social enterprise as a tool for regenerating hiv positive african men and women in london

7/30/2019 Social enterprise as a tool for regenerating HIV positive African men and women in London

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hs Dig`axk \ctmaek

\alcie Kgtkx~xc|k i| i Taae oax

Xkbkgkxitcgb MC_ ^a|ctcvk

Ioxclig @kg igd Ra`kg cg

Eagdag

Illxkdctkd La``{gctsK`~arkx`kgt La{x|k:

Dkvkea~`kgt igd ^xk|kgtitcag ao Xk|kixlm \fcee| 8>99-8>98


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Di`axk \ctmaek

9

Ilfgarekdbk`kgt|

C ra{ed ecfk ta xkbc|tkx `s |cglkxk bxitct{dk ta `s `kgtax Ji`k| Cgbxi` oax mc| b{cdiglk

tmxa{bma{t tmk xk|kixlm ~xalk||'

C ra{ed ecfk ta tmigf tmk KA[ |tioo oax tmk ecvkes ekixgcgb |k||cag| igd IKT |tioo oax tmkcx

|{~~axt' C rcee ecfk ta tmigf iee tma|k C cgtkxvckrkd' Sa{x fgarekdbk rcee ieris| hk

txki|{xkd'


3/44

\ALCIE KGTKX^XC\K I\ I TAAE OAX XKBKGKXITCGB MC_ A\CTC_K IOXCLIG @KG IGD RA@KG CG EAGDAG

8

Lagtkgt| îbk

Lagtkgt| îbk '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 8

Lmi~tkx 9: ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ~e{| aotkg {|kd tmkcx ~xaok||cagie

k}~kxckglk igd txig|okxihek |fcee| ta x{g tmkcx vkgt{xk' Tmk kvcdkglk ie|a |{bbk|tkd tmit

tmks rkxk àxk ecfkes ta hkla`k |alcie kgtxk~xkgk{x| co tmks mid ~xkvca{| k}~kxckglk cg

vae{gtkkxcgb' Tmk dk|cxk ta dkvkea~ ig cgla`k |txki` ri| |cbmtkd i| i àtcvitax' Tmk

|kixlm oax ekbils ri| |icd ta hk i àtcvitcgb oiltax'

\alcie Kgtkx~xc|k| iddxk||cgb |alcie c||{k|

La`8 kgtkx~xc|k|

Tmk kgtkx~xc|k {|k| tmk la``kxlcie |{llk||k| ao tmk |alcie kgtkx~xc|k ta |{~~axt ~ka~ek

rctm `kgtie c||{k| ba hilf ta raxf'

Tmk la``kxlcie |cdk aookx tmk |kxvclk| |{lm i| bxi~mcl dk|cbg% ~clt{xk oxi`cgb% igd

kvkgt litkxcgb'

Tmk |alcie |cdk tmk Raxfcgb oax rkeegk|| mke~| Eagdagkx| k}~kxckglcgb la`àg `kgtie

mkietm lagdctcag| ta illk|| tmk |kxvclk| tmks gkkd' Cgoaxìtcag igd taae| oax mkietm

~xaok||cagie|% k`~easkk| igd tmk bkgkxie ~{hecl ixk ~xavcdkd' Tmk ì~| ~xavcdk tmk

k`~easkk| rctm ig k||kgtcie b{cdk ta `kgtie mkietm igd raxf' Tmk k`~easkx| ie|a

hkgkoct oxa` tmk b{cdk ta `kgtie mkietm igd raxf'


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?

I xk~ecli ao tmc| kgtkx~xc|k lig hk k|tihec|mkd ta |{~~axt ÊRM| ta ba hilf ta raxf' Tmk

la`hcgitcag ao la``kxlcie igd |alcie ahjkltcvk| c| cdkie oax ÊRM|'

Dkxklf @lLe{xk cg Gaxtmkxg Cxkeigd

Dkxkf c| raxfcgb ta ~xaàtk |alcie ocx` àdke| ao dkecvkxcgb |alcie lixk |kxvclk|

~ixtcl{eixes oax tma|k rctm ekixgcgb dc|ihcectck| igd `kgtie mkietm c||{k|' Tmk àdke|

xkoeklt Dkxkf| k}~kxckglk ~eilcgb hkgkoclcixck| cg ig k`~eas`kgt lagtk}t' Oax k}i`~ek

