Afrimedia Programme

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Afrimedia Programme

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Title: Afrimedia Programme

1
Afrimedia Programme

HIV-Preventionamong Sub-Saharan migrantsin
Switzerland

Noël Tshibangu, Swiss Aids Federation MAS
Conference 2008, Basel Primary Health Care and
Social Equity Illusion or Reality? 09.13.2008
2
Afrimedia Programme

Coordination

Cantonal sections of the Aids Federation
Rel
Organisations of target groups
Rel
Rel
Int
FR
ZH
Kult
NE
Coordination
VD
Sol
SG
Kult
GE
BE
BS
BS
Sol
Kult
Sport
Sport
3
Sub-Saharan migrants Whom do we talk about?

Target group
- In 2006 about 45000 persons from 47 countries
- A very heterogenous group with a variety of
languages, problems, partially with similar but
often also with very different histories and
situations

4
Sub-Saharan migrants Whom do we talk about?

The following aspects besides general
vulnerability factors can be identified as main
characteristics of migrants
They come from countries with a high prevalence,
from conflict and war areas
Predestination of discrimination due to higher
visibility (complexion)
Low familiarity with written sources of
information gt oral tradition as main source of
information

5
Sub-Saharan migrants Whom do we talk about?

Superstition, unclear concepts of illness and
healing
Missing or insufficient language skills (EU),
illiteracy
Stigmatisation, discrimination and social
exclusion of people living with HIV
Young history of migration and often no strong
structure of organisation aside from religious
groups
The networks are mainly not formalised, run
through kinship, country of origin etc.

6
Sub-Saharan migrants Whom do we talk about?

Since the enactment of the new law on
asylum/aliens act (2006) more and more people
without residence permit from Sub-Saharan Africa
can be registered in Switzerland
Compared to other European countries target
group is very much affected
High mobility within Europe (not only for
rejected asylum seekers who try it elsewhere),
between their countries of origin and their
countries of residence such as Switzerland
Connected to own cultural traditions gt
recreational activities and music

7
Sub-Saharan migrantsin the context of migration
and HIV/AIDS

Target group constitutes of less than 1 of the
population in Switzerland but belongs to almost
half of all people living with HIV/AIDS among
heterosexuals
Target group is not reached by conventional
campagnes (reason for Afrimedia)
Target group is mainly male, coming from
different countries with differing prevalence
rates
Collective feeling of guilt for HIV infection,
fear of/suffer from negative sanctions gt leads
to nondisclosure about serostatus, high
psychological strain of those affected/their
families

8
Sub-Saharan migrantsin the context of migration
and HIV/AIDS

Main transmission paths of the target group via
heterosexual contacts
Average age between 20 - 45 years
Target group is mainly stigmatised because of
drug dealing
? Political instrumentalisation of HIV/AIDS might
bear negative consequences on prevention

9
Sub-Saharan migrantsin the context of migration
and HIV/AIDS
10
Sub-Saharan migrantsin the context of migration
and HIV/AIDS
11
What is the name of HIV or AIDS in your country
of origin?