HIV and Africans in the UK

posted: 11/05/2011

HIV & UK African Communities is a brand new guide to the key issues affecting black African communities in the UK. It contains personal stories and a directory of services as well as sections dealing with the key issues.

Produced by NAM it is available free online or as a book for just under £25.
 

It covers the key topics

• facts and figures about black Africans living in the UK
• about HIV among Africans here
• the needs of Africans living with HIV
• mental health
• faith
• stigma and discrimination
• telling others
• HIV prevention, testing, diagnosis and treatment
• women
• men
• men who have sex with men
• children and families
• young people
• carers
• older adults
• gender-based violence
• rights to healthcare
• immigration and asylum
• prosecutions.

HIV & UK African Communities: the key issues
 

Guides for More HIV Testing

posted: 04/04/2011

The number of people who got infected with HIV within the UK in the last 10 years has almost doubled. New infections that happened in the UK (rather than abroad) rose from 1,950 in 2001 to 3,780 in 2010.

In response the National Institute for Clinical Excellence (NICE, the body that tells the NHS what healthcare works and is good value for money) has issued new guidance for the testing of the two groups most at risk of getting HIV in the UK, gay/bi men and African people.

HIV testing helps people keep good health

Testing and treating people with HIV helps the person with HIV stay healthy and to live a near-normal life, helps avoid passing on HIV to others, and can save the NHS a lot of money.
 

The NICE guidance aims to increase the numbers taking HIV tests to reduce the number of people who do not know they have HIV and so help prevent HIV being passed on by Africans living in the UK and gay men.

Gay and bisexual men remain the group most at risk of becoming infected with HIV in the UK with 70 per cent more men being diagnosed with HIV in the past 10 years (from 1,810 in 2001 to 3,080 in 2010).
 

‘NAT welcomes the new NICE guidance on increasing testing among African communities and gay men. Not only is the number of people being diagnosed with HIV still too high, late diagnosis is an extremely important problem as it means a person is likely to have had HIV for a number of years – with a high risk of transmission to sexual partners – and it can also reduce the effectiveness of treatment,” commented Deborah Jack, Chief Executive of NAT (National AIDS Trust).

‘It is crucial that HIV testing becomes ‘normalised’ in our society, not just among gay men and African communities, but also amongst health professionals. Many people with HIV attend NHS services for years without being offered an HIV test and this neglect needs to be addressed and stopped.’

'The importance of HIV testing should now be reflected in Government plans as they reorganise the NHS and public health. In particular, it is essential that HIV late diagnosis remain a key outcome indicator to assess progress in public health at the local level. It is also vital that the extensive reorganisation of the NHS does not undermine recent momentum in HIV testing.’
 

‘Public Health England must ensure that the vision for HIV testing amongst gay men and African communities set out in the NICE Guidance is consistently implemented across the whole of the NHS and public health system.’
 

NICE HIV testing guidance for gay/bi men

NICE testing guidance for Africans living in the UK

Source – HPA press release

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HIV Prevention for Africans in England

posted: 12/10/2010

KWP in Practice is a new website and planning toolkit for meeting the HIV prevention needs of African people in England. The site combines and updates the two key documents, The knowledge, the will and the power, and the African HIV prevention handbook, which were both produced by Sigma Research for the National African HIV Prevention Programme.
 

Whether you fund HIV prevention for African people, or you plan and deliver these, the website's modular, practical, toolkit approach has something to offer.
 

Condom use briefing

The new website has a useful new detailed Briefing on condom use among African people in England.

In the Bass Line survey undertaken with more than 2,000 African people in 2008-09,

• one third (30%) of those who had used condoms said that one had slipped or broken off in the past year.
• More than one third (32%) said they would worry about what others thought of them if they carried condoms.
• One fifth (20%) said they sometimes had problems getting hold of condoms.

Condoms and Africans in England seminars
 

You can also book a place at a seminar about condom use among Africans in England, in either Leeds or London.
 

These full-day seminars are for service providers, clinical staff and commissioners who want to learn and share experiences of meeting the needs of African people regarding to male and female condoms. Sigma staff and local experts will lead a day of practical discussion and debate.

The seminars start at 10:30am and end at 16:30pm.
 

Book the Leeds condom seminar Tuesday 26 October 2010

Book the London condom seminar Wednesday 3 November 2010 

More HIV Testing Urged

posted: 08/10/2010

The NHS health advice body NICE has produced its first HIV guidance, about HIV testing. The draft HIV testing guidance recommends that mainstream health services offer much more HIV testing to the two communities most affected by HIV in England, black African people and to men who have sex with men. The guidelines also call for more testing to be offered in places such as bars and saunas, using rapid point-of-care tests.
 

NICE HIV testing: open for comments
The National Institute for Health and Clinical Excellence (NICE) tells the NHS which are the best and most cost-effective treatments and public health interventions. NHS bodies are legally required to fund the medicines and treatments recommended by NICE.
 

Making HIV testing guidelines work
Other organisations have produced HIV testing guidelines before, notably the British HIV Association (BHIVA) and the British Association for Sexual Health and HIV (BASHH). But these were not backed by the UK National Screening Committee, nor by NICE, and many parts of the NHS simply ignored them.