Dic|ck| Liok| tifk ag ~ka~ek rctm ekixgcgb dc|ihcectck| igd `kgtie mkietm c||{k|% cgctciees

i| vae{gtkkx| igd tmkg i| k`~easkk|'

Dkxkf tk|tcock| tmit bcvcgb ~ka~ek raxf h{ced| tmkcx cgdk~kgdkglk% lagocdkglk igd i

|kg|k ao ~{x~a|k igd |mcot| tmk` oxa` hkgkoclcixck| ao |alcie |kl{xcts ta ti} ~iskx|'

Agk tmcxd ao tma|k k`~easkd tmxa{bm tmk|k ocx`| kilm skix àvk ag ta ìcg|txki`

k`~eas`kgt' Dkxkf mi| ie|a |kkg |cbgcocligt xkd{ltcag| cg `kdclitcag cgtifk hs

k`~easkk| igd vae{gtkkx|' -\a{xlk: Chcd ~ibk 4#

Dkxkf| |alcie àdke ocx`| la{ed hk ida~tkd ta ìtlm tmk lcxl{`|tiglk|% k}~kxckglk|

igd |fcee| ao ÊRM|' Tmk àdke ao xkbkgkxitcag tmit kgihek| ~ka~ek ta àvk oxa`

vae{gtkkx|% ta ocx` k`~easkk| igd tmk tmkg ìcg|txki` k`~easkk| c| à|t cdkie oax

ÊRM| |cglk |a`k mivk {gxk|aevkd c``cbxitcag c||{k|'

\tkvkg @lLekixs ao Gaxtmkxg Cxkeigd

\tkvkg x{g| i DJ raxf|ma~ rctm 98 sa{gb ~ka~ek oxa` mc| k|titk it tmk xc|f ao

cgvaevk`kgt cg dc||cdkgt ~ixi`cectixs iltcvcts'

Tmkcx ittct{dk tarixd| \tkvkg igd atmkx id{et| raxfcgb cg tmk la``{gcts mi| lmigbkd%

igd rctmcg tmk bxa{~ tmk sa{gb ~ka~ek mivk hkla`k |{~~axtcvk oxckgd|'

\tkvkg| DJ raxf|ma~| cgdclitk tmit ct c| ~a||chek ta lmigbk tmk la``{gcts ittct{dk

tmxa{bm |alcie kgtkx~xc|k' Tmkxkoaxk i |alcie kgtkx~xc|k c| cdkie ta xkd{lk |tcbì igd

dc|lxc`cgitcag'


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Diàxk \ctmaek

2

Esgg Jilf|ag @ixbitk

Esgg| vkgt{xk% Mc|taxs Riefkx|% txicg| {gk`~easkd ~ka~ek cg @ixbitk ta hkla`k

mc|taxcig| ao tmk ealie la``{gctck| igd tifk tmk ~iscgb ~{hecl oax ekixgcgb rief|'

Riefkx| ~is = kilm% ao rmclm ? bak| ta tmk rief ekidkx igd 8 tarixd| x{ggcgb la|t|

ao tmk axbigc|itcag' -\a{xlk: Chcd ~ibk ;#

Esgg ~xavk| tmit i |alcie kgtkx~xc|k lig hk hi|kd ag cggavitcvkgk|| igd lxkitcvcts'

\c`ceixes tmk cggavitcvkgk|| igd lxkitcvcts ao ÊRM| lig hk mixgk||kd'

\alcie Kgtkx~xc|k xkbkgkxitcgb ieckgitkd ~kx|ag|EKI^ axbigc|itcag [F ic` ta txig|oax` tmk ecvk| ao sa{gb ~ka~ek igd jahek|| id{et| hs

mke~cgb tmk` avkxla`k| tmkcx lcxl{`|tiglk| ta o{eoce tmkcx ~atkgtcie tmxa{bm kd{litcag%

k`~easihcects igd la``{gcts ~xabxi``k|'

^kx|agie txig|oaxìtcag ao î{e

î{e| ear k|tkk` ri| ìgcok|tcgb cg iee i|~klt| ao ecok% |{lm tmit mc| ecok ri| i xa{tcgk'

Tmxa{bm tmk ~kx|agie txig|oaxìtcag mk {gdkxrkgt it tmk raxf|ma~ mc| ittct{dk igd

xkeitcag|mc~ rctm mc| oi`ces lmigbkd' Iotkx tmk raxf|ma~% rctm |{~~axt mk cdkgtcockd mc|

cgtkxk|t igd bat cgta h{|cgk|| id`cgc|txitcag igd illa{gtigls'

