HIV MINORITY SERVING FAITH BASED COMMUNITIES NEEDS ASSESSMENT IN BATON ROUGE, LOUISIANA

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HIV MINORITY SERVING FAITH BASED COMMUNITIES NEEDS ASSESSMENT IN BATON ROUGE, LOUISIANA Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

Community Demographic Profile Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

Community Demographic Profile Currently, according to the 2010 census report, East Baton Rouge Parish is the largest parish in Louisiana with a population of 440,171. Its population grew by 6.6 percent since 2000.

Community Demographic Profile Like most southern communities, Baton Rouge has continued to show an increase in African American representation. Currently, African Americans make up 45.3% East Baton Rouge Parish. Whites, on the other hand, make up 48.8% of the parish as reported in the 2010 census.

The racial composition of Baton Rouge is different than that of the state. In Louisiana, African Americans make up 1,452,396 (32%) and Whites make up 2,836,192 (62.6%) Community Demographic Profile

Community Demographic Profile The 2009 census shows that Baton Rouge has 24.3% of its residents living below the poverty level. This is higher than the 17.3% recorded for the state. However, African Americans make up over 29% of all poverty residents within Baton Rouge and for the State of Louisiana.

Community Epidemiological Profile Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

Community Epidemiological Profile As of 2009, the state s capital, Baton Rouge, ranked 2 nd in estimated AIDS cases rates among large metropolitan areas in the U.S. for the second time in a row! -2009 HIV National Rankings CDC Surveillance Report, Vol.21

Case Rate (per 100,000) CDC Surveillance Report, vol 21 40.0 35.0 37.2 2009 Estimated AIDS Case Rates US Metropolitan Areas Southern MSAs 30.0 30.6 29.1 27.0 26.6 25.0 23.5 23.3 23.3 23.0 22.8 22.2 20.0 18.9 18.7 18.3 17.4 16.0 15.7 15.1 15.0 14.4 14.3 10.0 5.0 0.0

Community Epidemiological Profile In 2009, 1,219 new HIV cases were diagnosed in Louisiana; 25 percent (310) were in Baton Rouge alone. Also, 794 new AIDS cases were diagnosed in Louisiana with 26 percent (203) occurring in Baton Rouge - STD & HIV Statewide and Regional - Epidemiologic Update

CDC Surveillance Report, vol 21 2009 Estimated AIDS Case Rates 5 th

Overall Health Ranking Rank State Rank State 50 Mississippi 49 Louisiana 48 Arkansas 47 Nevada 46 Oklahoma 45 Alabama 44 Kentucky 43 West Virginia 42 Tennessee 41 South Carolina 40 Texas 39 Missouri 38 Indiana 37 Florida 36 Georgia 35 North Carolina 34 Ohio 33 New Mexico 32 Delaware 31 Arizona ** DC data not available United Health Foundation-America s Health Rankings 2009 Edition

Target Population Epidemiological Profile Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

Number of Persons 18,000 Persons Living with HIV Infection Louisiana, 2000-2009 17155 15,000 15680 12,000 9,000 6,000 3,000 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year 2009 HIV/AIDS Program Report

New HIV Diagnoses Louisiana, 2009 2009 Demographics % of new cases In 2009 1,242 persons were newly diagnosed with HIV, a 13% increase from 2008 (1,095). Female Male Black White Hispanic MSM (men who have sex with men) HRH (high-risk heterosexual) IDU (injection drug user) MSM/IDU < 25 years old 25 44 years old > 44 years old 32% 68% 75% 18% 5% 48% 34% 13% 4% 21% 51% 27% 2009 HIV/AIDS Program Report

Case Rate (per 100,000) 70 60 Trends in HIV Rates by Race/Ethnicity Louisiana, 2000-2009 Black Hispanic/Latino Other White 65.4 50 40 37.4 30 20 10 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 14.5 8.2 Year of HIV Diagnosis 2009 HIV/AIDS Program Report

2009 HIV/AIDS Program Report Demographics of Mothers with HIV Infection Total women = 153 Race Black White Hispanic/Other Age 13-19 20-24 25-34 35-44 Region 1-New Orleans 2-Baton Rouge 3-Houma 4-Lafayette 5-Lake Charles 6-Alexandria 7-Shreveport 8-Monroe 9-Hammond/Slidell Number of HIV Positive Women Delivering in 2008 132 13 8 10 48 84 11 44 51 6 6 3 13 12 10 8 Percent 86% 8.5% 5.5% 6.5% 31% 55% 7% 29% 33% 4% 4% 2% 9% 8% 7% 5%

