HIV/AIDS Transmission and Prevention in Trinidad & Tobagoby Ifreke Williams
My decision to come to Trinidad and Tobago was
influenced by my personal experiences working with
HIV/AIDS patients and as a peer health educator on
HIV/AIDS prevention. During my last year in
college, I was a research assistant at the
University Of Maryland School Of Medicine, and my
duties included recruiting HIV positive patients
at an infectious diseases clinic for a research
study. I was very bothered by my experiences in
that clinic, one being the fact that 90% of the
patients I saw in the clinic were people of
African descent. By interacting with them, they
opened up to me and told me how they got infected.
The vast majority of them said they got infected
through intravenous drug use as Baltimore city has
a serious drug problem, but the rest of them
mostly got infected from having unprotected sex
and many said they lacked previous knowledge of
HIV/AIDS transmission and prevention. As a
young black woman, it really bothers me that
people of African descent worldwide are
disproportionately affected by HIV/AIDS, in
addition to women and youths who are also highly
affected. Statistics show that sub-Saharan Africa
has the highest number of HIV/AIDS cases; the
Caribbean has the second highest rate of HIV
infection; in the United States, black people make
up only 12% of the population but have the highest
number of HIV/AIDS cases, and black women account
for 72% of all new HIV/AIDS cases among women in
the United States. Also, over 50% of new HIV
infection occurs in young people aged 15-24. As
you can see, people of African descent are the
most affected ethnic group in the world, hence my
inspiration to get involved and join the fight
against HIV/AIDS. There's a saying that
if you can"t do big things, do small things
in great ways. I felt like the most I could do at
this point in my life was to contribute towards
raising awareness of HIV/AIDS and give people the
tools they need to protect themselves. I received
training from the After-School Institute and got
certified by the Baltimore City Health Department
as a peer health educator on HIV/AIDS prevention.
Through my interaction with young people, I
realized how little many of them knew about
HIV/AIDS, how it is transmitted and the risks
involved in some of their behaviors. But I also
met young people who had good knowledge of
HIV/AIDS transmission and safe sex, but that did
not stop them from engaging in risky sexual
behaviors. This is how I became interested
in doing research on behavior and attitude
modification as a tool of HIV/AIDS prevention. I
was curious to study the relationship between
people"s knowledge of HIV/AIDS and their
sexual behaviors. I wanted to find out why people
who have knowledge of HIV/AIDS still engaged in
risky sexual practices, and also determine if
knowledge really was impacting people's sexual
behavior. That way, I could figure out and
understand other factors that promote risky sexual
behaviors and consequently the spread of HIV/AIDS.
Moreover, I was also curious to come to an
understanding of why HIV/AIDS is more prevalent
among people of African descent. I was interested
in finding out whether there are differences in
sexual behavior among people of different races
within the same culture. I applied to the
Fulbright Program and proposed to do research in
Trinidad and Tobago because I learned so much
about the diversity in Trinidad from my classmates
in college and I also wanted to experience
Carnival, something I had always heard about. For
my research, I am affiliated with the Department
of Community Health of the Faculty of Medical
Sciences in the University of the West Indies
[medical school]. My objective is to identify the
risk factors for HIV/AIDS and assess the barriers
to safe sexual practices/condom use. I'm also
using the research opportunity to spread knowledge
about HIV/AIDS, motivate people to get tested,
change their sexual behaviors and attitudes
towards safe sex/condom use. I accomplish this by
giving my research survey participants HIV/AIDS
information pamphlets, my personal article on
HIV/AIDS prevention, and through conversations and
interactions. During my stay here in
Trinidad, I am actively involved in community
outreach/education on HIV/AIDS prevention. I am
collaborating with several health and youth
organizations such as the National AIDS Program,
Queen's Park Counseling Center and Clinic,
Family Planning Association of Trinidad and
Tobago, Friends for Life, the youth outreach
department of YMCA, and the Cyril Ross HIV/AIDS
Orphanage. These organizations provide HIV/AIDS
information, voluntary counseling and testing,
advocate for the sexual and reproductive health of
youths, work to reduce the stigmatization and
discrimination of people living with HIV/AIDS, and
also provide care and support for people living
with HIV/AIDS. In the course of my research
and volunteer work at some of these sites, I have
learned a lot about the HIV/AIDS situation in
Trinidad and many sad personal stories have been
shared with me. The most bothersome of all are the
married women I encountered that got infected by
their HIV-positive husbands who were unfaithful.
One of them got tested and found out that she had
HIV only after her husband passed away when she
saw his death certificate that listed AIDS as the
cause of death. I think it is more painful when
someone who does the right thing becomes infected
due to the wrong doings of someone else. This is
the plight of some married women who are faithful
to their husbands but whose husbands are
unfaithful to them. It becomes more apparent that
the choice of a partner should be a very careful
one in this day and age when infidelity could
result in transmission of a deadly disease such as
HIV/AIDS. Also, I was shocked to find out that
antiretroviral drugs only recently became
available in Trinidad in 2002, meaning that many
HIV positive people did not receive early
treatment to help prolong their lives. It
has been very rewarding to have the opportunity to
contribute towards reducing the spread of HIV/AIDS
in Trinidad and Tobago, and I plan to continue
helping to reduce the incidence and prevalence of
HIV/AIDS among black people worldwide. I would
like more people of African descent especially
young people to realize the devastation that this
disease is causing in our communities and get
involved in HIV/AIDS prevention even in little
ways, otherwise this deadly disease will continue
to threaten our people.
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