Edutainment, the use of entertainment to educate, has traditionally benefited the learning of individuals from communities with rich oral traditions. This presentation reports on the valuable lessons learnt from the implementation of ‘Hip Hop for Health Project’, an edutainment project that was implemented in refugee communities in Victoria. The project, by the Multicultural Health and Support Service (MHSS), a program of the Centre for Culture, Ethnicity and Health, has been running since 2010. It was informed by the popularity of hip-hop among young people, including those with refugee backgrounds.
The project uses dance and music to pass on sexual health messages to young people and the public. The dance crews are required to attend several sexual health education training sessions and use that information to compose ‘sexual health’ lyrics. The groups then take part in a competition with audience coming from the general public.
The success of the project in reaching young people with refugee backgrounds in Melbourne has been significant. However, it has not been able to engage effectively with young people from particular refugee communities that do not have a strong dance and song culture; hip-hop has not been as popular with them. To reach young people from communities where poems and storytelling are used to educate people about their culture, religion, language and health issues, the program is seeking ways to include other art forms.
The presentation discusses some of the ways that edutainment projects can be refined to increase their reach to young people with refugee backgrounds and diverse cultural backgrounds.
Adherence to combination antiretroviral therapy (cART ) plays an important role on treatment outcomes. The TREAT Asia Studies to Evaluate Resistance – Monitoring Cohort Study (TASER-M) collects patients’ adherence based on a Visual Analogue Scale. The aim of this analysis was to assess the rates of, and factors associated with, suboptimal adherence in the first 24 months of initial cART in Asian patients.
REACH was a collaborative research and practice initiative to develop evidence building frameworks, capacity, tools and resources with the Victorian HIV community partnership.
HIV disease is associated with chronic inflammation and activation of the innate immune system. This state, as measured using plasma markers of inflammation, persists following suppression of HIV viremia using antiretroviral therapy, and may increase risk of non-AIDS co-morbidities. The causes of innate immune activation in the setting of virological suppression are unclear. Natural killer (NK) cells are innate immune cells that kill virus-infected and transformed cells without prior sensitization. We have shown that NK cells are activated both phenotypically (elevated expression of HLA-DR) and functionally (increased spontaneous degranulation measured by CD107a surface expression) in virologically suppressed (VS) HIV+ individuals. NK cells also lose expression of CD16, the receptor which mediates antibody-dependent cellular cytotoxicity.
Regular HIV testing is recommended in men who take sexual risks. We assessed the relationship between perceived barriers to HIV testing, and frequency of testing among men who engaged in unprotected anal intercourse with casual partners (UAIC), to inform HIV testing strategies.
The majority of HIV diagnoses including delayed diagnoses in Australia occur among men who report homosexual contact – hereafter called gay and bisexual men (GBM). Delayed diagnosis is strongly associated with increased HIV-related mortality and morbidity. People who are unaware of their HIV-positive status may also be unwittingly transmitting HIV. We assessed trends in delayed HIV diagnoses among GBM in Australia.
HIV-associated leishmaniasis, endemic in the Mediterranean basin is a growing problem in India, Brazil and East Africa. Despite surviving for than 20 years, the clinical course of our visceral-leishmania (VL)-HIV co-infected patient illustrates several management challenges including diagnosis, speciation and drug resistance; monitoring burden of disease; access to and use of VL-treatments; end-organ toxicity and the combined immunosuppressive effects of HIV-VL.
Early first sexual intercourse has been proposed as an important marker of later sexual and reproductive health. Discussions of what constitutes early sexual debut in this context, however, have been limited.