HIV Prevention Service Needs Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

2009 Unmet Need Louisiana In 2009, there were 17,155 persons living with HIV infection 38% did not have a lab conducted in 2009 (unmet need/not in care). 2009 HIV/AIDS Program Report Unmet Need Total 38% PLW/AIDS 26% PLW/HIV 52% Sex Female Male Race Black White Hispanic Age 0-12 13-24 25-44 45-64 65+ 34% 40% 38% 36% 53% 20% 37% 39% 37% 41%

Percent Unmet Need Unmet Need Trends Louisiana, 2005-2009 70% 2005 2006 2007 2008 2009 60% 57% 60% 58% 56% 52% 50% 40% 30% 42% 46% 43% 41% 38% 29% 34% 30% 28% 26% 20% 10% 0% Total PLW/HIV PLW/AIDS 2009 HIV/AIDS Program Report

Percent Unmet Need Unmet Need by Region Louisiana, 2009 60% 50% 40% 30% 43% 33% 26% 36% 47% 36% 39% 38% 31% 20% 10% 0% 2009 HIV/AIDS Program Report Public Health Region

Resource Inventory Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

9 Major ASOs in BR Formal Resources Baton Rouge AIDS Society HIV/AIDS Alliance for Region Two, Inc. Aspirations AIDS Law of Louisiana Baton Rouge Black Alcoholism Council Metro Health Education Volunteers of America Eutopia of Louisiana Family Service of Greater Baton Rouge BAI City Sheets

Traditional Black Institutions TBI Black Greek Letter Organizations 100 Black Men NAACP South Baton Rouge Kiwanis Youth Clubs YMCA/YWCA CBOs

Gap Analysis Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

Unaware of Status/Undiagnosed Calculation The CDC estimates that 21% of people living with HIV are unaware of their status. As of December 31, 2009, 17,155 persons were known to be living with HIV/AIDS in Louisiana. 0.21/(1-0.21) x 17,155 = 4,560 In 2009 there were 4,560 persons living with HIV infection in Louisiana who were unaware of their status/undiagnosed

Late Testers Louisiana, 2009 In 2009, 31% of new HIV diagnoses were diagnosed with AIDS within 6 months (24% had AIDS within 30 days of diagnosis) 29% of females and 33% of males had an AIDS diagnosis within 6 months Over 40% of persons above the age of 45 had an AIDS diagnosis within 6 months 31% of blacks, 30% of whites and 46% of Hispanics had AIDS within 6 months Louisiana Office of Public Health

AIDS Within 6 Mos. of Diagnosis by Sex Louisiana, 2001-2009 Louisiana Office of Public Health

Problem Statement Because of the impact of HIV in Black communities, CBOs servicing high risk communities in Baton Rouge need the assistance of African American Faith Based Communities in reducing the spread of HIV.

Survey Results My church has guest speakers, sermons and announcements concerning HIV/AIDS. 70% of the survey group was able to identify that their faith based community actively engage in HIV awareness presentation during Sunday service. My church provides FREE HIV screening as a service to the congregation. 70% of the survey group was able to identify that their faith based community actively provides this service to the congregation.

Survey Results I know where to go to receive a FREE HIV test. 100% of the survey group was able to identify that they are knowledgeable of where to go to receive a FREE HIV test. I know where to go to receive FREE HIV services and treatment. 95% of the survey participants were able to identify that they are knowledgeable of where to go to receive FREE HIV services and treatment.

Black Community s Readiness to Engage and Mobilize Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

Survey Results Have you been tested for HIV in the past 12 months. 70% of the survey group was able to identify that they are aware of their current HIV status with the past 12 months. Baton Rouge is currently ranked in the country with the highest rate of AIDS cases. 90% of the survey group was able to identify that Baton Rouge is currently ranked #2 in the country with the highest rate of AIDS cases.

Survey Results There is FREE HIV testing available within 10 miles from my faith based community. 90% of the survey participants were able to identify that they are knowledgeable of a testing site within 10 miles from their church.

Survey Results African Americans are equally infected by the AIDS virus as Caucasians. 65% of the survey group was able to identify the disproportionate rate of infection among African Americans.