\keo dc|lavkxs ao Gclaei

Gclaei ri| {gk`~easkd kvkg tma{bm |mk mid i dkbxkk' It EKI^ |mk dc|lavkxkd tmit

|mk mid ig cgtkxk|t cg tkilmcgb' Tmc| ri| tmk |aecd |tk~ ta |tixt mkx lixkkx'

Tki`raxf xk|taxk| |keo-k|tkk` oax Hk{eim

Tmk tki` k}kxlc|k| it EKI^ mke~kd Hk{eim ta h{ced {~ |keok|tkk`' \mk hkli`k irixk

tmit oax i tki` ta hk |{llk||o{e kvkxs `k`hkx mid ta |{~~axt ct igd |mk ri| rceecgb tada tmk raxf' \mk taaf CT la{x|k|'

Bkxied xkoal{|k| it EKI^

Bkxied mid i dkbxkk cg `{|cl h{t ri| {gk`~eas`kgt d{k ta eilf ao k}~kxckglk' It

EKI^ mk |t{dckd xktice' Mk oa{gd i jah i| i L{|ta`kx |kxvclk ibkgt'


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=

Divcd igd @ami``kd Im`kd ily{cxk| k`~easihcects |fcee|

Divcd igd @ami``kd ekixgt ta rxctk lavkx ekttkx|% cgtkxvckr tklmgcy{k|% tc`k

ìgibk`kgt% igd ~{glt{iects' Hatm |kl{xkd k`~eas`kgt iotkx tmit'

Id{fix eki~| oxa` i dx{b iddclt ta i La``{gcts Kgbibk`kgt Aooclkx

Id{fkx hkli`k i dx{b iddclt igd ea|t lagocdkglk% igd |keok|tkk`' Mk ri| dk~xk||kd

igd ~ixigacd'

EKI^ mke~kd mc` ta xkbicg mc| lagocdkglk% igd ta |kt baie|' Mk c| l{xxkgtes raxfcgb i| i

La``{gcts Kgbibk`kgt Aooclkx' -\a{xlk: rrr'eki~'axb'{f#

Tmk|k |taxck| |mar tmk xkbkgkxitcvk ittxch{tk| ao i |alcie kgtkx~xc|k rmclm tmk

ÊRM| ixk cg bxkit gkkd ao'

Bxkitkx Cgvaevk`kgt ao ^ka~ek ecvcgb rctm MC_ ~xcglc~ek

Tmk [GICD\ ~xcglc~ek ic`| ta xkieczk tmk xcbmt| igd xk|~ag|chcectck| ao ÊRM| cgle{dcgb

tmkcx xcbmt ta |keodktkx`cgitcag igd ~ixtclc~itcag cg dklc|cag ìfcgb ~xalk||k| tmit

iooklt tmkcx ecvk|' Ct ie|a ic`| ta kgmiglk tmk y{iects igd kookltcvkgk|| ao tmk ICD\

xk|~ag|k' Tmk cdki tmit ~kx|agie k}~kxckglk| |ma{ed |mi~k tmk ICD\ xk|~ag|k c| it tmk

mkixt ao BCÎ' Tmk|k ~kx|agie k}~kxckglk| gkkd ta |mi~k tmk ICD\ xk|~ag|k hksagd

tmk illk||cgb ao ecok|ivcgb dx{b|' Gar tmit |a`k ÊRM| mivk illk||kd dx{b| tmkxk c|

gkkd ta hxcgb tmk` hilf ta tmk ìcg|txki` klaga`cl iltcvcts'

BCÎ |kkf| ta hxkif| darg |c`~ec|tcl i||{`~tcag| ao |kxvclk ~xavcdkx| -i| tma|k ecvcgb

rctma{t MC_# igd |kxvclk xklkcvkx| -i| ÊRM|#' Ct c| ages i |alcie kgtkx~xc|k tmit lig

txig|eitk tmc| [GICD\ dkleixitcag ta ig iltcag ibkgdi'

Hkgkoct| ao BCÎ

It cgdcvcd{ie ekvke tmk cgvaevk`kgt ao ÊRM| lig c`~xavk tmk |keok|tkk` igd haa|t

àxiek% dklxki|k c|aeitcag igd dk~xk||cag igd c`~xavk mkietm' Tmk|k baadck| |axt iotkx


