lessons in prevention out
TRANSCRIPT
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BEST PRACTICE
LESSONS LEARNED
BYJACQUES LIVINGSTON
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OUT LGBT WELL-BEING• OUT is a rights-based organisation based in Pretoria
since 1994.• OUT is dedicated to building healthy, empowered LGBT
communities in Gauteng and aims to reduce heterosexism and homophobia in society at large.
• OUT operates in five areas:
Mental Health Programme
Sexual Health Programme
Advocacy and Mainstreaming
Research
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VCT Clinic and Wellness Centre• The VCT Clinic was started in Aug 2006.• The focus was primarily around voluntary
counselling and testing on Saturdays.• The Clinic expanded to include a Wellness
Centre in Sept 2007.• The VCT Clinic and Wellness Centre provided a
range of services on Tuesday and Thursday evenings and Saturday mornings
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Services
• General examinations• Voluntary Counselling and Testing• CD4 and Viral Load Testing• STI testing and diagnosis• Treatment Literacy• PAP Smears• Referrals• Mobile Testing
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Growth in Uptake of Testing
Growth in Testing
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5
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Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar
Months
Tar
get
s R
each
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Lessons Learned• Finding the right people: difficulty around getting
Doctors involved. Found that Primary Health Care Nurses are an excellent alternative – health education, specifically around sexual health.
• It is all about choice: uptake increased as services expanded – more attractive as part of a holistic focus (sexual health vs VCT only)
• The message is important: market services as a friendly gay and lesbian affirming alternative – appealing to all and not just under-resourced.
• Spreading the word: word of mouth is the most effective way of marketing the centre.
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• Paperwork is important: Accreditation, protocol and administrative systems are necessary for the professional running of the centre.
• Bookings will make your life easier: Walk-ins limited to appointment only.
• You can’t do it alone: Referral systems in place.• Waiting doesn’t work: Take services to the people –
make it accessible and convenient to them.• On-the-go: professionals, working times, contingency
plan, confidentiality, consent• Mobile services are the way forward!
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Thank You