Readiness of Community to Mobilize Pride Fest 2011 HIV Testing Syphilis Screening

Readiness of Community to Mobilize R.E.A.C.H. Region II Enhancing Access through a Coalition for Health

Members of Coalition HAART Family Service Baton Rouge AIDS Society Eutopia Face to Face American Cancer Society CARP Volunteers of America Southern University 100 Black Men NAACP Capital City Health Metro Health Alpha Phi Alpha 5 Faith Based Communities

Members of Coalition Safeway Pastor Cyrus New Hope Baptist Church Pastor Smith Shilou Baptist Church Pastor Montgomery Greater King David Baptist Church Office of Public Health 5 Non-HIV Related Organizations LA Health and Rehab New Life Health Ctr.

Action Plan Project Partners: Malissa Jackson CEO, Eutopia of Louisiana Rev. A.J. Johnson CEO Baton Rouge AIDS Society

Action Plan Problem Statement: As of December 31, 2010, African Americans account for 86% of new HIV/AIDS cases in the Metro Baton Rouge area. African American Faith Based Organizations have proven to play a vital role in addressing the social and health issues affecting the African American community: therefore, it s essential for community based organizations to collaborate with faith based organizations in delivering HIV services.

Goal(s) to be accomplished in conducting the needs assessment: To have 10 churches in East Baton commit to a one-year capacity building training. Action Plan

By August 23, 2011, the R.E.A.C.H. group will identify 30 African American Faith Based Organizations who will be invited to an awareness seminar Objectives 1

By November 30, 2011, we will host the awareness seminar by providing 20 African American Faith Based Organizations with 4 sessions (1 hour each) focused on HIV awareness and prevention. Objectives 2

At the completion of the awareness seminar, at minimum, 10 of the African American Faith Based Organizations will commit to participate in a one year capacity building program. Objectives 3

Objective Action Timeline Who is Responsible Measure By August 23, 2011, the R.E.A.C.H. group will identify 30 African American Faith Based Organizations who will be invited to an awareness seminar 1. Obtain or develop a list of African American Faith Based Organizations (at minimum 50) who are in high risk HIV communities within. 2. Select 30 African American Faith Based Organizations within targeted communities with a prevalence of HIV. 3. Select Date/Time/Location of African American Faith Based HIV Seminar 4. Establish contact with 30 African American Faith Based Organizations within the area. 5. Mail out a personal invitation to the 30 organizations which were selected 1. July 29, 2011 2. July 29, 2011 3. July 29, 2011 4. August 12, 2011 5. August 26, 2011 R.E.A.C.H. R.E.A.C.H. R.E.A.C.H. Core Team Core Team List of 50 African American Faith Based Organizations List of 30 African American Faith Based Organizations Documentation and confirmation of contracted space for seminar that includes date and time. List of phone/email/facebook contacts with 30 African American Faith Based Organizations Copy of Mail Out letter / Invitation and database of 30 African American Faith Based Organizations selected for distribution.

Objective Action Steps Timeline Who is Responsible Measure By November 30, 2011, we will host the awareness seminar by providing 20 African American Faith Based Organizations with 4 sessions (1 hour each) focused on HIV awareness and prevention. 1. Select 4 / one hour sessions and presenters to develop the core educational component of the African American Faith Based Seminar. 2. Make follow-up contact with 30 African American Faith Based Organizations 3. Receive confirmation on attendance by a minimum of 20 African American Faith Based Communities 1. July 29, 2011 2. September 9, 2011 3. September 30, 2011 R.E.A.C.H. Core Team R.E.A.C.H. List of session titles and presenters for African American Faith Based Seminar List of follow-up contacts Collection of RSVP documents and/or confirmation through meetingwizard.com

Objective Action Steps Timeline Who is Responsible Measure At the completion of the awareness seminar, at minimum, 10 of the African American Faith Based Organizations will commit to participate in a one year capacity building program. 1. Create an outline for a one year HIV capacity building program for African American Faith Based Organizations. 2. Create a Memoranda of Agreement for participation in a one year capacity building program for HIV prevention services within African American Faith Based Organizations. 1. October 25, 2011 2. October 25, 2011 R.E.A.C.H. R.E.A.C.H. Outline Memoranda of Agreement 3. Obtain 10 signed Memoranda of Agreements. 3. November 30, 2011 R.E.A.C.H. A Minimum of 10 signed Memoranda of Agreements