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Diàxk \ctmaek

3

hs tmc| [GICD\ ~xcglc~ek lig hk itticgkd cg i |alcie kgtkx~xc|k rctm tmk k}txi hkgkoct ao

tmk ÊRM| hkcgb |kxvclk bcvkx|'

Rctmcg tmk axbigc|itcag tmk ~ixtclc~itcag ao ÊRM| lig lmigbk tmk ~kxlk~tcag i| rkee i|

~xavcdk vie{ihek k}~kxckglk igd fgarekdbk' Mkglk i |alcie kgtkx~xc|k ao ÊRM| lig

xcdk ag BCÎ ta bkt raxedrcdk |{~~axt'

It la``{gcts ekvke ~{hecl cgvaevk`kgt ao ÊRM| lig hxkif darg okix igd ~xkj{dclk hs

|marcgb tmk oilk ao ÊRM|' Tmk |kttcgb {~ ao i |alcie kgtkx~xc|k rcee hk i ìjax

`cek|tagk cg hxkifcgb darg tmk okix igd ~xkj{dclk tmxa{bm cglxki|cgb tmk vc|chcects aoÊRM| hksagd MC_ xkeitkd ixki|'

-ccc# @ktmadaeabs

I txcigb{eitcag ao xk|kixlm `ktmad| ri| {|kd' Tmk|k cgle{dk |tx{lt{xkd cgtkxvckrcgb%

îxtclc~igt ah|kxvitcag% Oal{| bxa{~|% li|k |t{dck| igd |klagdixs diti igies|c|' I

|{xvks mi| i |kxck| ao a~kg kgdkd igd lea|kd y{k|tcag| à|t la`àges i||alcitkd

rctm y{igtctitcvk xk|kixlm' C dk|cbgkd `s y{k|tcaggicxk| ta |kkf oilt| oxa` tmk ÊRM|

cg Eagdag' Ah|kxvitcag `ktmad ahticg| dk|lxc~tcvk y{iectitcvk diti ag hkmivca{x|% rmcek

`cgc`c|cgb k}tkxgie dc|taxtcag|' îttkxg| igd xkb{eixctck| ixk xklaxdkd' I oal{| bxa{~ c|

i bxa{~ `kktcgb rmkxkhs i bxa{~ ao |c`ceix ittxch{tk| la`k tabktmkx ta dc|l{|| ta~cl|'

Tmc| c| ekd hs i oilcectitax' Tmk dc|l{||cag c| bkgkxitkd dsgi`cliees igd ìs ekid ta gkr

cdki| ax tmcgfcgb oxa` ~ixtclc~igt|' I li|k |t{ds c| ig k`~cxclie kgy{cxs tmit cgvk|tcbitk|

i lagtk`~axixs ~mkga`kgag igd lagtk}t| ixk gat lekixes dkocgkd' Ct la~k| rctm

tklmgcliees dc|tcgltcvk |ct{itcag| cg rmclm tmkxk rcee hk ìgs àxk vixcihek| ao cgtkxk|t|

tmig diti ~acgt|'

Tmk AÎ@ xkbc|tkx ao \kxvclk {|kx| ri| {|kd i| tmk |i`~ecgb oxi`k' Tmk \kxvclk {|kx|

rkxk lagtiltkd cg ~kx|ag ax hs ~magk ta cgtxad{lk tmk xk|kixlm ta tmk` igd ocgd a{t co


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9>

tmks rkxk rceecgb ta ~ixtclc~itk cg tmk xk|kixlm' @a|t AÎ@ iltcvctck| k}le{dk ra`kg i|

i xk|{et C mid ta {|k |garhieecgb ta bkt i àxk xk~xk|kgtitcvk |i`~ek'

Tkek~magk cgtkxvckr| rkxk lagd{ltkd' Tmk oilt tmit tmc| `ktmad c| lmki~ igd c`~xavk|

xk|~agdkgt| illk||chcects C ri| ihek ta cgtkxvckr 98 `kg igd 99 ra`kg' Tmk ~kkx hci|

ao xk|~ag|k| ri| kec`cgitkd hkli{|k C cgtkxvckrkd kilm xk|~agdkgt |k~ixitkes'

