CULTURALLY COMPETENT HIV TRAINING: CHUUK AETC

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CULTURALLY COMPETENT HIV TRAINING CHUUK AETC

• AN EXPERIENCE TO SHARE.
• By
• Yoster Yichiro MO,
• HIV/AIDS Physician, Chuuk Hospital
• Project Director Chuuk AIDS Education Training
  Center

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Background of the Project
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FEDERATED STATES OF MICRONESIA

• The Chuuk AETC was established in Chuuk to serve
  the entire FSM in year 2001/2002.
• Chuuk
• Pohnpei
• Kosrae
• Yap
• The Republic of the Marshall Islands

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Chuuk State Federated States of Micronesia.
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What is Chuuk AIDS Education and Training Center?

• Sub-site of the HAETC PAETC
• Started in 2001/ 2002
• Provides training to the health providers in the
  Federated States of Micronesia and Republic of
  the Marshall Islands.

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Why Chuuk?

• Chuuk state has the most HIV/AIDS cases among the
  four states in the FSM.
• Locally acquired HIV infections with limited
  resources.
• Its geographical location setting.
• Share similar customs and cultures of the other
  states.
• It is a try out.
• Chuuk needs it..

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MISSION

• To conduct HIV/AIDS trainings, to health
  providers in the federated states of Micronesia
  and other Pacific jurisdiction per request.
• Through the trainings, each provider will be able
  to improve his or her knowledge, and skills to
  prevent the spread of HIV/AIDS.
• As a resource and consultation center.
• Provide technical assistance Training of
  Trainers at the community level. (NGO, CBO)

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TRAINING STRATEGIES

• LOCAL TRAININGS
  Chuuk State Training Activities.
• OUT OF STATE TRAININGS
  Pohnpei State Training Activities
  Kosrae State Training Activities
• OVERSEAS TRAINING
  Republic of the Marshall Islands Training
  Activities.

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TASKS

• Trainings for Physicians
• Trainings for Clinical Nurses
• Trainings for Public Health nurses and staff
• Trainings for Laboratory Technicians
• Trainings for health Educators
• Trainings for mental health staff (counselors,
  social workers, field workers, and
  psychiatrists).

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TASKS

• Trainings for Bio-technicians
• Trainings for Field Health Assistance
• Trainings for dentists, dental nurses and dental
  assistants.
• Trainings for other health workers who are
  actively involved in caring for PLWHA.

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ACCOMPLISHMENTS

• Pohnpei State Level II Training
• Nurses 26
• Doctors 06 Others 10

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Kosrae State Level II Training

• Doctors 04
• Nurses 20
• Other 10

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Republic of the Marshall Is. Level I Training

• Nurses 60
• Doctors 13
• Dental Staff 10
• Others 15

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Chuuk Level I II Training

• Public Health nurses/staff 42
• Dental staff Nurses 14

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ESTABLISHMENTS

• Chuuk HIV/AIDS comprehensive plan.
• HIV/AIDS policy procedures.
• CBG bylaws.
• CBG (community Planning group).
• HIV/AIDS advisory council
• NGO/CBO involvement in HIV/AIDS Trainings
  (Community base) i.e. PRHP Pacific Regional
  HIV/AIDS Project

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CHALLENGES

• Being away from home and working long hours.
• Different cultures and places.
• Gender
• Extra work load.
• Inconsistency of participants attending
  different level of trainings.

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BARRIERS

• Time (added responsibilities)
• Scattered Islands, distances (Separated by
  waters)
• Cultures,
• Funding
• Limited knowledge, and skills.
• Extra work load.

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How to overcome our barriers

• Coordinate and collaborate with other programs
  (adjusting schedules, prepare action plan ahead
  of time).
• Online communications (emails, telephone calls,
  and travel arrangements before traveling).
  Contacts through the AETC representative from
  each jurisdictions.
• Respect cultures and customs in each respective
  places.

• Available funding before carrying out the task.
• Workshops, conferences, and staff development
  trainings, (Annual clinical trainings, On site
  experiences).

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OUTCOMES

• Health providers have the basic knowledge, and
  skill to deal with the illness itself and PLWHA.
• Decreased the fear among health providers in
  terms of caring for PLWHA in hospital settings.
• Stigma and discrimination have been an issue, but
  culturally inappropriate and unacceptable.
• Family involvement in the caring of family
  members is essential and have been practiced
  among the Chuukese people. FROM FEAR, AND
  HATE, TO SYMPATHY as a member of the clan,
  and the family tree.

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CONCLUSION

• A culturally competent training is effective when
  it is part of the culture and traditions where it
  is done.
• A culturally competent training consists of
  cultural beliefs.
• The trainings should be presented in a way that
  is culturally accepted. (In Chuuk when elders are
  sitting in a gathering, women should not stand
  and be teachers, and are even not allowed to
  speak).

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Shots..
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Shots..
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Shots

• Thank you!