challenging economic and social coordinated sexual health awareness initiatives in colleges and community environment. Despite this, DAA has remained faithful to its mission of conferences, and as part of National Condom Week. working to improve conditions for people living with HIV and AIDS, as well All of these activities are made possible by the hard work, as actively promoting HIV and sexual health awareness. The number of commitment and dedication of the staff of DAA, and the work of the CS and people in Ireland affected by HIV continues to increase, with 168 new cases PET programmes is facilitated and supported by an able and committed reported for the first six months of 2010. Figures for notification of sexually administrative team. On behalf of the Board I would like to express our sincere transmitted infections (STIs) increased by 20% between 2006 and 2009. gratitude to our exceptional staff team for their ongoing commitment to DAA Stigma and discrimination continue to have an appalling impact on the lives and its service users, particularly during these times of growing demand and of many people who are HIV positive and on the lives of their families. DAA is decreased resources. committed to working with all of our partner organisations in the voluntary and statutory sectors to ensure that HIV remains on the public and political We would particularly like to thank our key funders in the HSE, the agenda, and to influencing and shaping both regional and national policy NICDTF and FÁS for their continued support for our work, and we express through participation in NASC and other bodies. our gratitude to the other funders who have generously donated to us during 2010. We have an ongoing need to fundraise to help with the delivery of our The need for the services offered by DAA was clearly demonstrated services, and we would like to thank all those who have been so supportive to in 2010 by the continued demand for these services from our different client us in our efforts. groups. A total of 6,338 clients accessed the services of our Community Support (CS) programme during 2010, an increase of 20% on the previous I would also like to thank the members of the Board for their year. Of these, 252 were known to be HIV positive, 141 of whom were first-time contribution throughout 2010 and their ongoing support for the work of DAA. clients. There was a significant increase in the number of the general public Finally, on behalf of the Board and staff of DAA I would like to extend our accessing the service in 2010—this walk-in service provides vital easy access thanks and sincere appreciation to all those who have supported the work of for those seeking HIV services and sexual health information. An increase DAA in various capacities during 2010. We look forward to continuing to work was also seen in the number engaged through the innovative outreach in partnership with you all in 2011. service run by CS, with 3,219 outreach interventions taking place. Demand for our training programmes continued to grow in 2010, in addition to demand for our education and prevention work in schools, colleges and health fairs. During 2010 the Prevention Education and Training (PET) team delivered 53 training programmes, including FETAC accredited Maeve Foreman training for trainers on sexual health and drug awareness, tailored modules Chairperson of Safer Sex Negotiation Skills Training, one-day sexual health workshops and Dublin HIV training for counsellors. An innovative development during 2010 was the AIDS delivery of a sexual health and drug awareness programme for deaf people with the involvement of Irish Sign Language interpreters. The PET team also Alliance Dublin AIDS Alliance Ltd — Annual Report 2010 5—6 The CS programme at DAA provides for the information and support needs of HIV positive people, their families and their Table 1.0—Number of service users, caregivers. Additionally, this programme facilitates access, via street outreach, to testing for those who may be at risk of HIV or 2009 and 2010. Hepatitis transmission. Experienced and highly qualified staff 2009 2010 deliver this long-established programme and provide advice and Male Female Total Male Female Transgender Total consultation in relation to HIV to health care workers and other HIV POSITIVE CLIENTS 205 105 310 168 83 1 252 professionals. A statistical analysis of services provided by CARERS/ 12 18 19 21 this programme between January and December 2010 is SIGNIFICANT OTHERS 30 40 outlined below. GENERAL PUBLIC+* 1,885 280 2,165 2,481 264 2,745 OUTREACH* 2,102 597 2,699 2,142 1,077 3,219 Numbers Accessing CS Services PROFESSIONALS N/A N/A 60 N/A N/A 82 A total of 6,338 clients accessed the services of CS in 2010, an increase TOTAL 5,264 6,338 of 20% on the previous year. Of these, 252 were known to be HIV positive + including in-house condom distribution (see Table 1.0), a slight decrease of 58 people from 2009, with 1,270 * may be repeats interventions in total, averaging 5.0 per HIV positive client (see Table 1.1). Overall, interventions recorded with carers, street outreach, the general public and professionals totalled 6,200 (see Table 1.1 and 1.2). HIV Client Profile Client Profile and Interventions 2010 Table 1.1—Number and category Tables 1.0–1.4 provide an overview of our client profile in 2010. of interventions for HIV positive This includes information on the general client profile as well as our HIV positive clients’ gender, sexual orientation and age. clients, 2010. Adv/ H/Hv Welf Fin Leg 1-2-1 Coun Heal Train Total Med FEMALE 160 79 39 13 28 98 45 43 29 534 MALE 347 26 47 16 8 108 131 30 23 736 TOTAL 507 105 86 29 36 206 176 73 52 1,270 Adv/Med = Advocacy and mediation; H/HV = Home and hospital visits; Welf = Welfare information; Fin = Financial requests and issues relating to finances;Leg = Legal; 1-2-1 = One-to-one support; Coun = Counselling; Heal = Health information; Train = Training and education. Average number of interventions per HIV positive client = 5.0. Community Support Programme Table 1.2—Number of interventions per ‘other’ category of clients, 2010. FEMALE MALE TOTAL CARERS 48 46 94 OUTREACH 1,077 2,142 3,219 GENERAL PUBLIC 280 2,523 2,803 PROFESSIONALS N/A N/A 84 TOTAL 6,200 Dublin AIDS Alliance Ltd — Annual Report 2010 7—8 Type of Service HIV Positive Clients In 2009 there were 1,760 interventions for 310 HIV positive clients.