Markvkx tmc| `ktmad dcd gat ieear `k ta mivk cg|cbmt cgta xk|~agdkgt| |{hjkltcvk

`kigcgb igd ta xkid tmk hads eigb{ibk' Cg axdkx ta bicg ig cg|cbmt cgta tmk ris ~ka~ek

laeekltcvkes ìfk |kg|k ao i |alcie kgtkx~xc|k C {|kd oal{| bxa{~|' Cg axdkx ta `cgc`c|k

tmk da`cgigt kooklt ao Ioxclig `kg avkx Ioxclig ra`kg cg dc|l{||cag| C {|kd tra bxa{~|agk oax `kg igd tmk atmkx oax ra`kg' Tmk oal{|kd bxa{~| kgihekd `k ta |t{ds tmk

bxa{~| |tsek ao tief igd cgtkxiltcag igd mar tmks dkhitk cg leixcoscgb vckr|' Tmc| ri|

vkxs c`~axtigt |cglk cg i |alcie kgtkx~xc|k tmk bxa{~ `k`hkx| rcee gkkd ta raxf igd

ilmckvk tabktmkx' C mid 2 igd ; xk|~agdkgt| oax tmk `kg igd ra`kg bxa{~|

xk|~kltcvkes'

\cglk MC_ c| i la`~ek} `kdclie lagdctcag rmclm c| ieris| illa`~igckd hs atmkx

lagdctcag| |{lm i| mkixt lagdctcag|% dcihktk|% |tcbì% dc|lxc`cgitcag igd maà~mahci% C

tmkg {|kd agk li|k |t{ds |a i| ta bicg cgdk~tm {gdkx|tigdcgb ao tmc| la`~ek}' C {|kd

tmk li|k |t{ds ta k}~eaxk rms à|t ao ÊRM| ixk lagtcg{a{|es {gk`~easkd igd tmk

|alcie ~xalk||k| tmit ixk it ~eis' Kvkg tma{bm ct c| dcoocl{et ta bkgkxiec|k ag tmk hi|c| ao

agk li|k |t{ds tmk {gcy{k rcee ~arkx |marg cg tmk li|k |t{ds c`~xavk| tmk lxkdchcects ao

tmk lagle{|cag| xkilmkd' C ri| i ~ixtclc~igt ah|kxvkx cg tmk Ioxclig diglk% ixt% igd

oax{` tmkitxk% |a i| ta ah|kxvk tmcgb| i| tmks mi~~kgkd' Hs ah|kxvitcag C ri| ihek ta

dcltitk |a`k ittct{dk lmigbk| cg ~ixtcl{eix rctm xkbixd ta maà~mahci' Tmk ~ixtclc~igt|dcd gat lmigbk tmkcx hkmivca{x hkli{|k C mivk ieris| hkkg migd|ag Laaxdcgitax'


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Diàxk \ctmaek

99

-cv# Ktmclie lag|cdkxitcag|

Hkoaxk tmk cgtkxvckr ax dc|l{||cag% o{ee cgoaxìtcag iha{t tmk ~{x~a|k ao tmk cgtkxvckr ax

dc|l{||cag ri| ~xavcdkd' Tmk lag|kgt ao iee tmk ~ixtclc~igt| ri| |axt' îxtclc~igt| rkxk

kgla{xibkd ta fkk~ lagocdkgtcie rmit ra{ed hk dc|l{||kd' Tmk ~xk|kgtitcag ao ocgdcgb|

~xk|kxvk| tmk igags`cts ao tmk xk|~agdkgt| hs {|cgb ~|k{dags`|'


13/44


98

Lmi~tkx 8: Xk|kixlm ocgdcgb|

Tkek~magk cgtkxvckr xk|{et|

Tihek| |mar tmk ibk| ao tmk cgtkxvckrkk|

@kg

>

9

8

>';

9

9';

8

8';

9 9

Cgli~ilctitkd > 9 9

Tmk xigbk ao {gk`~eas`kgt ~kxcad oax hatm `kg igd ra`kg ri| 8 skix| ta 98

skix|'


15/44


94

Xkidcgk|| ta raxf

Raxf i| tmkxi~k{tcl iltcvcts

@kg"| vckr ao raxf i| tmkxi~s

\txagbes Ibxkk

Ibxkk

Ra`kg"| vckr ao raxf i| i tmkxi~s

\txagbes Ibxkk

Ibxkk

Gk{txie


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Di`axk \ctmaek

9;

@atcvitcag ta raxf

>

9

8

social enterprise as a tool for regenerating hiv positive african men and women in london

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