The most recent BHIVA and BASHH testing guidelines recommended that HIV testing should be offered in a wide range of healthcare settings, including GP surgeries and most hospital departments. Little was done about this.
 

NICE will force more testing action
To increase testing, the Department of Health asked NICE to produce public health guidance to increase HIV testing both among men who have sex with men and among black African communities. The new NICE guidance supports most of the BHIVA and BASHH testing recommendations, and goes further with some recommendations.
 

There are two guidelines - one to increase testing in men who ave sex with men, and a the other for increasing testing among black African people.
 

Local strategies needed

For both men who have sex with men and for black Africans in England, NICE recommends preparing local strategies to increase HIV testing, developed in consultation with community organisations and the people affected. These strategies should focus on sections of the community who are less likely to use services. Community engagement and involvement is particularly important for black African communities.
 

Africans - involve people as champions and leaders
NICE recommends that black Africans in England should be recruited and trained to act as ‘health champions’ and ‘role models’. HIV testing work must deal with people’s misunderstandings and ignorance about HIV, testing and treatment, and must promote the benefits of early diagnosis and tackle HIV-related stigma.
 

The guidance for black African communities includes providing HIV testing outside sexual health clinics. This is because the evidence from the literature is that HIV testing in sexual health clinics is seen by some black Africans as stigmatising, complicated and time-consuming, while HIV testing in other healthcare settings was welcomed.
 

NICE recommends that general practitioners should routinely offer an HIV test to black Africans who have not tested before or who have had a new sexual partner since the last negative test. In hospitals and other healthcare settings, an opt-out test should be routinely provided to black Africans who are having blood taken for other reasons.
 

Testing in sex venues to reach gay men
Health promotion interventions promoting testing to men who have sex with men should include venues, such as saunas, clubs and cruising areas, or websites, which facilitate sex between men.
NICE appears more enthusiastic than BHIVA about community testing in sex on the premises venues. In gay venues, NICE says rapid tests (using mouth swabs or finger-prick blood samples) should be provided by trained staff, in a secluded or private area.
 

NICE’s guidance for men who have sex with men encourages testing in primary care (GPs), but not in secondary care (hospitals). The BHIVA guidelines are different, and recommend that all healthcare settings should offer an HIV test to any man who says he has sex with other men.
 

NICE recommends that GP surgeries should recommend all males to have HIV tests where the surgery is in an area with a large gay community or theer is a high rate of HIV.
 

Carl Burnell, of the gay men’s health charity GMFA, questions whether this will is work, because of the many other demands on GP surgery capacity. “The strategy assumes that other services are running like clockwork and have capacity to offer HIV testing,” he said.
 

Clear path from testing to services
All testing services need clear pathways for people to obtain any necessary confirmation of the HIV test result, HIV treatment services and HIV support groups. People who test negative may need help through counselling and safer sex interventions.
 

The draft guidance comes before results are published on several Department of Health funded pilot projects evaluating new testing strategies.
 

NICE’s guidance is open for feedback and comments until late November. The final NICE HIV testing guidance will appear in March 2011.

HIV testing guidelines for MSM 

HIV testing guidleines for black Africans in England
 

Source

UK HIV Prevention for Africans

posted: 22/06/2010

‘Testing is the only way you can tell if you are infected with HIV’ is the message of the new HIV campaign by the African HIV Policy Network. The campaign theme TALK and TEST aims to signpost Africans wanting to talk about HIV testing or about living with HIV, to the free and confidential African HIV information helpline: 0800 0967 500 – Monday to Friday, 10am – 6pm.
 

They are keen for people to visit the African HIV information website Do-It-Right for facts and figures about HIV, to find out more about HIV testing, and take part in the Life Check interactive HIV information quiz. This hopes to offer a fun way to find out more about everything from the basics of HIV, to taking HIV treatments.
 

Untested worries
TALK and TEST is based on results from the latest Bass Line survey of 2,500 Africans living in England. Bass Line found that almost 40% of African people living in England have never tested for HIV, and among the untested, 1 in 10 feel too afraid to test because of fear about having HIV.
Another one-in-eight want to test for HIV but did not know where to go for an HIV test.
 

Ford Hickson, the leading researcher on Bass Line, said: “Many African people in England would test for HIV if they knew where to go for a test. However, influencing testing in other Africans requires increasing their perception of risk from HIV infection, and increasing their understanding of the benefits of testing and the potential harm associated with not knowing their HIV status.
The vast majority know that
• HIV is a virus that can be passed during sexual intercourse
• that HIV cannot be passed through everyday contact
• that there is a medical test that can show whether someone is infected.”

Jabulani Chwaula – National African HIV Prevention Programme Manager says “Those who lack social power turn out to be those with the greatest need for skills and confidence to help them avoid getting or passing on HIV. Resolving this means paying attention to treatment access, stigma, discrimination, and immigration policy.”
Free and confidential African HIV information helpline: 0800 0967 500 – Monday to Friday, 10am – 6pm.
African HIV information website Do It Right
African HIV Policy Network 020 7017 8910
e-mail
NAHIP website